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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">What Time is it? Adherence to Antiretroviral Therapy in Ethiopia</title>
<author><name sortKey="Tiruneh, Yordanos M" sort="Tiruneh, Yordanos M" uniqKey="Tiruneh Y" first="Yordanos M." last="Tiruneh">Yordanos M. Tiruneh</name>
<affiliation><nlm:aff id="A1">Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Center for Gerontology and Health Care Research, Brown University School of Public Health, Box G-S121-6, Providence, RI 02912, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wilson, Ira B" sort="Wilson, Ira B" uniqKey="Wilson I" first="Ira B." last="Wilson">Ira B. Wilson</name>
<affiliation><nlm:aff id="A1">Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26873491</idno>
<idno type="pmc">4982838</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982838</idno>
<idno type="RBID">PMC:4982838</idno>
<idno type="doi">10.1007/s10461-016-1322-0</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">002024</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002024</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">What Time is it? Adherence to Antiretroviral Therapy in Ethiopia</title>
<author><name sortKey="Tiruneh, Yordanos M" sort="Tiruneh, Yordanos M" uniqKey="Tiruneh Y" first="Yordanos M." last="Tiruneh">Yordanos M. Tiruneh</name>
<affiliation><nlm:aff id="A1">Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Center for Gerontology and Health Care Research, Brown University School of Public Health, Box G-S121-6, Providence, RI 02912, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wilson, Ira B" sort="Wilson, Ira B" uniqKey="Wilson I" first="Ira B." last="Wilson">Ira B. Wilson</name>
<affiliation><nlm:aff id="A1">Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">AIDS and behavior</title>
<idno type="ISSN">1090-7165</idno>
<idno type="eISSN">1573-3254</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p id="P1">This study assessed adherence to antiretroviral therapy (ART) among people living with HIV/AIDS in Ethiopia and explored the sociocultural context in which they relate to their regimen requirements. Data were collected through semi-structured in-depth interviews with 105 patients on ART and observations held at the study clinic. We analyzed data using both qualitative and quantitative methods. Our findings indicate that study participants are highly adherent to dose but less adherent to dose schedule. Strict dose time instructions were reported as stressful and unrealistic. The discrepancy between adherence to dose and dose schedule could be explained by time perception, difficulty with the strictness of medication regimens, or beliefs about dose timing adherence. Care providers should acknowledge the complexities of medication practices and engage in shared decision-making to incorporate patients’ perspectives and identify effective interventions.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21042</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id>
<journal-title-group><journal-title>AIDS and behavior</journal-title>
</journal-title-group>
<issn pub-type="ppub">1090-7165</issn>
<issn pub-type="epub">1573-3254</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26873491</article-id>
<article-id pub-id-type="pmc">4982838</article-id>
<article-id pub-id-type="doi">10.1007/s10461-016-1322-0</article-id>
<article-id pub-id-type="manuscript">HHSPA771553</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>What Time is it? Adherence to Antiretroviral Therapy in Ethiopia</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Tiruneh</surname>
<given-names>Yordanos M.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wilson</surname>
<given-names>Ira B.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</aff>
<aff id="A2"><label>2</label>
Center for Gerontology and Health Care Research, Brown University School of Public Health, Box G-S121-6, Providence, RI 02912, USA</aff>
<author-notes><corresp id="CR1">Yordanos M. Tiruneh, <email>yordanos_tiruneh@brown.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>24</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>20</volume>
<issue>11</issue>
<fpage>2662</fpage>
<lpage>2673</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10461-016-1322-0</pmc-comment>
<abstract><p id="P1">This study assessed adherence to antiretroviral therapy (ART) among people living with HIV/AIDS in Ethiopia and explored the sociocultural context in which they relate to their regimen requirements. Data were collected through semi-structured in-depth interviews with 105 patients on ART and observations held at the study clinic. We analyzed data using both qualitative and quantitative methods. Our findings indicate that study participants are highly adherent to dose but less adherent to dose schedule. Strict dose time instructions were reported as stressful and unrealistic. The discrepancy between adherence to dose and dose schedule could be explained by time perception, difficulty with the strictness of medication regimens, or beliefs about dose timing adherence. Care providers should acknowledge the complexities of medication practices and engage in shared decision-making to incorporate patients’ perspectives and identify effective interventions.</p>
</abstract>
<kwd-group><kwd>Antiretroviral therapy</kwd>
<kwd>Adherence to dose</kwd>
<kwd>Adherence to schedule</kwd>
<kwd>Dose timing</kwd>
<kwd>HIV</kwd>
<kwd>Ethiopia</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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