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Dissertation Manuscript_Tatiana RodriguezKlein.pdf (1.1 MB)
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Acceptance and Commitment Therapy for Latinos Living with HIV/AIDS: A Pilot Randomized Control Outcome Study
Author Info
Rodriguez-Klein, Tatiana
Permalink:
http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1530732579157387
Abstract Details
Year and Degree
2018, Doctor of Philosophy (Ph.D.), Bowling Green State University, Psychology/Clinical.
Abstract
HIV/AIDS continues to be a problematic disease that affects all ethnic groups. Latinos are likely to experience challenges associated with poor quality of life, HIV stigma, language, and cultural barriers. Latinos are also at risk of experiencing multi-layered stigma. Acceptance and Commitment Therapy (ACT) has been associated with improved health outcomes among diverse medical and psychiatric populations, including HIV. However, the potential benefits of a mindfulness based intervention have not been explored among Latinos with HIV. The primary goal of this study was to develop and empirically evaluate a brief ACT protocol tailored to HIV-positive Latino individuals living on the U.S./Mexico border with the goal of improving quality of life and reducing HIV stigma. Two separate sets of data are presented. Study 1 evaluated cross-sectional data on measures of acceptance, cognitive fusion, quality of life, viral load, and language among HIV-positive Latinos. Study 2 evaluated the feasibility of a one-day, three-hour ACT group to improve quality of life and reduce HIV stigma. There were three primary hypotheses for this study: a) acceptance would be positively associated with quality of life and lower HIV stigma and viral load; b) cognitive defusion would be positively associated with quality of life and lower reports of HIV stigma and viral load; and c) participants in the ACT group would report improved quality of life and reduced HIV stigma at posttreatment and follow-up assessments compared to pretreatment assessment and to participants attending an HIV education group. Correlational and regression analyses were conducted to evaluate associations among all study variables. Repeated measures ANOVA, nonparametric analyses, and single-subject analyses were conducted to evaluate treatment outcome data. Results were mixed and provide only partial support for study hypotheses. The ACT intervention was not helpful in reducing reports of HIV stigma or improving quality of life. Results from correlational analyses indicate that acceptance, mindfulness, and cognitive defusion were associated with better quality of life and reduced HIV stigma. Language was associated with higher quality of life and viral load, suggesting that low acculturation can be a protective factor for Latinos. Clinical implications and interpretation are discussed.
Committee
William O'Brien, Dr. (Committee Chair)
Eric Dubow, Dr. (Committee Member)
Howard Cromwell, Dr. (Committee Member)
George Bullerjahn, Dr. (Other)
Pages
200 p.
Subject Headings
Clinical Psychology
;
Health
;
Psychology
Keywords
HIV
;
AIDS
;
Latinos
;
ACT
;
acceptance
;
mindfulness
;
cognitive defusion
;
HIV stigma
;
quality of life
;
acculturation
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Citations
Rodriguez-Klein, T. (2018).
Acceptance and Commitment Therapy for Latinos Living with HIV/AIDS: A Pilot Randomized Control Outcome Study
[Doctoral dissertation, Bowling Green State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1530732579157387
APA Style (7th edition)
Rodriguez-Klein, Tatiana.
Acceptance and Commitment Therapy for Latinos Living with HIV/AIDS: A Pilot Randomized Control Outcome Study.
2018. Bowling Green State University, Doctoral dissertation.
OhioLINK Electronic Theses and Dissertations Center
, http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1530732579157387.
MLA Style (8th edition)
Rodriguez-Klein, Tatiana. "Acceptance and Commitment Therapy for Latinos Living with HIV/AIDS: A Pilot Randomized Control Outcome Study." Doctoral dissertation, Bowling Green State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1530732579157387
Chicago Manual of Style (17th edition)
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Document number:
bgsu1530732579157387
Download Count:
1,006
Copyright Info
© 2018, all rights reserved.
This open access ETD is published by Bowling Green State University and OhioLINK.