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Shortcomings of adherence counselling provided to caregivers of children receiving antiretroviral therapy in rural South Africa.
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- Author(s): Coetzee, Bronwyne1 (AUTHOR) ; Kagee, Ashraf1 (AUTHOR); Bland, Ruth2,3,4 (AUTHOR)
- Source:
AIDS Care. 2016 Supplement, Vol. 28, p60-65. 6p.- Subject Terms:
*CAREGIVER education; *BEHAVIOR; *COUNSELING; *DRUGS; *DRUG administration; *HIV infections; *HIV-positive persons; *MATHEMATICAL models; *MEDICAL quality control; *MEDICAL cooperation; *MOTIVATION (Psychology); *SCIENTIFIC observation; *PATIENT compliance; *PEDIATRICS; *QUALITY assurance; *RESEARCH; *RESEARCH funding; *QUALITATIVE research; *THEORY; *JUDGMENT sampling; *VIRAL load; *ANTIRETROVIRAL agents; *DATA analysis software; *DESCRIPTIVE statistics; *CD4 lymphocyte count; *FIELD notes (Science); *CHILDREN - Source:
- Additional Information
- Subject Terms:
- Abstract: In order to achieve optimal benefits of antiretroviral therapy (ART), caregivers of children receiving ART are required to attend routine clinic visits monthly and administer medication to the child as prescribed. Yet, the level of adherence to these behaviours varies considerably in many settings. As a way to achieve optimal adherence in rural KwaZulu-Natal, caregivers are required to attend routine counselling sessions at HIV treatment clinics that are centred on imparting information, motivation, and behavioural skills related to medication administration. According to the information-motivation-behavioural skills model, information related to adherence, motivation, and behavioural skills are necessary and fundamental determinants of adherence to ART. The purpose of the study was to observe and document the content of adherence counselling sessions that caregivers attending rural clinics in KwaZulu Natal receive. We observed 25 adherence counselling sessions, which lasted on average 8.1 minutes. Counselling typically consisted of counsellors recording patient attendance, reporting CD4 count and viral load results to caregivers, emphasising dose times, and asking caregivers to name their medications and dosage amounts. Patients were seldom asked to demonstrate how they measure the medication. They were also not probed for problems regarding treatment, even when an unsuppressed VL was reported to a caregiver. This paper calls attention to the sub-optimal level of counselling provided to patients on ART and the urgent need to standardise and improve the training, support, and debriefing provided to counsellors. [ABSTRACT FROM PUBLISHER]
- Abstract: Copyright of AIDS Care is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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