Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study.
Background: Suboptimal Anti-Retroviral adherence is an advancing global issue. Methodology: One-Group Pre- and Post-Test Integrated Home-Based Care intervention program with control was adopted. The validated questionnaire was used to gather information from 60 PLWHA following ethical approv...
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| Format: | Article |
| Language: | English |
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Student's Journal of Health Research
2022-06-01
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| Series: | Student's Journal of Health Research Africa |
| Subjects: | |
| Online Access: | https://sjhresearchafrica.org/index.php/public-html/article/view/113 |
| _version_ | 1818114738880512000 |
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| author | Solomon Joseph Chiegil Nnodimele Onuigbo Atulomah Umeh, Mercy Orji Ogechukwu, Emmanuel, OKONDU Joseph Emmanuel Chiegil |
| author_facet | Solomon Joseph Chiegil Nnodimele Onuigbo Atulomah Umeh, Mercy Orji Ogechukwu, Emmanuel, OKONDU Joseph Emmanuel Chiegil |
| author_sort | Solomon Joseph Chiegil |
| collection | DOAJ |
| description |
Background:
Suboptimal Anti-Retroviral adherence is an advancing global issue.
Methodology:
One-Group Pre- and Post-Test Integrated Home-Based Care intervention program with control was adopted. The validated questionnaire was used to gather information from 60 PLWHA following ethical approval and informed consent. Descriptive statistics and frequency distributions are employed in data analysis. One-tailed independent sample T-test was used to determine the impact of the intervention using percentage-change and Cohen’s Effect Size with a 5% level of significance. Validity and reliability of Instrument tested with Cronbach Alpha, 0.795.
Results:
Respondents mean age was 35.38 ± 9.061, married (37.61%), females (66%) and self –employed (41.1%). Mumuye ethnic group (28.3%), Christians, 71.7% with lower educational attainments (56.6%). Control group reported predisposing factors in HIV treatment (137-point scale), = 82.17(2.18) ±11.92 and = 86.50(1.69) ±9.23; Reinforcing factors on 15-points scale, scored = 9.00(0.65) ±3.65 and = 8.87(0.69) ±3.78; Enabling factors on 15-points scale, = 8.23(0.46) ±2.50 and = 8.00 (0.51) ±2.77 and Self-Reported Adherence on 24-points scale, = 16.23(0.82) ±4.49 and = 17.87(0.91) ±4.99 at baseline and post intervention respectively for each group and adherence prevalence rate of 60.
Experimental group at baseline reported predisposing factors on 137-points scale, = 80.90(2.77) ±15.15 and = 97.13(8.12) ±1.48; Reinforcing factors on 15-points scale, = 8.87(0.47) ±2.50 and = 9.33(0.48) ±2.60; Enabling factors on 15-points scale, = 7.23(0.41) ±2.24and = 7.40(0.41) ±2.25 and Self-reported Adherence on 24-points scale, = 15.98(0.57) ±4.39 and = 23.13(0.43) ±2.37 at baseline and post intervention respectively for each group and adherence prevalence rate of 96%.
Conclusion:
An integrated Home-Based Care intervention program will be more effective than the usual clinic-based program for HIV/ AIDS management.
Recommendation:
An integrated Home-Based Care intervention program should be adopted for all HIV interventions.
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| first_indexed | 2024-12-11T03:55:30Z |
| format | Article |
| id | doaj.art-41d1a03b7cf44567a8f163dd953d746f |
| institution | Directory Open Access Journal |
| issn | 2709-9997 |
| language | English |
| last_indexed | 2024-12-11T03:55:30Z |
| publishDate | 2022-06-01 |
| publisher | Student's Journal of Health Research |
| record_format | Article |
| series | Student's Journal of Health Research Africa |
| spelling | doaj.art-41d1a03b7cf44567a8f163dd953d746f2022-12-22T01:21:48ZengStudent's Journal of Health ResearchStudent's Journal of Health Research Africa2709-99972022-06-013610.51168/sjhrafrica.v2i6.113Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study.Solomon Joseph Chiegil0Nnodimele Onuigbo Atulomah1 Umeh, Mercy Orji2Ogechukwu, Emmanuel, OKONDU3Joseph Emmanuel Chiegil4Global Healthplus Public Initiative, Nigeria.Babcock University, Ilisan-Remo, Ogun State.Global Healthplus Public Initiative, Nigeria.Faculty of Education, Department of Human Kinetics and Health Education, Nnamdi Azikiwe University, Awka, Anambra State.Jhpiego-Johns Hopkins Affiliate; Ministry of Health, Jalingo, Taraba State. Background: Suboptimal Anti-Retroviral adherence is an advancing global issue. Methodology: One-Group Pre- and Post-Test Integrated Home-Based Care intervention program with control was adopted. The validated questionnaire was used to gather information from 60 PLWHA following ethical approval and informed consent. Descriptive statistics and frequency distributions are employed in data analysis. One-tailed independent sample T-test was used to determine the impact of the intervention using percentage-change and Cohen’s Effect Size with a 5% level of significance. Validity and reliability of Instrument tested with Cronbach Alpha, 0.795. Results: Respondents mean age was 35.38 ± 9.061, married (37.61%), females (66%) and self –employed (41.1%). Mumuye ethnic group (28.3%), Christians, 71.7% with lower educational attainments (56.6%). Control group reported predisposing factors in HIV treatment (137-point scale), = 82.17(2.18) ±11.92 and = 86.50(1.69) ±9.23; Reinforcing factors on 15-points scale, scored = 9.00(0.65) ±3.65 and = 8.87(0.69) ±3.78; Enabling factors on 15-points scale, = 8.23(0.46) ±2.50 and = 8.00 (0.51) ±2.77 and Self-Reported Adherence on 24-points scale, = 16.23(0.82) ±4.49 and = 17.87(0.91) ±4.99 at baseline and post intervention respectively for each group and adherence prevalence rate of 60. Experimental group at baseline reported predisposing factors on 137-points scale, = 80.90(2.77) ±15.15 and = 97.13(8.12) ±1.48; Reinforcing factors on 15-points scale, = 8.87(0.47) ±2.50 and = 9.33(0.48) ±2.60; Enabling factors on 15-points scale, = 7.23(0.41) ±2.24and = 7.40(0.41) ±2.25 and Self-reported Adherence on 24-points scale, = 15.98(0.57) ±4.39 and = 23.13(0.43) ±2.37 at baseline and post intervention respectively for each group and adherence prevalence rate of 96%. Conclusion: An integrated Home-Based Care intervention program will be more effective than the usual clinic-based program for HIV/ AIDS management. Recommendation: An integrated Home-Based Care intervention program should be adopted for all HIV interventions. https://sjhresearchafrica.org/index.php/public-html/article/view/113DemographyAdherencePredisposingReinforcing |
| spellingShingle | Solomon Joseph Chiegil Nnodimele Onuigbo Atulomah Umeh, Mercy Orji Ogechukwu, Emmanuel, OKONDU Joseph Emmanuel Chiegil Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. Student's Journal of Health Research Africa Demography Adherence Predisposing Reinforcing |
| title | Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. |
| title_full | Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. |
| title_fullStr | Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. |
| title_full_unstemmed | Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. |
| title_short | Impact of Integrated Home-Based Care Programme on Antiretroviral Medication Adherence among Plwha: A Quasi-Experimental Study. |
| title_sort | impact of integrated home based care programme on antiretroviral medication adherence among plwha a quasi experimental study |
| topic | Demography Adherence Predisposing Reinforcing |
| url | https://sjhresearchafrica.org/index.php/public-html/article/view/113 |
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