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Caregivers' psychosocial assessment for identifying HIV-infected infants at risk of poor treatment adherence: an exploratory study in southern Mozambique.
- Source :
- AIDS Care; Jan2023, Vol. 35 Issue 1, p53-62, 10p, 4 Charts, 2 Graphs
- Publication Year :
- 2023
-
Abstract
- Psychosocial support (PSS) to caregivers of HIV-infected infants on antiretroviral treatment (ART) is crucial to ensure ART adherence and sustained long-term viral suppression in children. A specific approach including tools to monitor and understand adherence behavior and risk factors that prevent optimal treatment compliance are urgently needed. This qualitative exploratory study, conducted in southern Mozambique, monitored the infants' viral response trajectories during 18 months follow-up, as a measure of adherence, reviewed the caregiver's PSS session notes and the answers to a study questionnaire, to analyze whether the standard PSS checklist applied to infants' caregivers can identify barriers influencing their adherence. Only 9 of 31 infants had sustained virologic response. Reported factors affecting adherence were: difficulties in drugs administration, shared responsibility to administer treatment; disclosure of child's HIV status to family members but lack of engagement; mother's ART interruption and poor viral response. In conclusion, we found that the standard PSS approach alone, applied to caregivers, was lacking focus on many relevant matters that were identified by the study questionnaire. A comprehensive patient-centered PSS package of care, including an adherence risk factor monitoring tool, tailored to caregivers and their children must be developed. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV-positive persons
SERVICES for caregivers
RESEARCH
CAREGIVER attitudes
HIV infections
INFANT care
VIRAL load
ANTIRETROVIRAL agents
BURDEN of care
PATIENT-centered care
QUALITATIVE research
RESPONSIBILITY
TREATMENT effectiveness
PSYCHOLOGY of caregivers
QUESTIONNAIRES
RESEARCH funding
PATIENT compliance
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 35
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 162353960
- Full Text :
- https://doi.org/10.1080/09540121.2022.2125159