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540, F = 40.159; all 0.01). In addition, the sustainable effect of this program lasted three months after the intervention (F = 65.756, F = 60.983; all 0.01). The CTFA-GRT significantly decreased the perceived stress and loneliness of rural older adults living alone in China. The CTFA-GRT significantly decreased the perceived stress and loneliness of rural older adults living alone in China.Current guidelines recommend starting antiretroviral therapy (ART) as soon as possible after HIV diagnosis to reduce morbidity, mortali