What Time is it? Adherence to Antiretroviral Therapy in Ethiopia
Identifieur interne : 000C90 ( Main/Exploration ); précédent : 000C89; suivant : 000C91What Time is it? Adherence to Antiretroviral Therapy in Ethiopia
Auteurs : Yordanos M. Tiruneh [États-Unis] ; Ira B. Wilson [États-Unis]Source :
- AIDS and behavior [ 1090-7165 ] ; 2016.
Abstract
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.
Url:
DOI: 10.1007/s10461-016-1322-0
PubMed: 26873491
PubMed Central: 4982838
Affiliations:
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Tiruneh</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Services, Policy & Practice, Brown University, Providence, RI</wicri:regionArea><placeName><region type="state">Rhode Island</region><settlement type="city">Providence (Rhode Island)</settlement></placeName><orgName type="university">Université Brown</orgName></affiliation><affiliation wicri:level="2"><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><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Gerontology and Health Care Research, Brown University School of Public Health, Box G-S121-6, Providence, RI 02912</wicri:regionArea><placeName><region type="state">Rhode Island</region></placeName></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 wicri:level="4"><nlm:aff id="A1">Department of Health Services, Policy & Practice, Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Services, Policy & Practice, Brown University, Providence, RI</wicri:regionArea><placeName><region type="state">Rhode Island</region><settlement type="city">Providence (Rhode Island)</settlement></placeName><orgName type="university">Université Brown</orgName></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><affiliations><list><country><li>États-Unis</li></country><region><li>Rhode Island</li></region><settlement><li>Providence (Rhode Island)</li></settlement><orgName><li>Université Brown</li></orgName></list><tree><country name="États-Unis"><region name="Rhode Island"><name sortKey="Tiruneh, Yordanos M" sort="Tiruneh, Yordanos M" uniqKey="Tiruneh Y" first="Yordanos M." last="Tiruneh">Yordanos M. Tiruneh</name></region><name sortKey="Tiruneh, Yordanos M" sort="Tiruneh, Yordanos M" uniqKey="Tiruneh Y" first="Yordanos M." last="Tiruneh">Yordanos M. Tiruneh</name><name sortKey="Wilson, Ira B" sort="Wilson, Ira B" uniqKey="Wilson I" first="Ira B." last="Wilson">Ira B. Wilson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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