Introduction: Coaching is a process of self-exploration, thoughts, and feelings followed by actions within the coachee, through the relationship between the coachee and the coach. This process will help discover potencies in oneself as part of psychological and emotional support. Objective: To investigate the effectiveness of Transpersonal Supportive Coaching on Serotonin Levels and Quality of Life PLWHA. Method: This research was conducted using an intervention mixed-methods design which is the integration of quantitative and qualitative approaches to study designs, data collections, and analyses. Alternative hypothesis: 1. There is a difference in serotonin levels before and after Transpersonal Supportive Coaching on PLWHA. 2. There is a difference in the quality of life before and after Transpersonal Supportive Coaching on PLWHA
Sampling technique: Purposive sampling Sample Size : The estimation of sample size was calculated using the Slovin formula: n = N / (1 + (N x e²)) n = sample N = population e = margin error (0.05) n = 100/(1+100 x 0.0025) = 80 The sample will be divided into 3 groups (each group = 26.67 or 27). Detailed Intervention: 1. Intervention group: A group was given supportive coaching for 4 months with a 45-minute duration per coaching. It was given two times a month and also taking an antiretroviral (ARV) therapy. 2. Control group I: A group was given only basic support for 4 months and taking ARV therapy. 3. Control group II: A group only taking ARV therapy without any support was given. Statistical analysis: 1. Qualitative analysis using thematic and content analysis with N-Vivo software 2. Quantitative analysis: 1. Univariate analysis using Mean and Standard deviation and percentage with 95% Confidence interval 2. Bivariate analysis using Anova or Kruskal Wallis tests. 3. Multivariate analysis using logistic regression for main effect test and Process version 5.3.5. for mediation test with bootstrapping method 4. Data will analysis using SPSS version 26
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
80
Coaching is given for four months (two times a month) with a 45-minute duration per coaching by a professional coach
Standard support is given for four months using a support system provided by Peer Support Foundation
Yayasan Kelompok Dukungan Sebaya (Peer Support Group Foundation)
Makassar, South Sulawesi, Indonesia
RECRUITINGThe change in blood serotonin level
Serotonin (5-hydroxytryptamine, 5-HT) is one of the main neurotransmitters in the human brain that could be affected by psychotherapy (i.e., change the serotonin levels). Total serotonin levels in the blood are measured using the Enzyme-linked Immunoassay (ELISA) method with a standard curve range of 70 ng/L-270 ng/L. The change in serotonin level (i.e., mean score) before and after intervention will be statistically assessed.
Time frame: The baseline level of serotonin in blood is measured on the first day before intervention (pre-intervention) and then compared after 4-months of intervention (post-intervention)
The change in Quality of life (QoL) of PLWHA
Quality of life is defined as individuals' perception of their position in life in the context of the culture and value system in which they live and in relation to their goals, expectations, standards, and concern which measure using the modified World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF) questionnaire in Indonesian version to measure the QoL patients with HIV/AIDS. it is a 31-item instrument consisting of six domains: physical health (4 items), psychological/emotional well-being (5 items), functional/independence (4 items), social (4 items), environmental (8 items) and spiritual satisfaction (4 items). Further, it also contains overall quality of life and general health perception (2 items). Each item's scores range between 1 (very bad) and 5 (very good). A total score and total of each domain at baseline and after the intervention will be statistically assessed. A positive score change indicates good QoL, while a negative indicates worse QoL.
Time frame: The baseline score of total and each domain of Quality of Life on PLWHA is measured on the first day before intervention (pre-intervention) and then compared after 4-months of intervention (post-intervention).
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