Necessity and concerns beliefs and HIV medication adherence: a systematic review

Mitzel, Luke D.; Vanable, Peter A.

doi:10.1007/s10865-019-00089-2

Cited by 10 publications

(10 citation statements)

References 53 publications

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“…Our findings are in line with previous research showing the influence of beliefs about medicines on treatment adherence across various chronic medical conditions [ 6 , 16 , 17 , 35 ] as well in HIV treatment [ 18 – 21 , 36 ]. The added value of the present study is that we distinguished between unintentional and intentional non-adherence to ART when examining the relationship with beliefs about medicines.…”

Section: Discussionsupporting

confidence: 93%

Intentional- but not Unintentional Medication Non-adherence was Related with Beliefs about Medicines Among a Multi-Ethnic Sample of People with HIV

et al. 2022

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Medication non-adherence can be intentional or unintentional. We investigated the prevalence of unintentional and intentional non-adherence to antiretroviral therapy (ART) and the relationship with beliefs about medicines, sociodemographic- and HIV-related variables among people with HIV (PWH) attending the HIV clinic of the Amsterdam University Medical Centers. Participants completed the Medication Adherence Rating Scale (MARS) and the Beliefs about Medicines (BMQ) questionnaire. About half of 80 participants reported unintentional non-adherence and 20% reported intentional non-adherence. Both unintentional and intentional non-adherence were associated with younger age. Additionally, intentional non-adherence was associated with being a migrant from Suriname /Netherlands Antilles, having more concerns about negative effects of ART and stronger beliefs that medicines in general are overused/ overprescribed. In conclusion, intentional but not unintentional non-adherence was associated with beliefs about medicines. Eliciting and discussing beliefs about medicines may be a promising avenue to address patients’ concerns and perceptions thereby potentially enhancing medication adherence.

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Section: Discussionsupporting

confidence: 93%

Intentional- but not Unintentional Medication Non-adherence was Related with Beliefs about Medicines Among a Multi-Ethnic Sample of People with HIV

et al. 2022

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“…14 The NCF has been shown to be a useful model for understanding patients' evaluations of their prescribed medications across different conditions, medications and settings; however, it has been predominantly developed in the UK and studied in Western countries. 12,33,34 The results provide support for this framework to be utilised within Zimbabwe and potentially within SSA. The majority of participants thought ART was necessary for their health and regardless of concerns they would try to adhere.…”

Section: Discussionmentioning

confidence: 57%

Medication beliefs among people living with HIV taking antiretroviral treatment in Zimbabwe: a qualitative study

Croome

Potter

Bere

et al. 2020

Journal of Global Health Reports

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Background The beliefs that patients hold about their medicines are known to influence treatment adherence. This study’s objective was to explore and identify specific antiretroviral (ART) beliefs from human immunodeficiency virus (HIV) positive patients in Zimbabwe. Methods In-depth qualitative interviews were conducted with 21 (female = 9; 42.9%) purposively sampled HIV-positive adults attending an urban HIV clinic. All participants had been prescribed ART for at least one month. Two additional key informant interviews were conducted with healthcare professionals. Data were analysed inductively using grounded theory framework. Results Participants’ beliefs about ART were grouped into two themes: perceived importance, and concerns about ART. The majority of participants viewed ART as necessary for staying alive and healthy. Participants who had attempted alternative treatments experienced health deterioration and subsequently returned to using ART. There were several medication concerns, including: the short- and long-term effects of the medication; the number of doses; potential interactions with other medications; and fear of stigma. However, the more necessary ART was perceived to be, the less these concerns affected self-reported adherence behaviour. Conclusions Healthcare professionals need to be aware of these beliefs so they can provide tailored, adequate adherence support. Further research is needed to explore whether reducing concerns and enhancing necessity beliefs improve adherence in this population.

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“…Sending SMS has been significantly used in the health area, mainly to improve quality of life and attendance in primary care, and to reduce non-adherence and improve health results at low cost, as well as the possibility of wide dissemination of information in real time for the entire target population of the intervention ( 8 , 13 - 14 , 18 - 19 , 29 ) . Additionally, the use of SMS reminders is an accessible, adequate, and more cost-effective tool compared to those already spent on medication ( 26 , 30 - 31 ) .…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, some systematic reviews have shown that interventions based on medical consultations, nursing consultations, telephone calls, text messaging, financial incentives and behavioral therapy have improved adherence to ART, but none has carried out an assessment from an economic and epidemiological perspective, aiming to demonstrate how these interventions interfere in the long term in the incidence of new cases (3)(4)9,(12)(13)(14) . In this sense, nonmedication and cost-effective interventions, from an economic point of view, such as sending text messages, can help maintain adherence throughout ART without dispensing high costs to the health system and with easy applicability for large populations regardless of their location and facility to the health system (7,(14)(15) .…”

Section: Introductionmentioning

confidence: 99%

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Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus

Santos

Primeira

Paiva

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the cost-effectiveness ratio and the budget impact of sending text messages associated with medical consultations in order to reduce the viral load of patients infected with the Human Immunodeficiency Virus. Method: a randomized clinical trial, basis for the development of a dynamic cohort model with Markov states in order to compare medical appointments for adults infected with the Human Immunodeficiency Virus versus the alternative strategy that associated medical consultations to sending text messages through telephone. Results: 156 adults participated in the study. As for the viral load, it was verified that in the control group there was an increase, in the intervention group A (weekly messages) there was a reduction (p = 0.002) and in group B (biweekly messages) there was no statistically significant difference. Sending text messages would prevent 286,538 new infections by the Human Immunodeficiency Virus and 282 deaths in the 20-year period, compared to the standard treatment. The alternative strategy would result in saving R$ 14 billion in treatment costs. Conclusion: weekly sending messages in association with the standard treatment can reduce the circulating viral load due to its effect in decreasing new infections, in addition to reducing health costs.

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Necessity and concerns beliefs and HIV medication adherence: a systematic review

Cited by 10 publications

References 53 publications

Intentional- but not Unintentional Medication Non-adherence was Related with Beliefs about Medicines Among a Multi-Ethnic Sample of People with HIV

Intentional- but not Unintentional Medication Non-adherence was Related with Beliefs about Medicines Among a Multi-Ethnic Sample of People with HIV

Medication beliefs among people living with HIV taking antiretroviral treatment in Zimbabwe: a qualitative study

Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus

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