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http://dx.doi.org/10.4040/jkan.2014.44.4.407

Experience of Treatment Adherence in Korean Patients with HIV  

Park, Yunhee (College of Nursing, Yonsei University)
Seo, Min Jeong (College of Nursing, Yonsei University)
Kim, Sanghee (Division of the Clinical Nursing Science.Nursing Policy Research Institute, College of Nursing, Yonsei University)
Park, Soon-Young (Department of Philosophy, Yonsei University)
Publication Information
Journal of Korean Academy of Nursing / v.44, no.4, 2014 , pp. 407-417 More about this Journal
Abstract
Purpose: The purpose of this study was to explore the subjective experience of Highly active Antiretroviral therapy (HAART) adherence in Korean patients with HIV. Methods: A phenomenological methodology was used for the study. Data were collected from March to December, 2013 using open-ended questions during in-depth interviews. Participants were taking HAART for HIV, and were contacted through purposive techniques. Results: Four men and 4 women whose average treatment period was 5.9 years participated in this study. Seven themes emerged from the analysis using Colazzi's method: (a) Seizing life in a deep sense of despair, (b) Struggling with medication, (c) Facing harsh treatment from health care providers, (d) Spoiling healthy pattern, (e) Hungering for communication and emotional support, (f) Turning to accepting HIV, (g) Becoming adherent to HIV treatment. Conclusion: Prejudice from health care providers and lack of emotional support were barriers to HAART in Korea. Intervention strategies are needed to decrease prejudices from health care providers and to increase family support.
Keywords
HIV; Qualitative research; HAART (Highly active antiretroviral therapy); Adherence;
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1 Choi JY, Kim JM. Updates on the prevention and treatment of AIDS. Journal of the Korean Medical Association. 2012;55(2):146-152. http://dx.doi.org/10.5124/jkma.2012.55.2.146   DOI   ScienceOn
2 Lima VD, Harrigan R, Murray M, Moore DM, Wood E, Hogg RS, et al. Differential impact of adherence on long-term treatment response among naive HIV-infected individuals. AIDS. 2008;22(17):2371-2380. http://dx.doi.org/10.1097/QAD.0b013e328315cdd3   DOI   ScienceOn
3 Murray LK, Semrau K, McCurley E, Thea DM, Scott N, Mwiya M, et al. Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women: A qualitative study. AIDS Care. 2009;21(1):78-86. http://dx.doi.org/10.1080/09540120802032643   DOI   ScienceOn
4 Harris J, Pillinger M, Fromstein D, Gomez B, Garris I, Kanetsky PA, et al. Risk factors for medication non-adherence in an HIV infected population in the Dominican Republic. AIDS and Behavior. 2011;15(7): 1410-1415. http://dx.doi.org/10.1007/s10461-010-9781-1   DOI   ScienceOn
5 Nokes KM, Nwakeze PC. Assessing self-management information needs of persons living with HIV/AIDS. AIDS Patient Care and STDS. 2005;19(9):607-613. http://dx.doi.org/10.1089/apc.2005.19.607   DOI   ScienceOn
6 Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991-1999. American Journal of Public Health. 2002;92(3):371-377.   DOI   ScienceOn
7 Roura M, Busza J, Wringe A, Mbata D, Urassa M, Zaba B. Barriers to sustaining antiretroviral treatment in Kisesa, Tanzania: A follow-up study to understand attrition from the antiretroviral program. AIDS Patient Care and STDS. 2009;23(3):203-210. http://dx.doi.org/10.1089/apc.2008.0129   DOI   ScienceOn
8 Dalal RP, Macphail C, Mqhayi M, Wing J, Feldman C, Chersich MF, et al. Characteristics and outcomes of adult patients lost to follow-up at an antiretroviral treatment clinic in johannesburg, South Africa. Journal of Acquired Immune Deficiency Syndromes. 2008;47(1):101-107. http://dx.doi.org/10.1097/QAI.0b013e31815b833a   DOI   ScienceOn
9 Yang JH. The lived experiences of illness among people living with HIV. Qualitative Research. 2008;9(2):111-119.
10 Barofsky I. Compliance, adherence and the therapeutic alliance: Steps in the development of self-care. Social Science and Medicine. 1978;12 (5a):369-376.
11 Deming WE. Sample design in business research. New York, NY: John Wiley & Sons; 1960.
12 Miller CM, Ketlhapile M, Rybasack-Smith H, Rosen S. Why are antiretroviral treatment patients lost to follow-up? A qualitative study from South Africa. Tropical Medicine and International Health. 2010;15(Suppl 1):48-54. http://dx.doi.org/10.1111/j.1365-3156.2010.02514.x   DOI   ScienceOn
13 Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, Kings M, editors. Existential phenomenological alternative for psychology. New York, NY: Oxford University Press; 1978.
14 Eldred L, Cheever L. Update on adherence to HIV therapy. The Hopkins HIV Report. 1998;10(1):10-11.
15 Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6): 349-357. http://dx.doi.org/10.1093/intqhc/mzm042   DOI   ScienceOn
16 Gray J. Becoming adherent: Experiences of persons living with HIV/ AIDS. The Journal of the Association of Nurses in AIDS Care. 2006;17(3):47-54. http://dx.doi.org/10.1016/j.jana.2006.03.004
17 Schneider J, Kaplan SH, Greenfield S, Li W, Wilson IB. Better physicianpatient relationships are associated with higher reported adherence to antiretroviral therapy in patients with HIV infection. Journal of General Internal Medicine. 2004;19(11):1096-1103. http://dx.doi.org/10.1111/j.1525-1497.2004.30418.x   DOI   ScienceOn
18 Joo HJ. The experiences of the families of persons with AIDS. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2009;18(1):41-50.
19 Nostlinger C, Rojas Castro D, Platteau T, Dias S, Le Gall J. HIV-Related discrimination in European health care settings. AIDS Patient Care and STDS. 2014;28(3):155-161. http://dx.doi.org/10.1089/apc.2013.0247   DOI   ScienceOn
20 Murphy DA, Roberts KJ, Hoffman D, Molina A, Lu MC. Barriers and successful strategies to antiretroviral adherence among HIV-infected monolingual Spanish-speaking patients. AIDS Care. 2003;15(2):217-230 http://dx.doi.org/10.1080/0954012031000068362   DOI   ScienceOn
21 Sung MR, Yi M, Lee DY, Jang HY. Overcoming experiences of family members caring for elderly patients with dementia at home. Journal of Korean Academy of Nursing. 2013;43(3):389-398. http://dx.doi.org/10.4040/jkan.2013.43.3.389   DOI   ScienceOn
22 Balabanova Y, Coker R, Atun RA, Drobniewski F. Stigma and HIV infection in Russia. AIDS Care. 2006;18(7):846-852. http://dx.doi.org/10.1080/09540120600643641   DOI   ScienceOn
23 Jia H, Uphold CR, Wu S, Chen GJ, Duncan PW. Predictors of changes in health-related quality of life among men with HIV infection in the HAART era. AIDS Patient Care and STDS. 2005;19(6):395-405. http://dx.doi.org/10.1089/apc.2005.19.395   DOI   ScienceOn
24 Do NT, Phiri K, Bussmann H, Gaolathe T, Marlink RG, Wester CW. Psychosocial factors affecting medication adherence among HIV-1 infected adults receiving combination antiretroviral therapy (cART) in Botswana. AIDS Research and Human Retroviruses. 2010;26(6):685-691 http://dx.doi.org/10.1089/aid.2009.0222   DOI   ScienceOn
25 Davies SL, Horton TV, Williams AG, Martin MY, Stewart KE. MOMS: Formative evaluation and subsequent intervention for mothers living with HIV. AIDS Care. 2009;21(5):552-560. http://dx.doi.org/10.1080/09540120802301832   DOI   ScienceOn
26 Nam SL, Fielding K, Avalos A, Dickinson D, Gaolathe T, Geissler PW. The relationship of acceptance or denial of HIV-status to antiretroviral adherence among adult HIV patients in urban Botswana. Social Science and Medicine. 2008;67(2):301-310. http://dx.doi.org/10.1016/j.socscimed.2008.03.042   DOI   ScienceOn
27 Kylma J. Dynamics of hope in adults living with HIV/AIDS: A substantive theory. Journal of Advanced Nursing. 2005;52(6):620-630. http:// dx.doi.org/10.1111/j.1365-2648.2005.03633.x   DOI   ScienceOn
28 Beaglehole R, Epping-Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M, et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: A priority for primary health care. Lancet. 2008;372(9642):940-949. http://dx.doi.org/10.1016/s0140-6736(08)61404-x   DOI   ScienceOn
29 Perrett SE, Biley FC. Negotiating uncertainty: The transitional process of adapting to life with HIV. The Journal of the Association of Nurses in AIDS Care. 2013;24(3):207-218. http://dx.doi.org/10.1016/j.jana.2012.06.007   DOI   ScienceOn
30 Rosenstock IM, Strecher VJ, Becker MH. The health belief model and HIV risk behavior change. In: DiClemente RJ, Peterson JL, editors. Preventing AIDS: Theories and methods of behavioral interventions. New York, NY: Plenum Press; 1994. p. 5-24.