Journal List > J Korean Acad Nurs > v.44(4) > 1003003

Park, Seo, Kim, and Park: Experience of Treatment Adherence in Korean Patients with HIV

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.

Figures and Tables

Table 1
Demographic and HIV-related Characteristics of Participants (N =8)
jkan-44-407-i001

HAART=Highlyactive antiretroviral therapy.

References

1. Choi JY, Kim JM. Updates on the prevention and treatment of AIDS. J Korean Med Assoc. 2012; 55(2):146–152. http://dx.doi.org/10.5124/jkma.2012.55.2.146.
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.
3. 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 Behav. 2011; 15(7):1410–1415. http://dx.doi.org/10.1007/s10461-010-9781-1.
4. Nokes KM, Nwakeze PC. Assessing self-management information needs of persons living with HIV/AIDS. AIDS Patient Care STDS. 2005; 19(9):607–613. http://dx.doi.org/10.1089/apc.2005.19.607.
5. Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991-1999. Am J Public Health. 2002; 92(3):371–377.
6. 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/10.1080/095401208020326437.
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 STDS. 2009; 23(3):203–210. http://dx.doi.org/10.1089/apc.2008.0129.
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. J Acquir Immune Defic Syndr. 2008; 47(1):101–107. http://dx.doi.org/10.1097/QAI.0b013e31815b833a.
9. Yang JH. The lived experiences of illness among people living with HIV. Qual Res. 2008; 9(2):111–119.
10. Barofsky I. Compliance, adherence and the therapeutic alliance: Steps in the development of self-care. Soc Sci Med. 1978; 12(5a):369–376.
11. Deming WE. Sample design in business research. New York, NY: John Wiley & Sons;1960.
12. 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.
13. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349–357. http://dx.doi.org/10.1093/intqhc/mzm042.
14. Gray J. Becoming adherent: Experiences of persons living with HIV/AIDS. J Assoc Nurses AIDS Care. 2006; 17(3):47–54. http://dx.doi.org/10.1016/j.jana.2006.03.004.
15. Miller CM, Ketlhapile M, Rybasack-Smith H, Rosen S. Why are antiretroviral treatment patients lost to follow-up? A qualitative study from South Africa. Trop Med Int Health. 2010; 15:Suppl 1. 48–54. http://dx.doi.org/10.1111/j.1365-3156.2010.02514.x.
16. 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. J Gen Intern Med. 2004; 19(11):1096–1103. http://dx.doi.org/10.1111/j.1525-1497.2004.30418.x.
17. Eldred L, Cheever L. Update on adherence to HIV therapy. Hopkins HIV Rep. 1998; 10(1):10–11.
18. Joo HJ. The experiences of the families of persons with AIDS. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18(1):41–50.
19. Nöstlinger C, Rojas Castro D, Platteau T, Dias S, Le Gall J. HIV-Related discrimination in European health care settings. AIDS Patient Care STDS. 2014; 28(3):155–161. http://dx.doi.org/10.1089/apc.2013.0247.
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.
21. 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.
22. 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 Res Hum Retroviruses. 2010; 26(6):685–691. http://dx.doi.org/10.1089/aid.2009.0222.
23. 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.
24. Sung MR, Yi M, Lee DY, Jang HY. Overcoming experiences of family members caring for elderly patients with dementia at home. J Korean Acad Nurs. 2013; 43(3):389–398. http://dx.doi.org/10.4040/jkan.2013.43.3.389.
25. 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. Soc Sci Med. 2008; 67(2):301–310. http://dx.doi.org/10.1016/j.socscimed.2008.03.042.
26. 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 STDS. 2005; 19(6):395–405. http://dx.doi.org/10.1089/apc.2005.19.395.
27. Kylma J. Dynamics of hope in adults living with HIV/AIDS: A substantive theory. J Adv Nurs. 2005; 52(6):620–630. http://dx.doi.org/10.1111/j.1365-2648.2005.03633.x.
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.
29. Perrett SE, Biley FC. Negotiating uncertainty: The transitional process of adapting to life with HIV. J Assoc Nurses AIDS Care. 2013; 24(3):207–218. http://dx.doi.org/10.1016/j.jana.2012.06.007.
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.
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