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The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study
Thesis (DPhil)--University of Pretoria, 2007.
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University of Pretoria
2013
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| _version_ | 1867613630680268800 |
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| access_status_str | Open Access |
| author2 | Carbonatto, C.L. |
| author_browse | Carbonatto, C.L. |
| author_facet | Carbonatto, C.L. |
| collection | Thesis |
| dc_rights_str_mv | ©2007 University of Pretoria |
| description | Thesis (DPhil)--University of Pretoria, 2007. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/27140 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:39:12.360Z |
| 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:2263/27140 The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study Carbonatto, C.L. m_spies@mweb.co.za Spies, Margaretha Antiretroviral therapy (ART) Assessing Biopsychosocial Adherence Concordance Compliance Counsellors Human immunodeficiency virus (HIV) Psychosocial Resistance Social work Acquired immune deficiency syndrome (AIDS) Counselling UCTD Thesis (DPhil)--University of Pretoria, 2007. The study emanates from the need to identify the biopsychosocial factors that influence patients’ adherence to antiretroviral therapy (ART) within the South African context The specific goal of the study was to explore these in order to make recommendations to enhance service delivery. Applied research was conducted, with its primary task being to stimulate thought and action concerning the challenges faced by patients who are on ART. In order to gather comprehensive data, the researcher engaged in a combination of the qualitative and quantitative approaches. For the qualitative case study the researcher made use of semi-structured interviews, utilizing the non-probability sampling method, aiming to understand and interpret the meaning that the multidisciplinary team accorded to matters of antiretroviral treatment. For the quantitative part of the study the probability random sampling method was made use of for the quantitative descriptive survey. Questionnaires were employed to collect data from 201 patients already on antiretroviral medication. The conclusions, which were drawn from the research findings, identified challenges to adherence to ART: the study confirmed that since the advent of combination antiretroviral therapy (HAART), HIV/AIDS has been transformed into a manageable and chronic condition, and has undoubtedly extended and improved the quality of life for people living with HIV/AIDS. However, it also confirmed that ART, is a complex intervention, which is accompanied by severe biopsychosocial implications, requiring near-perfect adherence in order to prevent the development of resistance. The impact that the various psychosocial needs of millions of HIV/AIDS people living on ART will have on current social structures and services, will tax the available professional social services, particularly the social work profession. The social correlation of HIV/AIDS and poverty is endorsed by the findings, confirming that the high level of unemployment, coupled with families who are headed by women and who receive little support, lead to almost total dependency on social security. The findings further indicate a specific relationship between socio-economic circumstances and the ability to adhere to ART. Empowering HIV/AIDS patients, to be able to adhere to ART, is therefore indicated, as is the further need for a regulator of HIV/AIDS support services, in order to protect and promote high standards of service delivery, especially counselling. Social Work and Criminology DPhil unrestricted 2013-09-07T10:44:35Z 2008-08-13 2013-09-07T10:44:35Z 2008-04-21 2007 2008-08-11 Thesis Spies, M 2007, The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study, DPhil Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/27140> D472/gm http://hdl.handle.net/2263/27140 http://upetd.up.ac.za/thesis/available/etd-08112008-165506/ ©2007 University of Pretoria application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria |
| spellingShingle | Antiretroviral therapy (ART) Assessing Biopsychosocial Adherence Concordance Compliance Counsellors Human immunodeficiency virus (HIV) Psychosocial Resistance Social work Acquired immune deficiency syndrome (AIDS) Counselling UCTD The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study |
| title | The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study |
| title_full | The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study |
| title_fullStr | The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study |
| title_full_unstemmed | The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study |
| title_short | The biopsychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART) : a social work study |
| title_sort | biopsychosocial factors influencing hiv aids patient adherence to antiretroviral therapy art a social work study |
| topic | Antiretroviral therapy (ART) Assessing Biopsychosocial Adherence Concordance Compliance Counsellors Human immunodeficiency virus (HIV) Psychosocial Resistance Social work Acquired immune deficiency syndrome (AIDS) Counselling UCTD |
| url | http://hdl.handle.net/2263/27140 http://upetd.up.ac.za/thesis/available/etd-08112008-165506/ |