Determinants of engagement in HIV treatment and care among zambians new to antiretroviral therapy

Deborah L. Jones, Isaac Zulu, Szonja Vamos, Ryan Cook, Ndashi Chitalu, Stephen M. Weiss

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

This pilot study assessed the determinants of engagement in HIV care among Zambian patients new to antiretroviral (ARV) therapy, and the effect of an intervention to increase medication adherence. Participants ( n=160) were randomized to a 3-month group or individual intervention utilizing a crossover design. Psychophysiological (depression, cognitive functioning, health status), social (social support, disclosure, stigma), structural factors (health care access, patient-provider communication), and treatment engagement (adherence to clinic visits and medication) were assessed. Participants initially receiving the group intervention improved their adherence, but gains were not maintained following crossover to the individual intervention. Increased social support and patient-provider communication and decreased concern about HIV medications predicted increased clinic attendance across both arms. Results suggest that early participation in a group intervention may promote increased adherence among patients new to ARV therapy, but long-term engagement in care may be sustained by both one-on-one and group interventions by health care staff.

Original languageEnglish (US)
Pages (from-to)e1-e12
JournalJournal of the Association of Nurses in AIDS Care
Volume24
Issue number5
DOIs
StatePublished - Sep 1 2013

Keywords

  • Behavioral intervention
  • Engagement in care
  • HIV
  • Medication adherence
  • Zambia

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Fingerprint Dive into the research topics of 'Determinants of engagement in HIV treatment and care among zambians new to antiretroviral therapy'. Together they form a unique fingerprint.

  • Cite this