View in EDS HTML Full Text PDF Full Text

Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program.

Saved in:
Bibliographic Details
Title: Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program.
Authors: Gray, Aaliyah, Ward, Melissa K., Fernandez, Sofia B., Nawfal, Ekpereka S., Gwanzura, Tendai, Li, Tan, Sheehan, Diana M., Jean-Gilles, Michele, Beach, Mary Catherine, Ladner, Robert A., Trepka, Mary Jo
Source: Journal of Behavioral Medicine. Apr2024, Vol. 47 Issue 2, p282-294. 13p.
Subjects: Clinical drug trials, Patient compliance, Antiretroviral agents, Self-management (Psychology), Secondary analysis, Research funding, Questionnaires, Multiple regression analysis, Psychology of women, HIV infections, Descriptive statistics, Psychology of HIV-positive persons, Sociodemographic factors, Women's health, Medical needs assessment, Psychosocial factors
Geographic Terms: Florida
Abstract: Women with HIV (WWH) face increased difficulties maintaining adherence to antiretroviral therapy (ART) due to a variety of demographic and psychosocial factors. To navigate the complexities of ART regimens, use of strategies to maintain adherence is recommended. Research in this area, however, has largely focused on adherence interventions, and few studies have examined self-reported preferences for adherence strategies. The purpose and objectives of this study were to explore the use of ART self-management strategies among a diverse sample of WWH, examine demographic and psychosocial differences in strategy use, and assess the association between strategies and ART adherence. The current study presents secondary data of 560 WWH enrolled in the Miami-Dade County Ryan White Program. Participants responded to questionnaire items assessing demographic and psychosocial characteristics, use of adherence strategies, and ART adherence during the past month. Principal component analysis identified four categories among the individual strategies and multivariable binomial logistic regression assessed adherence while controlling for individual-level factors. The majority of WWH reported optimal ART adherence, and nearly all used multiple individual strategies. The number of individual strategies used and preferences for strategy types were associated with various demographic and psychosocial characteristics. Adjusting for demographic and psychosocial characteristics, optimal ART adherence during the past month was associated with the use of four or more individual strategies. When conducting regular assessments of adherence, it may be beneficial to also assess use of adherence strategies and to discuss with WWH how using multiple strategies contributes to better adherence. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 176082457
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Gray%2C+Aaliyah%22">Gray, Aaliyah</searchLink><br /><searchLink fieldCode="AR" term="%22Ward%2C+Melissa+K%2E%22">Ward, Melissa K.</searchLink><br /><searchLink fieldCode="AR" term="%22Fernandez%2C+Sofia+B%2E%22">Fernandez, Sofia B.</searchLink><br /><searchLink fieldCode="AR" term="%22Nawfal%2C+Ekpereka+S%2E%22">Nawfal, Ekpereka S.</searchLink><br /><searchLink fieldCode="AR" term="%22Gwanzura%2C+Tendai%22">Gwanzura, Tendai</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Tan%22">Li, Tan</searchLink><br /><searchLink fieldCode="AR" term="%22Sheehan%2C+Diana+M%2E%22">Sheehan, Diana M.</searchLink><br /><searchLink fieldCode="AR" term="%22Jean-Gilles%2C+Michele%22">Jean-Gilles, Michele</searchLink><br /><searchLink fieldCode="AR" term="%22Beach%2C+Mary+Catherine%22">Beach, Mary Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Ladner%2C+Robert+A%2E%22">Ladner, Robert A.</searchLink><br /><searchLink fieldCode="AR" term="%22Trepka%2C+Mary+Jo%22">Trepka, Mary Jo</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Apr2024, Vol. 47 Issue 2, p282-294. 13p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Clinical+drug+trials%22">Clinical drug trials</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Antiretroviral+agents%22">Antiretroviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Self-management+%28Psychology%29%22">Self-management (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+women%22">Psychology of women</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Women with HIV (WWH) face increased difficulties maintaining adherence to antiretroviral therapy (ART) due to a variety of demographic and psychosocial factors. To navigate the complexities of ART regimens, use of strategies to maintain adherence is recommended. Research in this area, however, has largely focused on adherence interventions, and few studies have examined self-reported preferences for adherence strategies. The purpose and objectives of this study were to explore the use of ART self-management strategies among a diverse sample of WWH, examine demographic and psychosocial differences in strategy use, and assess the association between strategies and ART adherence. The current study presents secondary data of 560 WWH enrolled in the Miami-Dade County Ryan White Program. Participants responded to questionnaire items assessing demographic and psychosocial characteristics, use of adherence strategies, and ART adherence during the past month. Principal component analysis identified four categories among the individual strategies and multivariable binomial logistic regression assessed adherence while controlling for individual-level factors. The majority of WWH reported optimal ART adherence, and nearly all used multiple individual strategies. The number of individual strategies used and preferences for strategy types were associated with various demographic and psychosocial characteristics. Adjusting for demographic and psychosocial characteristics, optimal ART adherence during the past month was associated with the use of four or more individual strategies. When conducting regular assessments of adherence, it may be beneficial to also assess use of adherence strategies and to discuss with WWH how using multiple strategies contributes to better adherence. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=176082457
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10865-023-00459-x
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 282
    Subjects:
      – SubjectFull: Clinical drug trials
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Self-management (Psychology)
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Florida
        Type: general
    Titles:
      – TitleFull: Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Gray, Aaliyah
      – PersonEntity:
          Name:
            NameFull: Ward, Melissa K.
      – PersonEntity:
          Name:
            NameFull: Fernandez, Sofia B.
      – PersonEntity:
          Name:
            NameFull: Nawfal, Ekpereka S.
      – PersonEntity:
          Name:
            NameFull: Gwanzura, Tendai
      – PersonEntity:
          Name:
            NameFull: Li, Tan
      – PersonEntity:
          Name:
            NameFull: Sheehan, Diana M.
      – PersonEntity:
          Name:
            NameFull: Jean-Gilles, Michele
      – PersonEntity:
          Name:
            NameFull: Beach, Mary Catherine
      – PersonEntity:
          Name:
            NameFull: Ladner, Robert A.
      – PersonEntity:
          Name:
            NameFull: Trepka, Mary Jo
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 01607715
          Numbering:
            – Type: volume
              Value: 47
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Journal of Behavioral Medicine
              Type: main
ResultId 1