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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
191

Returning to work : exploring the lived experience of the cancer survivor

Clur, Loraine Sonia 10 1900 (has links)
The purpose of this hermeneutic phenomenology study was to explore and describe the meaning employees attribute to the lived experiences of returning to work after cancer treatment. Semi-structured interviews were held with eight participants and a thematic data analysis method was used. The results indicate that cancer survivors experience various challenges that make it difficult to function as they did before the diagnosis when they return to work. A critical hermeneutical reflection against the literature followed the structural analysis and resulted in a contextual framework that incorporated the individual and organisational perspective on the various influences involved in supporting cancer survivors to maintain their wellbeing when they return to work. Four phases, repression, comprehension, activation and reintegration, were identified when they tried to cope/adjust on their return to work. The corresponding forms of organisational support they expected through these phases were labelled motivation, information, navigation and stabilisation. / Industrial and Organisational Psychology / M. Com. (Industrial and Organisational Psychology)
192

Mo(vi)mentos autobiográficos: historiando fragmentos narrativos de experiências de vida docente e discente em artes visuais / Autobiographical mo(ve)ments: historicizing fragments of narrative experiences of teachers’ and students’ lives in the visual arts

Ferreira, Luiz Carlos Pinheiro 12 March 2015 (has links)
Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2016-01-08T13:35:48Z No. of bitstreams: 2 Tese - Luiz Carlos Pinheiro Ferreira - 2015.pdf: 5009756 bytes, checksum: 063d684c4133bde0beeeab86ca8d4184 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-01-11T06:46:25Z (GMT) No. of bitstreams: 2 Tese - Luiz Carlos Pinheiro Ferreira - 2015.pdf: 5009756 bytes, checksum: 063d684c4133bde0beeeab86ca8d4184 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-01-11T06:46:25Z (GMT). No. of bitstreams: 2 Tese - Luiz Carlos Pinheiro Ferreira - 2015.pdf: 5009756 bytes, checksum: 063d684c4133bde0beeeab86ca8d4184 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-03-12 / This doctoral research, with emphasis on autobiographical narrative, presents issues focusing on mo(ve)ments seen from the rearview mirror of life. This retro(re)located archaeological view situates images, memories and fragments of my life history, leading me to a (re)visitation of school time, processes of teacher training and teaching practice in the field of Visual Arts. The study articulates and includes analysis related to the processes of life narrative and teacher training of student’s collaborators earning the Teacher Education Degree in Visual Arts at the University of Brasilia. The research analyses pedagogical episodes lived in the classroom, reflecting on the temporality of biographical experience and existence to think the place of narrative in the context of connections between the know-how as a possibility for transformation and self-transformation of the subjects involved. The narrative fragments of the history of life give the research epistemological coherence consolidating interest in autobiographical approach as research perspective and as a practical training, enabling a (re)construction of archaeological subject. Self-reflexive references and biographical reflexivity are used as theoretical allowance to (re)position historical consciousness about learning and lived experiences throughout life. This route took me to design a methodological tripod based in teaching episodes, in interviews and focal groups as orientation to analyze the data produced in the field of research which showed the self narrative as a way that projects a subject involved in passages, territory of sensibilities configured through marks, affections and traces resulting from lived experiences, that is, a subject under training who learns not only through pedagogical practice but also giving place to whatever comes, and yet, learning to be a place, a port and a space for happenings and mo(ve)ments of life as a necessary way to knowledge and self narrative. / Este estudio de doctorado, de carácter autobiográfico con énfasis en la narrativa de sí, presenta cuestiones que parten de “momentos con movimiento” al mirar por el espejo retrovisor de la vida. Esa retro(re)visión arqueológica evoca imágenes, memorias y fragmentos de mi historia de vida, llevándome a una (re)visitación de los tiempos de colegio, formación y actuación docente en el campo de las Artes Visuales. El estudio articula y contempla análisis relacionados al proceso de la narrativa de vida y formación discente/docente de alumnos colaboradores del curso de Licenciatura en Artes Visuales de la Universidad de Brasilia. La investigación analiza, también, episodios pedagógicos vividos en el salón de clases, con el objetivo de reflexionar sobre la temporalidad biográfica de la experiencia y de la existencia para pensar el lugar de la narrativa en el contexto de la conexión entre el saber-hacer como posibilidad de transformación y auto transformación de los sujetos involucrados. Los fragmentos narrativos derivados de la historia de vida proporciona a la investigación la coherencia epistemológica que consolidó el interés en el enfoque autobiográfico como perspectiva investigativa y como práctica de formación, permitiendo una posible (re)construcción arqueológica del sujeto. El referencial auto-reflexivo y la reflexividad biográfica son utilizados como subsidio teórico para (re)posicionar la consciencia histórica sobre aprendizajes y vivencias experimentados a lo largo de la vida. Tal camino me ha llevado a la concepción de un trípode metodológico pautado en los episodios pedagógicos, entrevistas y realización de grupos focales como una guía para analizar los datos producidos en el campo de la investigación, que evidenciaron la narrativa de sí como camino que vislumbra un sujeto permeado por transiciones, territorio de sensibilidades, configurado por marcas, afectos y vestigios consecuentes de las experiencias vividas, o sea, un sujeto en formación que aprendió por la práctica pedagógica no soló a dar lugar a aquello que llega, pero también, a ser lugar, puerto y espacio de los acontecimientos y movimientos de la vida como apertura esencial para el conocimiento y la narrativa de sí. / Esta pesquisa de doutorado, de caráter autobiográfico com ênfase na narrativa de si, apresenta questões que partem de mo(vi)mentos ao olhar pelo espelho retrovisor da vida. Essa retro(re)visão arqueológica situa imagens, memórias e fragmentos da minha história de vida, levando-me a uma (re)visitação dos tempos de escolarização, formação e atuação docente no campo das Artes Visuais. O estudo articula e contempla análises relacionadas ao processo da narrativa de vida e de formação discente/docente de alunos colaboradores do curso de Licenciatura em Artes Visuais da Universidade de Brasília. A pesquisa analisa, também, episódios pedagógicos vivenciados em sala de aula, com o objetivo de refletir sobre a temporalidade biográfica da experiência e da existência para pensar o lugar da narrativa no contexto de conexões entre o saber-fazer como possibilidade de transformação e autotransformação dos sujeitos envolvidos. Os fragmentos narrativos derivados da história de vida, conferem à investigação coerência epistemológica que consolida o interesse na abordagem autobiográfica como perspectiva de pesquisa e como prática de formação, possibilitando uma (re)construção arqueológica do sujeito. O referencial autorreflexivo e a reflexividade biográfica são utilizados como subsídio teórico para (re)posicionar a consciência histórica acerca das aprendizagens e vivências experienciadas ao longo da vida. Tal percurso levou-me à concepção de um tripé metodológico pautado nos episódios pedagógicos, nas entrevistas e na realização de grupos focais como orientação para analisar os dados produzidos na pesquisa de campo que evidenciaram a narrativa de si como caminho que vislumbra um sujeito permeado de passagens, território de sensibilidades, configurado por marcas, afetos e vestígios decorrentes das experiências vividas, ou seja, um sujeito em formação que aprende pela prática pedagógica não apenas a dar lugar àquilo que chega, mas, também, a ser lugar, porto e espaço de acontecimentos e mo(vi)mentos da vida como abertura necessária para o conhecimento e a narrativa de si.
193

Idéias provisórias para tempos provisórios: a trajetória da Internacional Situacionista e apontamentos para seu lugar na Geografia / Interim ideas for provisional times: the history of the Situationist International and its place in geography

Fabio Lopes Bonna Moreirão de Magalhaes 16 December 2011 (has links)
Nesta pesquisa procuramos estabelecer as bases teóricas e práticas da Internacional Situacionista e de dois de seus principais teóricos, Guy Debord e Raoul Vaneigem. Para aprofundar a compreensão, fomos em busca das origens desse grupo no Letrismo, na Internacional Letrista e Movimento por uma Bauhaus Imaginista, em uma tentativa de estabelecer uma trajetória. O início, no Letrismo, se estabelece como vanguarda artística, para logo quebrar com a perspectiva de uma proposta estética e realizar um aprofundamento de caráter marxista na crítica à cultura e ao urbanismo, na forma metodológica do desvio e da deriva e na construção de situações, a partir dos anos da Internacional Letrista. O processo de Decomposição da cultura faz com que alguns grupos se reúnam em uma nova internacional, desta vez Situacionista, com uma proposta inicial de revolução cultural, na e contra Decomposição. O envolvimento de Guy Debord com outros teóricos marxistas como Henri Lefebvre, radicaliza uma crítica da vida cotidiana e tira do foco uma discussão sobre cultura. O resultado é desenvolvimento do conceito de espetáculo, forma mais desenvolvida da sociedade produtora de mercadorias, e a centralização da questão do fetiche na crítica. Uma possibilidade de debate entre uma práxis revolucionária da vida cotidiana e a centralidade do fetiche da mercadoria nos parece necessária no momento atual da Geografia. / This research sought to establish the theoretical and practical bases of the Situationist International and two of its leading theorists, Guy Debord and Raoul Vaneigem. To deepen understanding, we were in search of the origins of this group in Lettrism, Lettrist International and the International Movement for an Imaginist Bauhaus, in an attempt to establish a trajectory. The beginning, in Lettrism, establishes himself as the artistic vanguard, soon to break with the prospect of an aesthetic proposal and make a deeper exploration in the marxist ideas, in order to make a critique of culture and urbanism with the methodological form of the detournement, the dérive and the construction of situations, since the years of the Lettrist International. The process of Decomposition of the culture causes some groups to join in a new International, Situationist this time, with an initial proposal of cultural revolution, inside and against Decomposition. Guy Debord\'s involvement with other marxist theorists such as Henri Lefebvre, the radical critique of everyday life takes the focus from the discussion about culture. The result is the development of the concept of spectacle, most developed form of commodity-producing society, and centered on the critical question of the fetish. A possibility for discussion between a revolutionary praxis of everyday life and the centrality of the fetish seems necessary at this moment in Geography.
194

Upplevelser av att leva med ADHD : Att vara cirkeln i en fyrkantig värld / Experiences of living with an ADHD diagnosis

König, Kristina, Jönsson, Linnea January 2017 (has links)
Attention deficit hyperactivity disorder (ADHD) är den mest förekommande beteendestörningen hos barn. Forskning visar att minst 5% av barn och ungdomar är drabbade världen över, men det finns troligtvis ett stort mörkertal hos såväl vuxna som barn. ADHD har blivit ifrågasatt för sin autenticitet och har varit föremål för diskussion de senaste årtiondena. De drabbade möts ofta av förutfattade meningar vilket skapar stigmatisering. Denna litteraturstudies syfte var att belysa individers egna upplevelser av att leva med ADHD. Resultatet visade att individer upplevde ett utanförskap i samhället oavsett ålder, genus och ursprung. Upplevelserna behandlade känslor av att vara i otakt med sin omgivning, att inte passa in i samhällets normer samt att bli stämplad som stökig och lat. Även upplevelser av att vara speciell med unika gåvor framkom i resultatet. Slutsatsen är att individer med ADHD lever i en verklighet med en alldeles särskild livsvärld. Att vilja förstå och kunna sätta sig in i denna livsvärld är av betydelse för alla i den drabbades närhet. Då vården i framtiden kommer att möta fler patienter med ADHD behövs mer kunskap inom området för att kunna främja hälsa hos dessa individer. / Attention deficit hyperactivity disorder (ADHD) is the most common behavioral disorder among children. Research has proved that at least 5% of children and adolescents are affected in a worldwide perspective. A large number of people are probably unrecorded with the diagnosis. The authenticity of ADHD as a real diagnosis has been questioned during the last decades, and ADHD and its symptoms is still a matter for discussions. People living with ADHD are facing preconceptions which can cause stigmatization. The purpose of this literature study was to illustrate lived experiences of ADHD. The result of the study showed feelings of alienation in the community regardless of age, gender and origin. Their experiences were about feelings of being out of time with their surroundings, to not fit in the norms of society as well as being labelled as disorderly and lazy. Despite this, feelings of being special and gifted were also reported. The conclusion is that people living with ADHD holds a unique lifeworld, which is important to understand. The future holds a surge in demand for caring of patients with ADHD. To support health and wellbeing this require more knowledge within the area of behavioral impairments.
195

Daughter Caregivers For Mothers With Dementia Lived Experiences: A Qualitative Research Study

Green, Fairy Kenyatta 08 December 2021 (has links)
No description available.
196

L’expérience vécue des professionnels de la santé dans un grand centre hospitalier universitaire à Montréal : un regard contextuel

Hammouni, Zakia 08 1900 (has links)
Dans un contexte hospitalier de multiplicité des usagers, de stress et différents contextes d’interactions des professionnels de la santé avec leur environnement physique à l’hôpital, cette étude doctorale a pour objectif de comprendre comment ces professionnels vivent dans leur environnement de travail et quels attributs de cet environnement physique facilitent leur travail et favorisent leur bien-être. Avec la construction de nouveaux grands centres hospitaliers universitaires (CHU) au Québec cette dernière décennie, l'environnement hospitalier est en mutation. Il intègre de nouvelles approches de conception pour atténuer le stress des utilisateurs et assurer leur bien-être, en utilisant l'approche de conception centrée sur le patient dans laquelle l'accent principal des concepteurs est mis sur son bien-être. Dans ce contexte, nous ne savons pas vraiment comment l'environnement physique affecte l’expérience vécue des professionnels de la santé, sachant également que la littérature scientifique montre un manque de connaissances acquises concernant leur interaction avec le cadre physique au travail. Inscrite dans une perspective constructiviste, cette étude a exploré le contexte de deux unités de soins du nouveau Centre Hospitalier de l’Université de Montréal. L’analyse des données est basée sur une approche comparative et interprétative des expériences vécues des professionnels de la santé à travers les entrevues de 44 participants, les cartes cognitives, l’observation de l'environnement physique et du comportement spatial de ces professionnels de la santé dans les deux unités de soins étudiées. Les résultats montrent que les professionnels de la santé évaluent favorablement leur environnement de travail. Cependant, ils perçoivent certains attributs de l'environnement physique comme peu facilitateurs ou générant du stress. Ce stress auquel ils font face, affecte aussi la qualité des soins mise en rapport avec l'environnement physique. Celui-ci affecte le fonctionnement et la gestion d'une unité de soins. Notre contribution consiste en la construction du portrait du vécu de ces professionnels, l’identification des enjeux de la qualité des soins et de limitation du stress de ces professionnels liés à l'environnement physique. Cette étude souligne l'importance d'adapter le système organisationnel et de gestion à la configuration spatiale de l’unité de soins pour atteindre une meilleure performance. / The objective of this doctoral research is to understand how healthcare professionals live in their work environment and what attributes of this physical environment facilitate their work and promote their well-being. The recent emerging hospital context and the construction of new large university hospital centres (CHU) in Quebec during the last decade have changed the nature of the hospital environment significantly. This new environment considers the multiplicity of users, stressors and multiple interactions of health professionals. Furthermore, this new hospital complex integrates new design approaches to alleviate users stress levels and ensure their well-being. The patient centred design approach implemented prioritizes the patient’s well-being and yet little is known about how the physical environment affects the experiences of healthcare professionals. This study examines these issues and their pertinence in light of prior scientific literature, that until recently has placed less emphasis on the healthcare professionals’ interactions within the physical work environment itself. Using a constructivist approach, this study explores these issues in the context of experiences within two care units at one new university hospital complex known as the CHU (Centre Hospitalier de l'Université de Montréal), Canada. Data collection methods included observations of the physical setting and healthcare experiences, supported by semi structured interviews and cognitive mapping that were used to collect data from 44 healthcare professionals. Data analysis uses both a comparative and interpretative approach to analyse the lived experiences of healthcare professionals from diverse perspectives. Results indicate that healthcare professionals evaluated their work environment as supportive. However, they perceived some attributes of the physical environment in this hospital as stressors and the stress faced by these professionals affect the quality of care of patients within the physical environment. The physical environment has an impact on the functioning of the care unit and its management. This study’s contribution includes establishing a portrait of the lived experiences of healthcare professionals and identify both the quality of care issues and the stress limitations among healthcare professionals as these are related to the physical environment. It highlights the importance of adapting the organizational and management system to the spatial configuration of care units in order to achieve optimal performance.
197

Att leva med inflammatorisk tarmsjukdom : en litteraturöversikt / Living with inflammatory bowel disease : a literature review

Nouri, Soma, Somai, Sandra January 2020 (has links)
Bakgrund: Inflammatorisk tarmsjukdom (IBD) är samlingsnamn för kroniska mag-och tarmsjukdomar och innefattar Crohns sjukdom (CD) samt Ulcerös kolit (UK). Båda sjukdomar löper i skov med återkommande, långvariga diarréer med förbättrings-och försämringsperioder och kan relateras till fysiska, psykiska samt sociala faktorer. Då uppenbara orsaker eller symtom ej finns är det på många sätt en dold sjukdom och kan skapa otillräcklig förståelse för patientens specifika behov. För att patienten ska få rätt stöd i hanteringen av sjukdomen samt få en god omvårdnad, bör sjuksköterskan att ha gott bemötande, tillräcklig kunskap där vården ges på ett personcentrerat, evidensbaserat sätt. Syfte: Syftet var att beskriva patienters upplevelse av att leva med inflammatorisk tarmsjukdom, IBD. Metod: En litteraturöversikt valdes som metod och baserades på tio kvalitativa artiklar. Databassökningar gjordes från CINAHL Complete och Medline with full text. Artiklarna analyserades enligt Fribergs fem steg. Resultat: I resultatet framkom sex teman utifrån patienternas upplevelse; påverkan av IBD på självbilden, påverkan av IBD i relationer och sociala sammanhang, patienters upplevelse av hälso- och sjukvården, känslomässig påverkan, utveckling och acceptans samt påverkan av IBD i arbetslivet. Diskussion: Resultatdiskussionen diskuterades av författarna utifrån Katie Erikssons caritativa teori om att lindra lidande och utifrån centrala fynd utifrån temaområden i resultatet. / Background: Inflammatory bowel disease (IBD) is the collective name for chronic gastrointestinal disorders and includes Crohn's disease (CD) and Ulcerative colitis (UK). Both diseases relapses with recurring, long-term diarrhea with improvement and deterioration periods and can be related to physical, mental and social factors. In the absence of obvious causes or symptoms, it is in many ways a hidden disease and can create scarce understanding of the patient's specific needs. In order for the patient to receive the right support in the management of the disease and to receive good nursing care, the nurse have to give good care, have sufficient knowledge and care for the patient in a person-centered, evidence-based way. Aim: The purpose was to describe the patient’s experiences of living with inflammatory bowel disease, IBD. Method: A literature review was chosen as the method and was based on ten qualitative articles. Database searches were performed from CINAHL Complete and Medline with full text. The articles were analyzed according to Friberg's five steps. Results: In the result, six themes emerged from the patients' experience; the influence of IBD on the self-image, the influence of IBD in relationships and social contexts, patients' experience of health care, emotional impact, development and acceptance, and the influence of IBD in working life. Discussion: The results discussion was discussed by the authors on the basis of Katie Eriksson's charitable theory of alleviating suffering and on the basis of central findings based on thematic areas in the result.
198

Zakoušení uměleckého díla jako vědecký a metodologický problém: nové výzvy "vědy o subjektivitě" založené na neurovědách a fenomenologii / Lived experience of an artwork as a scientific and methodological problem: new challenges of "the science of subjectivity" based on neuroscience and phenomenology

Grygarová, Dominika January 2020 (has links)
The presented dissertation deals with the topic of scientific research of experience/lived experience of works of art, using the methods of cognitive sciences and phenomenology. The work selectively summarizes the current research of such experiences in the field of history and theory of art, but especially in the field of cognitive neuroscience of art. The work identifies a fundamental reduction of experiencing art works caused by the epistemology, methodology and concepts of cognitive sciences embedded in cognitivism. Furthermore, the dissertation theoretically considers the possibilities of interdisciplinary collaboration with phenomenology, which, in turn, describes the experience non-reductively, from a first-person perspective. The dissertation identifies the basic conceptual problems of this interdisciplinary project and proposes a solution using neurophenomenology. In its experimental part, the dissertation presents some results of my own neuroimaging studies, which examined the experiences of viewers while viewing art works, both in terms of specific results and in terms of methodology. Finally, I will present a proposal for a new neuroimaging experiment inspired by neurophenomenology, which will use phenomenological introspective and interviewing methods in combination with objective...
199

Experiences of drug adherence by HIV infected adolescents in Bulawayo, Zimbabwe

Ngundu, Grace 12 1900 (has links)
This study articulates the lived experiences regarding drug adherence by adolescents in Zimbabwe. The study was conducted in Bulawayo, the second largest city in Zimbabwe to aid understanding the experiences the adolescents go through as they try to live as normal a life as possible despite them having the most stigmatised condition in the country in particular and the world at large. A phenomenological inquiry was undertaken using Wertz’s (1983, 2005, 2011) empirical psychological reflection approach for data analysis, after utilizing purposive, convenience and criterion sampling techniques to select thirteen (13) adolescents who were on ART and were in good health and also willing to take part in the study. Data were generated using in-depth qualitative interviews and the interviews continued until data redundancy was reached. The interview proceedings were digitally audio-recorded in addition to taking field notes and these were transcribed verbatim. Data analysis occurred at idiographic and nomothetic levels according to the principles of Wertz’s empirical psychological reflection. Thematic analysis of the research data revealed six (6) themes namely:  Treatment fatigue.  Delay in getting to know own HIV status.  Stigma  Disability (visual impairment).  Lack of support.  Religious beliefs (church). Wholeness emerged as the single most encompassing and accommodating concept that united the various themes and categories. It further grounded adolescents’ experiences regarding drug adherence and coping with challenges associated with HIV. The findings add substantial knowledge about how adolescents experience drug adherence. Important recommendations are made and guidelines that may be used to increase adolescents’ resilience to challenges of being HIV infected are suggested. / Health Studies / D. Litt. et Phil. (Nursing)
200

A phenomenological study on experiences of people living with HIV and AIDS : towards the development of a user - led interview model in the Vhembe District, Limpopo Province

Mabogo, Mokgadi Germina January 2019 (has links)
Thesis (Ph.D. (Social Work)) -- University of Limpopo, 2021 / Background information: Persistent poor health outcomes among People Living with HIV and AIDS (PLWH) is a concern for service users and the HIV care system. Since its discovery, different AIDS response strategies were implemented but the level of poor health outcomes among PLWH prompts the need for other dimensions in the AIDS response. Purpose: The purpose of this study was to explore and describe ‘lived experiences’ of PLWH in order to utilise their personal experiences to develop a user- led intervention model. Methods: From a phenomenological orientation, an in-depth interview was used to gather data from seventeen PLWH who are living in communities. Purposive sampling was used to locate the participants. The compiled data collected was then analysed using the Collaizzi’s seven-step data analysis strategy. This was followed by a focus group discussion session which was held with nine of the seventeen participants. Findings: The study found that communities’ meaning of HIV and AIDS is outdated as it is still loaded with stigma and discrimination. Consequently, it alienates PLWH living in communities, and thus compounds poor health outcomes among PLWH. Many PLWH view themselves through their communities’ meaning of HIV and AIDS. the shared meaning of HIV and AIDS by communities created a complex task for PLWH to reconcile their prior meaning of living with HIV and the ‘new’ meaning they acquired post-diagnosis. Due to this, many PLWH experience high levels of intrapersonal and interpersonal challenges. Intrapersonal challenges manifest as self and anticipated stigma while the interpersonal ones result in poor relationships in different setting. It was also found that the availability of antiretroviral treatment significantly changed the meaning of living with HIV and AIDS for many PLWH as it provided tangible medical support to mitigate the impact of HIV and AIDS. In addition, the availability of different types of social support from family and non-family sources reassured and gave them hope for a better life. However, the availability of medical treatment and social support could not completely buffer the intrapersonal and interpersonal challenges experienced by PLWH in their daily lives. They had to continually fight for their social space post diagnosis through activation of two major coping strategies, namely emotion and problem-solving focussed strategies. Significant features of these strategies are that they changed their thinking patterns and engaged in actual activities to improve the quality of their lives. Through these strategies, many PLWH attained relative post traumatic growth. This study found that through their lived experiences, they command personal competence to guide user-led HIV care interventions as they clearly articulated the design, content and approach for user-driven HIV care. Conclusions and recommendations: The psychosocial dimension of living with HIV and AIDS in HIV care is not adequate as many PLWH who are in care experience poor health outcomes long after they have been diagnosed until they received psychosocial support from other PLWH. On this basis, a psychosocial seven-step user-led intervention model was designed to provide psychosocial education, care and support to PLWH, families, support groups and community mobilisation for HIV care. The implementation of a true psychosocial user-led intervention model in the continuum of care which recognises the interaction between the three dimensions of the health condition should be located at the point of entry into HIV care to ensure timeous access by PLWH and their families.

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