To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study
Objective: For people living with HIV (PLHIV), strict adherence to highly active antiretroviral therapy (HAART) is the key to effective treatment and retention in human immunodeficiency virus (HIV) care. There are many factors which promote or halt the antiretroviral therapy (ART) adherence practice...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Integrative Nursing |
| Subjects: | |
| Online Access: | http://www.journalin.org/article.asp?issn=2663-4481;year=2023;volume=5;issue=4;spage=256;epage=265;aulast=Gulati |
| _version_ | 1797222425748832256 |
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| author | Sonia Gulati Hariprasath Pandurangan Pulin Kumar Gupta |
| author_facet | Sonia Gulati Hariprasath Pandurangan Pulin Kumar Gupta |
| author_sort | Sonia Gulati |
| collection | DOAJ |
| description | Objective: For people living with HIV (PLHIV), strict adherence to highly active antiretroviral therapy (HAART) is the key to effective treatment and retention in human immunodeficiency virus (HIV) care. There are many factors which promote or halt the antiretroviral therapy (ART) adherence practices. Therefore, the present study aimed to examine the HAART adherence levels and to explore patients' views about barriers and facilitators to HIV treatment adherence.
Methods: Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr. Ram Manohar Lohia Hospital, New Delhi. Interviews were audio-recorded in the local Hindi language, and bilingual experts (English and Hindi) transcribed verbatim. Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis.
Results: Feeling of hopelessness, delayed ART initiation, difficult initial phase of ART, forget to take ART on time, fear of disclosure of HIV diagnosis, lack of privacy and negative social support, and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence. At the same time, commitment to raise and educate children, ART to increase life span, maintain oneself to be physically fit and healthy, only a single pill per day, very supportive counselors and health-care professionals, and hope to give birth to a healthy child were identified as facilitators of HIV retention.
Conclusion: Understanding patient's perception about ART adherence, its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services. |
| first_indexed | 2024-04-24T13:21:08Z |
| format | Article |
| id | doaj.art-187609e3e92d4b99a49422ebf46dec12 |
| institution | Directory Open Access Journal |
| issn | 2666-9854 2663-4481 |
| language | English |
| last_indexed | 2024-04-24T13:21:08Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Integrative Nursing |
| spelling | doaj.art-187609e3e92d4b99a49422ebf46dec122024-04-04T15:02:56ZengWolters Kluwer Medknow PublicationsJournal of Integrative Nursing2666-98542663-44812023-01-015425626510.4103/jin.jin_81_23To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative studySonia GulatiHariprasath PanduranganPulin Kumar GuptaObjective: For people living with HIV (PLHIV), strict adherence to highly active antiretroviral therapy (HAART) is the key to effective treatment and retention in human immunodeficiency virus (HIV) care. There are many factors which promote or halt the antiretroviral therapy (ART) adherence practices. Therefore, the present study aimed to examine the HAART adherence levels and to explore patients' views about barriers and facilitators to HIV treatment adherence. Methods: Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr. Ram Manohar Lohia Hospital, New Delhi. Interviews were audio-recorded in the local Hindi language, and bilingual experts (English and Hindi) transcribed verbatim. Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis. Results: Feeling of hopelessness, delayed ART initiation, difficult initial phase of ART, forget to take ART on time, fear of disclosure of HIV diagnosis, lack of privacy and negative social support, and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence. At the same time, commitment to raise and educate children, ART to increase life span, maintain oneself to be physically fit and healthy, only a single pill per day, very supportive counselors and health-care professionals, and hope to give birth to a healthy child were identified as facilitators of HIV retention. Conclusion: Understanding patient's perception about ART adherence, its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.http://www.journalin.org/article.asp?issn=2663-4481;year=2023;volume=5;issue=4;spage=256;epage=265;aulast=Gulatiadherencebarriershighly active antiretroviral therapyhuman immunodeficiency virusmotivatorsperceptions |
| spellingShingle | Sonia Gulati Hariprasath Pandurangan Pulin Kumar Gupta To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study Journal of Integrative Nursing adherence barriers highly active antiretroviral therapy human immunodeficiency virus motivators perceptions |
| title | To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study |
| title_full | To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study |
| title_fullStr | To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study |
| title_full_unstemmed | To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study |
| title_short | To explore patients' perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study |
| title_sort | to explore patients perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with hiv a qualitative study |
| topic | adherence barriers highly active antiretroviral therapy human immunodeficiency virus motivators perceptions |
| url | http://www.journalin.org/article.asp?issn=2663-4481;year=2023;volume=5;issue=4;spage=256;epage=265;aulast=Gulati |
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