JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 2.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Counseling Therapy With Hatha Yoga on Adherence Level, Nutritional Status, and Quality of Life Among HIV-Infected Adolescents

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 2.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Counseling Therapy With Hatha Yoga on Adherence Level, Nutritional Status, and Quality of Life Among HIV-Infected Adolescents

Counseling therapy, Yoga, Adherence level, Nutritional status, Quality of life, HIV, Adolescents

Introduction: HIV infection and AIDS are associated with numerous challenges, and infected
people experience extreme despair, fear, anxiety, and depression. However, counseling
therapy and yoga techniques may help ease stress-related illness, produce internal strength
through relaxation, and enhance immunity.
Objective: This study aimed to evaluate the effectiveness of counseling therapy and Hatha
yoga on the adherence level, nutritional status, and quality of life (QOL) of HIV-infected
adolescents.
Materials and Methods: A randomized controlled trial study was conducted. Through the

simple random method, 388 (195 in the experimental and 193 in the control group) HIV-
infected adolescents were selected. The data of HIV-infected adolescents and caregivers

were collected from four main Antiretroviral Therapy clinics in Chennai, India, through
Standardized Antiretroviral Therapy adherence, QOL, and a structured nutritional
assessment questionnaire. Motivational counseling was given to the experimental
group, and the researcher demonstrated selected asanas. The data were collected from
both groups at 0, 3, and 6 months intervals. The descriptive statistics of mean, standard
deviation, and inferential statistics of the student independent t test and Chi-square test
were used to determine the effectiveness of interventional variables in both groups.
Results: The Mean±SD age of the experimental group of adolescents was 13.6±2.2 years,
and that of the control group was 13.8±2.4 years. There is an improvement range in the
experimental vs the control group for the components of adherence level (13.4% vs 4.9%)
and QOL (15.1% vs 0.9%) at a significance of P=0.001 with a 95% confidence interval. Also,
the nutritional gain score was significantly increased to 9.3% vs 1.5% (P=0.05). Regarding CD4
(cluster of differentiation 4) count, the baseline mean score was 664.86 vs 669.72, whereas,
in the sixth month, it significantly increased to 840.35 vs 703.35 (P=0.001).
Conclusion: Motivational counseling and behavior modification of yoga efficiently improved
health status and well-being among HIV-infected adolescents in the experimental group
compared to the control group.

Rajathi Sakthivel

April 2023, Volume 33, Number 2

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