Back to Search
Start Over
Family Experiences with Pediatric Antiretroviral Therapy: Responsibilities, Barriers, and Strategies for Remembering Medications
- Publication Year :
- 2008
- Publisher :
- Mary Ann Liebert, Inc., 2008.
-
Abstract
- This study examines the relationship between adherence to pediatric HIV regimens and three family experience factors: (1) regimen responsibility; (2) barriers to adherence; and (3) strategies for remembering to give medications. Caregivers of 127 children ages 2-15 years in the PACTS-HOPE multisite study were interviewed. Seventy-six percent of caregivers reported that their children were adherent (takingor = 90% of prescribed doses within the prior 6 months). Most caregivers reported taking primary responsibility for medication-related activities (72%-95% across activities); caregivers with primary responsibility for calling to obtain refills (95%) were more likely to have adherent children. More than half of caregivers reported experiencing one or more adherence barriers (59%). Caregivers who reported more barriers were also more likely to report having non-adherent children. Individual barriers associated with nonadherence included forgetting, changes in routine, being too busy, and child refusal. Most reported using one or more memory strategies (86%). Strategy use was not associated with adherence. Using more strategies was associated with a greater likelihood of reporting that forgetting was a barrier. For some families with adherence-related organizational or motivational difficulties, using numerous memory strategies may be insufficient for mastering adherence. More intensive interventions, such as home-based nurse-administered dosing, may be necessary.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatric hiv
Adolescent
Anti-HIV Agents
HIV Infections
Article
Interviews as Topic
Young Adult
Medicine
Humans
Family
Young adult
Psychiatry
Patient compliance
Child
Aged
Forgetting
business.industry
Public Health, Environmental and Occupational Health
HIV Protease Inhibitors
Middle Aged
Antiretroviral therapy
Regimen
Infectious Diseases
Caregivers
Child, Preschool
HIV-1
Patient Compliance
Reverse Transcriptase Inhibitors
Drug Therapy, Combination
Female
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....a4147716a23d8fa09e917f564a3e0f2c