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Patient-Provider Communication and Information, Motivation, and Behavioral Skills in HIV-Positive Adults Initiating Antiretroviral Therapy in Haiti
oleh: Megan K. Ramaiya MSc, Elizabeth Haight MPH, Jane M. Simoni PhD, Jean Marcxime Chéry MA, Witson Dervis, Wilner Genna MD, Jean Géto Dubé MD, Guirlène Calixte MD, Jean Gabriel Balan MD, Jean Guy Honoré MD, MPH, Nancy Puttkammer PhD
Format: | Article |
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Diterbitkan: | SAGE Publishing 2020-09-01 |
Deskripsi
While Haiti has scaled up use of antiretroviral therapy (ART), current studies suggest sub-optimal adherence threatens long-term viral suppression in this understudied setting. Patient-provider communication (PPC) and information, motivation, and behavioral skills (IMB) have been implicated in ART adherence globally. However, no studies have examined their relevance in Haiti. The present mixed-methods study utilized cross-sectional survey data from 128 ART-initiating patients at 2 large HIV treatment sites in Haiti, as well as observational data from 12 clinic visits, to document associations between adherence-related PPC and IMB. Multivariate regression analyses suggested that PPC is associated with IMB constructs. At the bivariate level, more effective PPC was associated with higher levels of adherence-related information and motivation, but not behavioral skills. Observational findings indicate infrequent and non-collaborative adherence support. Taken together, findings lay the groundwork for additional research in the area of PPC, IMB, and ART adherence in Haiti.