“We were being treated like the Queen”: understanding trial factors influencing high paediatric malaria treatment adherence in western Kenya

AbstractMobile technologies represent potentially novel and scalable intervention delivery platforms for adolescents living with HIV (ALWH) in low- and middle-income countries. We conducted a prospective, mixed methods pilot study to evaluate the acceptability and feasibility of the WhatsApp® platform to deliver individual counseling services and facilitate peer support for ALWH in western Kenya. Thirty ALWH (17 female, mean age 15.4) on ART, engaged in HIV care and aware of their status, were enrolled. After 6 months, participants described their experiences with the intervention. Treatment adherence, stigma, and mental and behavioral health were assessed prospectively. Participants reported overall positive experiences and indicated that the platform encouraged peer network development. They endorsed potential benefits for treatment adherence, stigma reduction, and mental and behavioral health. All participants supported intervention expansion. In western Kenya, WhatsApp® was an acceptable and feasible platform for mobile counseling and peer support for ALWH.

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Psychosocial Factors Influencing Promotion of Male circumcision for HIV Prevention in a Non-circumcising Community in Rural Western Kenya

The Qualitative Report ◽

10.46743/2160-3715/2009.1373 ◽

2014 ◽

Author(s):

Alfredo Obure ◽

Erick Nyambedha ◽

Boniface Oindo ◽

Hezborn Kodero

Keyword(s):

Sexual Satisfaction ◽

Male Circumcision ◽

Community Education ◽

Preventive Measure ◽

Perceived Barriers ◽

Cultural Integration ◽

Group Discussions ◽

Western Kenya ◽

Factors Influencing ◽

Purposive Sample

Male circumcision (MC) is now recommended as an additional HIV preventive measure, yet little is known about factors that may influence its adoption, especially in non-circumcising communities with generalized HIV pandemic. This qualitative study explored factors influencing MC adoption in rural western Kenya. Twenty-four sex specific focus group discussions were conducted with a purposive sample of Luo men and women (15-34 years). Perceived barriers to circumcision were pain and healing complications, actual and opportunity costs, behavioral disinhibition, discrimination, cultural identity, and reduced sexual satisfaction; perceived facilitators were hygiene, HIV/STI risk reduction, ease in condom use, cultural integration, and sexual satisfaction. To enhance MC adoption, community education, and dialogue is needed to address the perceived fears.

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‘Ghost’ stories: sociocultural factors influencing tuberculosis treatment adherence in Ghana

Primary Health Care ◽

10.7748/phc.2016.e1159 ◽

2016 ◽

Vol 26 (10) ◽

pp. 34-41 ◽

Cited By ~ 1

Author(s):

Yakubu Salifu ◽

Cecilia Eliason ◽

George Mensah

Keyword(s):

Treatment Adherence ◽

Tuberculosis Treatment ◽

Sociocultural Factors ◽

Ghost Stories ◽

Factors Influencing

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Adherence to treatment in psychiatry

New Oxford Textbook of Psychiatry ◽

10.1093/med/9780198713005.003.0020 ◽

2020 ◽

pp. 193-204

Author(s):

Amy Chan ◽

Rob Horne

Keyword(s):

Health Care ◽

Treatment Adherence ◽

Health Care Providers ◽

Patient Perspective ◽

Good Health ◽

Active Role ◽

Care Providers ◽

Adherence To Treatment ◽

Factors Influencing ◽

Adherence Support

Adherence to treatment in psychiatry is pivotal for achieving and maintaining good health outcomes. Yet, despite the vast amount of research into adherence, treatment adherence remains suboptimal. There is a need for everyone to take an active role in addressing non-adherence if we are to realize the full benefits of available treatments. This chapter introduces the concept of adherence and discusses the factors influencing adherence in psychiatry. The adherence literature is then reviewed, and results from past adherence interventions summarized to explain why non-adherence occurs from an individual patient perspective. A perceptions and practicalities approach to adherence is then presented to help guide the design and delivery of patient-centred adherence support. This chapter serves as a practical guide to adherence for health care providers and others interested in supporting adherence to treatment in psychiatry.

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