Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital
Dissertation (MA)--University of Pretoria, 2008.
Saved in:
| Other Authors: | |
|---|---|
| Format: | Thesis |
| Published: |
University of Pretoria
2013
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613526063841280 |
|---|---|
| access_status_str | Open Access |
| author2 | Pauw, Annalie |
| author_browse | Pauw, Annalie |
| author_facet | Pauw, Annalie |
| collection | Thesis |
| dc_rights_str_mv | © University of Pretoria 2007 E1029 / |
| description | Dissertation (MA)--University of Pretoria, 2008. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/27039 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:37:32.711Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2013 |
| publishDateRange | 2013 |
| publishDateSort | 2013 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/27039 Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital Pauw, Annalie sunhealth@webmail.co.za Moratioa, Gugulethu South Africa (SA) Antiretroviral therapy (ART) Kalafong hospital Human immunodeficiency virus (HIV) Acquired immune deficiency syndrome (AIDS) Highly active antiretroviral therapy (HAART) Patients UCTD Dissertation (MA)--University of Pretoria, 2008. This research focuses on the psychosocial factors that affect adherence to highly active antiretroviral therapy (HAART) amongst HIV/AIDS patients at Kalafong Hospital. Even though the development of such regimens has helped turn HIV infection in the United States into a relatively manageable, though still serious chronic disease, compliance remains one of the major challenges in managing medication for those patients living with HIV/AIDS. This is particularly relevant given the high adherence rate (95%) required to obtain a successful long-lasting effect. In South Africa non-compliance to HAART is an under-explored phenomenon. Consequently, an understanding of factors influencing compliance is still incomplete. A qualitative study that investigates non-adherence to medication in HIV/AIDS patients was undertaken at Kalafong Hospital. This study aimed to understand patients’ psychosocial difficulties resulting in non-adherence. The study was approached in terms of the health belief model (HBM), which addresses individual characteristics pertaining to change, the transtheoretical change model (TTM) and the motivational interviewing model (MI), which address both individual and social contexts pertaining to change. The findings are designed for use by healthcare professionals as a proactive compliance enhancement tool. Participants were recruited through referrals by the medical staff to the researcher. The criteria included that participants had relapsed due to non-compliance with drug therapy. Participants that were currently experiencing difficulties with adherence were also included in the study. Males and females aged between 20 and 40 were included in the study. Fifteen participants between the ages of 20 and 40 participated in the study (13 females and two males). The data were collected by means of semi-structured interviews and follow-up unstructured questions. The interviews were audio recorded and field notes were taken. Data were analysed qualitatively. Sixteen themes emerged and were further classified into two categories: individual and social context. The themes were then compared and integrated with the literature. The study concludes that psychosocial factors such as support from family, friends and healthcare workers was found to be of utmost importance in encouraging adherence. Medication can only prolong a patient’s life if the psychosocial context in which the patient is embedded is considered in the treatment plan. Psychology unrestricted 2013-09-07T09:58:15Z 2008-09-08 2013-09-07T09:58:15Z 2008-04-14 2008-09-08 2008-08-05 Dissertation a 2007 E1029 /gm http://hdl.handle.net/2263/27039 http://upetd.up.ac.za/thesis/available/etd-08052008-122226/ © University of Pretoria 2007 E1029 / application/pdf University of Pretoria |
| spellingShingle | South Africa (SA) Antiretroviral therapy (ART) Kalafong hospital Human immunodeficiency virus (HIV) Acquired immune deficiency syndrome (AIDS) Highly active antiretroviral therapy (HAART) Patients UCTD Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital |
| title | Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital |
| title_full | Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital |
| title_fullStr | Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital |
| title_full_unstemmed | Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital |
| title_short | Psychosocial factors that affect adherence to antiretroviral therapy amongst HIV/AIDS patients at Kalafong hospital |
| title_sort | psychosocial factors that affect adherence to antiretroviral therapy amongst hiv aids patients at kalafong hospital |
| topic | South Africa (SA) Antiretroviral therapy (ART) Kalafong hospital Human immunodeficiency virus (HIV) Acquired immune deficiency syndrome (AIDS) Highly active antiretroviral therapy (HAART) Patients UCTD |
| url | http://hdl.handle.net/2263/27039 http://upetd.up.ac.za/thesis/available/etd-08052008-122226/ |