Volume 21, Issue 6 , Pages 489-502, November 2010
Strategies to Promote Adherence to Antiretroviral Therapy Applied by Dutch HIV Nurse Consultants: A Descriptive Qualitative Study
This study describes strategies used by Dutch HIV nurse consultants to promote adherence to antiretroviral therapy (ART) and the assumptions on which these strategies were based. The study used a descriptive qualitative design with individual and focus group interviews. Individual semi-structured interviews (n = 23) focusing on adherence-supporting procedures and case-based focus groups (3 groups with 5-7 participants each) focusing on adherence strategies were held with HIV nurse consultants (n = 19). The strategies described were mainly based on experience. Theoretical principles were rarely discussed and participants seldom referred to the literature. Adherence-promoting strategies were identified for two phases: (a) before beginning ART and (b) during follow-up care while on ART. Strategies that were not used in one specific phase were categorized under “all phases.” Data yielded useful ideas for the care of HIV-infected patients, and findings can be applied to the development and use of adherence-promoting strategies.
Key words: adherence-promoting strategies, focus groups, HIV nurse consultants, individual interviews
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Andy I. M. Hoepelman reports the following relationships: consultancies with Bristol-Myers Squibbb, consultancies and research support with Gilead, consultancies with Novartis, research support and consultancies with Roche, consultancies with Tibotec, and research support and consultancies with Pfizer. The other authors report no real or perceived vested interests that relate to this article (including relationships with pharmaceutical companies, biomedical device manufacturers, grantors, or other entities whose products or services are related to topics covered in this manuscript) that could be construed as a conflict of interest.
PII: S1055-3290(10)00048-8
doi:10.1016/j.jana.2010.03.002
© 2010 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.
Volume 21, Issue 6 , Pages 489-502, November 2010
