HIV positive and treated for cancer: The convergence of pressures "invisible" in HIV and "visible" in cancer

Evolution of a video project to translate research findings about patient experiences into improved clinical care

BACKGROUND

People living with HIV are at an increased risk of developing cancer. Cancer health professionals could benefit from improving and updating their knowledge of HIV and their understanding of patient experiences to deliver high-quality, patient-centred care.

AIMS

Evidence-based educational resources to improve patient care were identified and developed using a co-production approach.

METHODS

There were two stages: a workshop discussion by experts to reach consensus on a priority intervention; and co-production of video content Life with HIV and Cancer.

FINDINGS

The consensus of the expert group was that video content featuring first-person accounts would be the most impactful intervention to address the gap in knowledge. Three co-produced and professionally made video resources were developed and disseminated.

CONCLUSION

The videos provide insight into the impact of stigma as well as current information on HIV. Their use can improve oncology clinical staff knowledge and better equip them to provide patient-centred care.

HIV, cancer, and coping: The cumulative burden of a cancer diagnosis among people living with HIV

OBJECTIVES

People living with HIV (PLWH) have increased risk for cancer and worse cancer-specific survival. We explored the emotional burden of cancer and HIV as a potential driver of cancer mortality.

RESEARCH APPROACH

Semi-structured qualitative interviews with PLWH and cancer.

PARTICIPANTS

27 PLWH who had either completed cancer treatment, were currently undergoing treatment, or experienced challenges in completing treatment.

METHODOLOGICAL APPROACH

An inductive qualitative approach using the constant comparative method.

FINDINGS

Participants drew strong parallels between being diagnosed with HIV and cancer. Many described HIV-related stigma that hindered social support. Cancer treatment side effects were a major challenge, impacting treatment adherence for both cancer and HIV.

IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS

There is a need for convenient, affordable, and visible services to support PLHIV as they navigate cancer care. Services should be tailored to the unique needs of this population by addressing HIV-related stigma, building social support, and fostering resilience.