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Learning Objective 1: The learners will be able to understand how to develop a guideline of care for people living with HIV/AIDS in Thailand.
Learning Objective 2: The learners will be able to apply or use the method of research utilization and participatory action research as their future research.
Design/methods: Participation action research was conducted. The first draft of the guideline was developed using a systematic review of evidence-based practice of research findings, including existing documentations related to care for PLWHAs from the period of 1995-2009. There were a total of 56 research studies consisting of 26 studies in level A, 20 studies in level B, and 30 studies in level C. The final guideline was developed after having two participatory meetings with 50 participants including selected 30 PLWHAs, ten health care providers, and ten stakeholders. In the meetings, the recommendations and comments from participants were tape-recorded and subsequently transcribed. The final guideline was synthesized based on the level of evidence-based data and the practical intervention of the guideline. Revision of the final guideline was conducted after receiving comments from the meeting and the panel of 12 experts.
Results: The guideline of treatment and care for asymptomatic PLWHAs were classified into seven domains: 1) self management and behavior modification,
2) health services for disease prevention and health promotion, 3) psychological support including ongoing counseling, 4) community involved support groups and HIV/AIDS clubs, 5) referral care system, 6) competency of health care providers, and 7) quality assurance of health care for PLWHAs.
Conclusions/policy implications: The guideline should be examined and implemented formally in order to be approved by the health care providers, stakeholders, and committees of National Health Care Coverage.