Peer-Care Model Development (Peer Support–Based Community Nursing) to Improve Treatment Adherence and Quality of Life in People Living With HIV
DOI:
https://doi.org/10.37287/ijghr.v8i6.2666Keywords:
adherence, HIV, peer-care, quality of life, social supportAbstract
The management of Human Immunodeficiency Virus (HIV) remains suboptimal, particularly in terms of treatment adherence and quality of life, calling for community-based solutions to strengthen social support for people living with HIV. This study aimed to develop the PEER-CARE Model to improve treatment adherence and quality of life among people living with HIV within the community. This study employed a one-group pre-test and post-test design involving 15 people living with HIV in Region IV of Sukabumi Regency, selected using purposive sampling. Data were collected using the MMAS-8, WHOQOL-HIV BREF, and MSPSS, which have demonstrated satisfactory validity and reliability in previous validation studies. Data were analysed using a paired-samples t-test, with effect size calculated using Cohen’s d. There was a statistically significant increase in treatment adherence, quality of life and perceived social support following the intervention (p<0.05). The PEER-CARE Model had a significant effect on treatment adherence and quality of life among people living with HIV.
References
Angraeni, F., & Ardhiyanti, L. P. (2025). Efektivitas dan hambatan layanan kesehatan terhadap kepatuhan pengobatan antiretroviral pada orang dengan HIV/AIDS (ODHA): Literature review. In Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta (pp. 12–28).
Ashur, S. T., et al. (2015). Reliability and known-group validity of the Arabic version of the 8-item Morisky Medication Adherence Scale among type 2 diabetes mellitus patients. Eastern Mediterranean Health Journal, 21(10), 4–10.
Asrina, A., et al. (2025). Challenges and opportunities for HIV/AIDS prevention and control in Indonesia: A qualitative exploration from health workers and stakeholder. Gaceta Médica de Caracas, 133(1). https://doi.org/10.47307/GMC.2025.133.1.10
Blake, H., et al. (2025). Voluntary HIV testing and counselling initiatives in occupational settings: A scoping review. International Journal of Environmental Research and Public Health, 22(2), 263. https://doi.org/10.3390/ijerph22020263
Budhiana, J., Ratiningsih, R., & Purnairawan, Y. (2025). Hubungan pendampingan kelompok dukungan sebaya dengan kepatuhan minum obat ARV pada pasien orang dengan HIV. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, 16(1), 190–196. https://doi.org/10.34305/jikbh.v16i01.1578
Chang, K., et al. (2024). Exploring the experiences of peer support participation for HIV peer volunteers: A meta-synthesis of qualitative research. International Journal of Nursing Studies, 153, 104715. https://doi.org/10.1016/j.ijnurstu.2024.104715
Dessie, Z. G., & Zewotir, T. (2024). HIV-related stigma and associated factors: A systematic review and meta-analysis. Frontiers in Public Health, 12, 1356430. https://doi.org/10.3389/fpubh.2024.1356430
Dinta, N. A., et al. (2024). Faktor potensial yang mempengaruhi kepatuhan pasien terhadap terapi HIV: Systematic review. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 14(2), 713–724.
Elendu, C., et al. (2025). Shaping sustainable paths for HIV/AIDS funding: A review and reminder. Annals of Medicine and Surgery, 87(3), 1415–1445. https://doi.org/10.1097/MS9.0000000000002976
Frey, E., Johnston, C. D., & Siegler, E. L. (2023). Treatment regimens and care models for older patients living with HIV: Are we doing enough? HIV/AIDS—Research and Palliative Care, 15, 191–208. https://doi.org/10.2147/HIV.S311613
Fuster-RuizdeApodaca, M. J., et al. (2023). Evaluation of a peer intervention project in the hospital setting to improve the health-related quality of life of recently diagnosed people with HIV infection. Health and Quality of Life Outcomes, 21, 106.
Fuster-RuizdeApodaca, M. J., et al. (2023). Why we need to re-define long-term success for people living with HIV. HIV Medicine, 24, 3–7. https://doi.org/10.1111/hiv.13461
Guaraldi, G., et al. (2024). The UN decade of healthy ageing (2021–30) for people living with HIV. The Lancet Healthy Longevity, 5(11), 100643. https://doi.org/10.1016/j.lanhl.2024.100643
Han, S., et al. (2023). The effectiveness and sustainability of peer support interventions for persons living with HIV: A realist synthesis. BMJ Global Health, 8(2). https://doi.org/10.1136/bmjgh-2022-010966
Ibiloye, O., et al. (2022). Community-based art service delivery for key populations in Sub-Saharan Africa: Scoping review of outcomes along the continuum of HIV care. AIDS and Behavior, 26(7), 2314–2337. https://doi.org/10.1007/s10461-021-03568-3
Insiano, E. S., Widjanarko, B., & Putro, A. S. (2023). Gambaran strategi pelibatan kembali pasien loss to follow up terapi ARV ODHIV: Literature review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(7), 1294–1301. https://doi.org/10.56338/mppki.v6i7.3417
Iryawan, A. R., et al. (2022). The impact of peer support on testing, linkage to and engagement in HIV care for people who inject drugs in Indonesia: Qualitative perspectives from a community-led study. Harm Reduction Journal, 19, 16. https://doi.org/10.1186/s12954-022-00595-8
Kementerian Kesehatan Republik Indonesia. (2025). Berani tes, berani lindungi diri, Kemenkes targetkan eliminasi HIV dan IMS tahun 2030. Kemenkes.
Kristia, G., Djannah, S. N., & Wardani, Y. (2025). Peran dukungan sosial dalam kepatuhan terapi antiretroviral pada orang dengan HIV: Systematic review. Jurnal Promotif Preventif, 8(5), 1145–1155. https://doi.org/10.47650/jpp.v8i5.2125
Lailiah, N., & Indarwati, R. (2023). Age group-based interventions to improve psychological outcomes in people living with HIV: A systematic review. JKKI: Jurnal Kedokteran dan Kesehatan Indonesia, 331–343. https://doi.org/10.20885/JKKI.Vol14.Iss3.art14
Laksmita, O. D., et al. (2020). Multidimensional Scale of Perceived Social Support in Indonesian adolescent disaster survivors: A psychometric evaluation. PLOS ONE, 15(3), 1–12. https://doi.org/10.1371/journal.pone.0229958
Listyarini, A. D., & Cahyani, W. A. (2023). Literature review: Aspects related to the quality of life of people with HIV/AIDS. In Proceeding Cendekia International Conference Health and Technology (pp. 179–187).
Manu, E., et al. (2024). Client-reported challenges and opportunities for improved antiretroviral therapy services uptake at a secondary health facility in Ghana. Heliyon, 10(15), e35788. https://doi.org/10.1016/j.heliyon.2024.e35788
Maskew, M., et al. (2022). Adolescent retention in HIV care within differentiated service-delivery models in sub-Saharan Africa. The Lancet HIV, 9(10), e726–e734. https://doi.org/10.1016/S2352-3018(22)00137-0
Meng, X., et al. (2023). Peer-led community-based support services and HIV treatment outcomes among people living with HIV in Wuxi, China: Propensity score-matched analysis of surveillance data from 2006 to 2021. JMIR Public Health and Surveillance, 9, e43635. https://doi.org/10.2196/43635
Misutarno, M., et al. (2022). The effectiveness of peer group support to increase health-related quality of life among human immunodeficiency virus/acquired immunodeficiency syndrome patients: A systematic review. Open Access Macedonian Journal of Medical Sciences, 10(3), 129–135. https://doi.org/10.3889/oamjms.2022.8502
Misutarno, M., et al. (2024). The effectiveness of peer group support model based on chronic care model on antiretroviral compliance, increasing immunity (CD4, viral load, opportunistic infections), and quality of life of people with HIV (PLHIV). Revista de Gestão Social e Ambiental, 18(1), e06327. https://doi.org/10.24857/rgsa.v18n1-109
Ngcobo, S., et al. (2022). Roles, barriers, and recommendations for community health workers providing community-based HIV care in Sub-Saharan Africa: A review. AIDS Patient Care and STDs, 36(4), 130–144. https://doi.org/10.1089/apc.2022.0020
Nurfita, N. R., et al. (2025). The effect of peer group education on the knowledge and attitudes of adolescents regarding HIV/AIDS prevention. JKM (Jurnal Kebidanan Malahayati), 11(10). https://doi.org/10.33024/jkm.v11i10.23141
Nursalam, N., et al. (2024). Peer-group support based on the chronic care model for improving HIV patients’ caring ability. Jurnal Keperawatan Padjadjaran, 12(2), 182–192. https://doi.org/10.24198/jkp.v12i2.2448
Prasetio, O. D., et al. (2025). Hambatan orang dengan HIV dalam mengakses pekerjaan: A systematic review. Jurnal Keperawatan Terapan, 11(2), 190–202.
Rahma, G., Yulia, Y., & Handiny, F. (2024). Determinan kejadian HIV AIDS pada populasi kunci di Indonesia: Systematic review. JIK Jurnal Ilmu Kesehatan, 8(1), 158–165. https://doi.org/10.33757/jik.v8i1.1084
Rahmadani, M., et al. (2023). Dampak program pencegahan penularan infeksi HIV dari ibu ke anak (PPIA). In Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo (pp. 620–629).
Rani, A. H., et al. (2025). Pemantauan berbasis elektronik (Medication Event Monitoring System [MEMS]) untuk meningkatkan kepatuhan terhadap terapi antiretroviral pada anak dengan infeksi HIV/AIDS: Tinjauan sistematis. An Idea Health Journal, 5(1), 66–79.
Syamsir, S. B., et al. (2026). People living with HIV experiences from peer support: A meta-synthesis. International Journal of Community Based Nursing & Midwifery, 14(1), 2–21. https://doi.org/10.30476/ijcbnm.2025.106314.2758
Usman, S., & Kadar, K. S. (2021). The peer support on quality of life in people with HIV/AIDS. Enfermeria Clinica, 31, S730–S734. https://doi.org/10.1016/j.enfcli.2021.07.025
Zhang, M., et al. (2025). Intervention measures for stigma in HIV patients: A scoping review of randomized controlled trials. Frontiers in Public Health, 13, 1655870. https://doi.org/10.3389/fpubh.2025.1655870
Zhu, Y., Liu, J., & Qu, B. (2017). Psychometric properties of the Chinese version of the WHOQOL-HIV BREF to assess quality of life among people living with HIV/AIDS: A cross-sectional study. BMJ Open, 7(8). https://doi.org/10.1136/bmjopen-2017-016382
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








