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It's Not Just the Pills: A Qualitative Meta-Synthesis of HIV Antiretroviral Adherence Research.

Author: BarrosoJulie, FloresDalmacio, LeblancNatalie M

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.

Overview

Antiretroviral therapy (ART) improves the health of people with HIV and prevents transmission. However, people often don't take their medications as prescribed. Current guidelines focus on individual patients, but we need to address systemic barriers and include communities to improve adherence. This review examined research on starting and staying on ART, and found that many factors, including basic needs like food and housing, affect people's ability to take their medications.
Paper Details　
Original Abstract of the Article :
Antiretroviral therapy (ART) improves the health and longevity of people living with HIV infection (PLWH) and also prevents transmission of the virus. Yet, lack of adherence to ART regimens has been a persistent problem, even with simpler regimens. Guidelines that deal with ART adherence are based a...See full text at original site
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引用元：
https://doi.org/10.1016/j.jana.2017.02.007

データ提供：米国国立医学図書館（NLM）

HIV Antiretroviral Adherence: A Journey Beyond the Pills

The field of [HIV/AIDS treatment and prevention] is constantly seeking to optimize [antiretroviral therapy (ART) adherence] among [people living with HIV (PLWH)]. This research delves into the complex factors that influence [ART adherence] and the importance of [contextualizing patient experiences]. Employing a [qualitative meta-synthesis of 127 studies], the researchers analyzed the [lived experiences of PLWH] regarding [ART adherence]. Their findings reveal that [adherence is not merely a matter of individual behavior but is deeply influenced by social, economic, and cultural factors]. This discovery underscores the need for [a holistic approach to HIV care] that [addresses the systemic disparities and contextual factors] that impact [patient adherence] to [ART regimens].

Beyond the Pills: Addressing the Social and Systemic Barriers to Adherence

The study's results demonstrate the need to move beyond [individualistic approaches to ART adherence] and to consider the [broader social and systemic factors] that contribute to [non-adherence]. It's like navigating a vast desert—understanding the social and cultural landscape is crucial for finding safe passage. This research highlights the importance of [community-based interventions] and [addressing issues of poverty, stigma, and discrimination] to promote [optimal ART adherence] and [improve health outcomes] for [PLWH].

A More Holistic Approach to HIV Care

This research calls for a [more holistic and compassionate approach] to [HIV care]. By understanding the [complexities of patient experiences] and [addressing the social determinants of health], healthcare providers can [create a more supportive and equitable system of care] that promotes [optimal adherence to ART] and [improved health outcomes] for [PLWH]. It's like building a well-equipped caravan for a long journey—it takes a combination of resources and strategies to ensure success.

Dr.Camel's Conclusion

This research reminds us that [HIV care] is more than just the prescription of medication. It's about [understanding the patient as a whole], addressing their [social and emotional needs], and [creating a supportive environment] that encourages [adherence to treatment]. It's like navigating a vast desert—the journey is made easier by the support of a strong and compassionate caravan.

Date :
  1. Date Completed 2017-12-14
  2. Date Revised 2017-12-14
Further Info :

Pubmed ID

28286006

DOI: Digital Object Identifier

10.1016/j.jana.2017.02.007

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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