CASE STUDY RESEARCH: PERCEIVED BENEFITS AND BARRIERS OF HIV VIRAL LOAD MONITORING IN HIV-INFECTED PATIENTS WHO LOST TO FOLLOW-UP VIRAL LOAD
DOI:
https://doi.org/10.69598/tbps.18.1.107-127Keywords:
HIV-infected patients, HIV viral load monitoring, Perceive the benefits, Perceived the barriers, Qualitative studyAbstract
HIV viral load monitoring is a way to track responses to antiretroviral drugs and identify treatment failures. This is a qualitative case study to explore the perceived benefits, perceived barriers, perceived self-efficacy, and social support in HIV-infected patients about HIV viral load monitoring. The in-depth interview reviewed 10 key pieces of information that remained on antiretroviral drugs for at least 6 months, but no HIV viral load was monitored in a public hospital in the central province. The study included analyzing qualitative data with content analysis. The results showed that a lack of information about HIV viral load monitoring results in HIV-infected patients being ignorant of the benefits of HIV viral load monitoring which lead to a lack of monitoring. HIV-infected patients perceive the barriers caused by personal and environmental factors differently. HIV-infected patients that are elderly and living outside of hospital service areas perceive travel and travel costs as their barriers. While HIV-infected patients with daily incomes may perceive the barriers to lack of income. Healthcare rights will continue to support HIV-infected patients for treatment. For the environmental factors, this study found that service timelines, appointments, and ineffective record-keeping were a barrier to tracking. All HIV-infected patients taking antiretroviral therapy are in good health. The patients are confident in their competence to be able to manage themselves to follow-up continuously. Social support from close people contributes to emotional and material support, resulting in encouragement and cooperation in monitoring. Also, medical personnel plays an important role in providing information about HIV viral load monitoring, goals for treatment and appointments. This will have an impact on the adherence of HIV viral load monitoring among HIV-infected patients.
References
World Health Organization. (2017). HIV/AIDS. Accessed Febuary 9. Available from: https://www.who.int/features/qa/71/en/
World Health Organization. (2003). Adherence to long-term therapies: evidence for action. Accessed July 19. Available from: https://www.who.int/chp/knowledge/publications/ adherence_section3.pdf?ua=1
Joint United Nations Programme on HIV/AIDS (UNAIDS). [Internet]. Geneva: UNAIDS; 2018 [cited 2022 Nov 1]. Available from: http://www.unaids.org/en
NAP Web Report [Internet]. Bangkok: National Health Security Office; 2022 [cited 2022 Nov 5]. Available from: http://napdl.nhso.go.th/NAPWebReport/LoginServlet
Division of AIDS and STIs, Department of Disease Control. Thailand national guidelines on HIV/AIDS treatment and prevention 2021/2022. 1st ed. Bangkok: Aksorn graphic and design publishing limited partnership; 2022.
Ministry of Public Health. Essentials of HIV/AIDS treatment and prevention 2014 Thailand. 1st ed. Bangkok: The Agricultural Cooperative Federation of Thailand Limited; 2014.
Joint United Nations Programme on HIV/AIDS (UNAIDS). 90-90-90 An ambitious treatment target to help end the AIDS epidemic [Internet]. Geneva: UNAIDS; 2014 [updated 2014 Oct; cited 2018 Jan 10]. Available from http://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf
NAP Web Report [Internet]. Bangkok: National Health Security Office; 2018 [cited 2018 Jan 5]. Available from: http://napdl.nhso.go.th/NAPWebReport/LoginServlet
Chotisen O, Praditbatuka S, Cheevakasamsook A. Factors related to people living with HIV/AIDS behaviors at Sirindhorn hospital, medical service department, Bangkok Metropolitan Administration. JRTAN. 2015;16(1): 41-50. (in Thai)
Yehia BR, Stephens-Shields AJ, Fleishman JA, Berry SA, Agwu AL, Metlay JP, et al. The HIV care continuum: Changes over time in retention in care and viral suppression. PLoS One. 2015;10(6): e0129376.
Sheehan DM, Fennie KP, Mauck DE, Maddox LM, Lieb S, Trepka MJ. Retention in HIV care and viral suppression: Individual- and neighborhood-level predictors of racial/ethnic differences, Florida, 2015. AIDS Patient Care STDS. 2017;31(4):167-75.
Berger MB, Sullivan KA, Parnell HE, Keller J, Pollard A, Cox ME, et al. Barriers and facilitators to retaining and reengaging HIV clients in care: A case study of North Carolina. J Int Assoc Provid AIDS Care. 2016;15(6):486-93.
Pender N. Health promotion in nursing practice. 5th ed. New Jersey: Pearson Education; 2006.
Kongphol J. Perceived self-efficacy and practices in preventing failure of antiretroviral treatment among HIV-Infected/ AIDS persons [Dissertation]. Songkla: Prince of Songkla University; 2011. (in Thai)
Suwanobol N, Anansawat S, Jai-ai R. Success factors and barriers to develop the caring system for people living with HIV and AIDS. J Royal Thai Army Nurses. 2016;17(1):70-8. (in Thai)
Komgla N. Predicting factors of adherence to regimens among adolescents living with HIV/AIDS [Dissertation]. Bangkok: Chulalongkorn University; 2010. (in Thai)
Saratham O. Selected factors associated with adherence to regimen among school age children living with HIV/AIDS at regional hospitals, Southern Thailand [Dissertation]. Bangkok: Chulalongkorn University; 2008. (in Thai)
Fleishman JA, Yehia BR, Moore RD, Korthuis PT, Gebo KA; HIV Research Network. Establishment, retention, and loss to follow-up in outpatient HIV care. J Acquir Immune Defic Syndr. 2012;60(3):249-59.
De La Mata NL, Ly PS, Nguyen KV, Merati TP, Pham TT, Lee MP, et al. Loss to follow-up trends in HIV-positive patients receiving antiretroviral treatment in Asia from 2003 to 2013. J Acquir Immune Defic Syndr. 2017;74(5):555-62.
Zhou J, Tanuma J, Chaiwarith R, Lee CKC, Law MG, Kumarasamy N, et al. Loss to followup in HIV-infected patients from Asia-pacific region: Results from TAHOD. AIDS research and treatment. 2012:375217.
Berheto TM, Haile DB, Mohammed S. Predictors of loss to follow-up in patients living with HIV/AIDS after initiation of antiretroviral therapy. N Am J Med Sci. 2014;6(9):453-9.
Chalermpichai T. Prevalence of loss to postpartum follow-up in mothers with HIV infection and associated factors. TJNC. 2008;23(1):48-59. (in Thai)
Chalermpichai T, Ratintorn A, Sindhu S, Ratanasuwan W, Reynolds N. Factors associated with the retention in care after delivery among Thai mothers with HIV.” Pacific Rim Int J Nurs Res. 2016;20(3):225-37. (in Thai)
Sanjobo N, Frich JC, Fretheim A. Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia: a qualitative study. SAHARA J.. 2008;5(3):136-43.
Chamaleak V, Tangyingyong T, Watanachai Y. Efficacy study of HIV/AIDs patient care development system. MEDICAL Med J Sisaket Surin Buriram Hosp. 2018;29(1):29-40. (in Thai)
Rutstein SE, Golin CE, Wheeler SB, Kamwendo D, Hosseinipour MC, Weinberger M, et al. On the front line of HIV virological monitoring: barriers and facilitators from a provider perspective in resource-limited settings. AIDS Care. 2016;28(1):1-10.
Yin RK. Case study research: Design and methods (Applied social research methods). 5th ed. CA: SAGE Publications, Inc; 2013.
Connelly CE. Self-care and the chronically ill patient. Nurs Clin North Am. 1987;22(3):621-9.
Thanwong T, Pensirinapa N. Factors related to medical care usage of chronic disease patients at sub-district health promoting hospitals in Khao Yoi Health Network, Petchaburi Province. J Saf Health. 2016;9(31):26-36. (in Thai)
Wongputh P. Stigma in people living with HIV/AIDS [Dissertation]. Chiang Mai: Chiang Mai University; 2002. (in Thai)
Veerakul K. Factors affecting the cooperation of treatment behavior among HIV Infected/AIDS patients attending antiretroviral therapy program at Thung Tako hospital, Chumphon Province [Dissertation]. Nonthaburi: Sukhothai Thammathirat Open University; 2011. (in Thai)
Tina A. Effects of empowerment together with social supports to health behaviors among HIV infected persons and AIDS patients currently receiving anti-retroviral in Sansai hospital, Chiang Mai. Lanna Public Health Journal. 2011;7:221-3. (in Thai)
Hirandit A. Strategies to improve adherence to antiretroviral therapy. In: Preecha M, Sonthisombat P, Vimolsarawong N, Pattharachayakul S, Editors. Handbook for pharmacists caring for HIV and AIDS patients. 1st ed. Bangkok: Prachachon Co., Ltd; 2007. 311-40.
Bandura A. Self-efficacy: The exercise of control: Worth Publishers; 1997.
Aneksak W, Daenseekaew S. Community-based support on self-management among people living with HIV in a university in northeastern, Thailand. J Nurs Health Care. 2019;37(4):72-9. (in Thai)
Wilson D, Keiluhu AK, Kogrum S, Reid T, Seriratana N, Ford N, et al. HIV-1 viral load monitoring: an opportunity to reinforce treatment adherence in a resource-limited setting in Thailand. Trans R Soc Trop Med Hyg. 2009;103(6):601-6.
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