Antiretroviral Therapy Adherence Among People Living With HIV: Directed Content Analysis Based on Information-Motivation-Behavioral Skills Model

Movahed, Ehsan; Morowatisharifabad, Mohammad Ali; Farokhzadian, Jamileh; Nikooie, Rohollah; Hosseinzadeh, Mahdieh; Askarishahi, Mohsen; Bidaki, Reza

doi:10.1177/0272684x19858029

Cited by 12 publications

(15 citation statements)

References 33 publications

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“…Continuous nursing based on the IMB model established scientific and reasonable psychological intervention according to the actual situation of patients to reduce adverse emotions such as anxiety, and we carried out health knowledge promotion for patients to help patients to improve their understanding of the condition, so as to correctly understand the condition, correctly view the condition, and actively cooperate with the nursing work to speed up the recovery of the condition and achieve a good nursing effect. At the same time, we made a home visit to understand the recovery of patients after discharge, so as to solve the existing problems for patients in time, facilitate the next step of nursing plan, and remind patients to seek medical treatment and check-up in time in case of abnormal physical condition during nursing, so as to avoid missing the best treatment time [ 15 , 16 ].…”

Section: Resultsmentioning

confidence: 99%

Analysis of Continuous Nursing Intervention on Aplastic Anemia Patients Based on the “Information-Motivation-Behavioral Skills Model”

Shen

Liu

Ai-ping

2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the effect of continuous nursing care based on the “information-motivation-behavioral skills model” (IMB) in the intervention of patients with aplastic anemia. Methods. A total of 90 patients with aplastic anemia who were admitted to our hospital from June 2019 to January 2021 were included in the study. The patients were divided into an observation group and a control group according to the random number table, with 45 patients in each group. The control group received routine nursing care, while the observation group received continuous nursing care based on IMB on the basis of the control group. Patients were followed up for 3 months, and their health knowledge was assessed with our self-made health knowledge rating scale. Patients’ medication compliance was assessed using the Morisky medication compliance questionnaire. The self-care ability was assessed with the self-made self-care ability scale in our hospital. The comprehensive quality of life assessment questionnaire (GQOLI-74) was used to assess the quality of life of patients. A self-prepared nursing satisfaction questionnaire was used to score patients’ nursing satisfaction. The total effective rate of nursing was evaluated. Results. The awareness scores of basic disease knowledge, medication knowledge, and daily self-care knowledge in the observation group were higher than those in the control group ( P < 0.05). The scores of medication compliance in the observation group were higher than those in the control group ( P < 0.05). The self-care abilities such as healthy diet, psychological adjustment, self-care skills, oral care, and perianal care in the observation group were higher than those in the control group ( P < 0.05). The quality of life scores of patients in the two groups in the 3 months of nursing were higher than those when they were discharged from hospital ( P < 0.05). The GQOLI-74 score of 3 months’ nursing care in the observation group was higher than that in the control group ( P < 0.05). The nursing satisfaction degree of the observation group (97.78%) was higher than that of the control group (82.23%) ( P < 0.05). The total effective rate of nursing care in the observation group (97.78%) was higher than that in the control group (77.78%) ( P < 0.05). Conclusion. IMB-based continuous nursing care can significantly increase the awareness of health knowledge in patients with aplastic anemia, effectively improve medication compliance, significantly enhance self-care ability, and thus, improve the quality of life.

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Section: Resultsmentioning

confidence: 99%

Analysis of Continuous Nursing Intervention on Aplastic Anemia Patients Based on the “Information-Motivation-Behavioral Skills Model”

Shen

Liu

Ai-ping

2021

Evidence-Based Complementary and Alternative Medicine

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“…As ART coverage expands, a rise in loss to follow-up (LTFU) has been observed in many ART programs in Sub-Saharan Africa 7 . The high levels of adherence to ART and retention in HIV care programs is critical to achieve optimal health outcomes among PLHIV 8 . However, LTFU has a significant clinical and epidemiological challenge, which compromises long term patients' survival 9 .…”

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confidence: 99%

Incidence and predictors of loss to follow-up among adult HIV-infected patients taking antiretroviral therapy at North Shewa zone public Hospitals, Northeast Ethiopia: A retrospective follow-up study

Shiferaw¹,

Belete²,

Adela³

et al. 2022

Afr H. Sci.

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Background: Patients who are lost to follow-up while on treatment compromise their own health and the long-term success of antiretroviral therapy (ART) programs. Besides, loss to follow-up (LTFU) increases HIV-related morbidity and mortality. Therefore, this study aimed to determine the incidence of LTFU and its predictors among adult HIV positive patients on anti-retroviral therapy at North Shoa zone public hospitals, Northeast Ethiopia. Methods: A retrospective follow up study of 517 people living with HIV/AIDS and attending an ART clinic between 2015 and 2020 was conducted at North Shewa zone, public hospitals. Kaplan-Meier failure function together with log rank test was used to compare failure function. Multivariable Cox proportion hazards regression model was used to determine predictors of LTFU. Result: The incidence density rate of lost to follow up among HIV positive adult on ART was found to be 8.9 per 100 adult years observation (95%CI; 7.45, 10.68). In multivariable cox proportional regression analysis, WHO clinical stage-IV (AHR = 1.50; 95% CI: 1.08, 3.75), comorbidity disease (AHR = 0.54; 95% CI; 0.30, 0.97), body mass index less than 18kg/m2 (AHR = 1.60; 95% CI; 1.02, 2.51), cotrimoxazole preventive therapy (AHR = 1.57; 95% CI;1.09, 2.53), and a low CD4 count (AHR = 1.66; 95% CI; 1.29, 3.49) were found to be a significant predictors of lost to follow up. Conclusion: The current study showed that the incidence rate of loss to ART follow-up was high. Body mass index score less than 18kg/m2, advanced WHO clinical stage, CD4<200cell/mm3, had comorbidity disease, and cotrimoxazole therapy were a significant predictors of lost to ART follow up. Therefore, appropriate mitigation measures in the at-risk group need to be instigated to advance retention rate. Keywords: ART; HIV/AIDS; lost to follow up; predictors; Ethiopia.

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“…Our ndings show that inappropriate social reactions, including stigma and degrading views, reduced social relations. According to Movahed et al [34], humans are social beings, but a pathological and erroneous attitude towards COVID-19 patients reduced their presence in society. Although corona disease is similar to the u, the labels and differences of COVID-19 have prevented active presence of these patients in the community.…”

Section: Discussionmentioning

confidence: 99%

Experiences of Health Providers and patients in COVID‑19: A SWOT analysis

Kheirkhah¹,

Movahed²,

gheyabi³

et al. 2021

Preprint

Self Cite

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Background: Health providers and patients face many problems in preventing and controlling COVID-19 in the family and the health system.Aim: The aim of the present study was to explore experiences of health providers and patients in COVID‑19.Methods: directional qualitative content analysis was applied and 15 participants, including 10 patients with COVID-19 and 5 health providers. Data were collected using semi-structured interviews and analyzed by Lundman and Graneheim qualitative content analysis methods. The MAXQDA10 software was used to manage qualitative data analysis.Results: During the data analysis, "strengths", "weaknesses", "opportunities", and "threats" were defined in terms of categories. The " Benefits and Barriers " was determined as the main theme.Conclusion: Community members and policymakers should support and reinforce the positive experiences of patients and health providers and the health system and families need to be more prepared for the crisis.

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Antiretroviral Therapy Adherence Among People Living With HIV: Directed Content Analysis Based on Information-Motivation-Behavioral Skills Model

Cited by 12 publications

References 33 publications

Analysis of Continuous Nursing Intervention on Aplastic Anemia Patients Based on the “Information-Motivation-Behavioral Skills Model”

Analysis of Continuous Nursing Intervention on Aplastic Anemia Patients Based on the “Information-Motivation-Behavioral Skills Model”

Incidence and predictors of loss to follow-up among adult HIV-infected patients taking antiretroviral therapy at North Shewa zone public Hospitals, Northeast Ethiopia: A retrospective follow-up study

Experiences of Health Providers and patients in COVID‑19: A SWOT analysis

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