tailieunhanh - báo cáo hóa học:" Experiencing antiretroviral adherence: helping healthcare staff better understand adherence to paediatric antiretrovirals"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Experiencing antiretroviral adherence: helping healthcare staff better understand adherence to paediatric antiretrovirals | Phelps et al. Journal of the International AIDS Society 2010 13 48 http content 13 1 48 JOURNALOF THE INTERNATIONAL AIDS SOCIETY SHORT REPORT Open Access Experiencing antiretroviral adherence helping healthcare staff better understand adherence to paediatric antiretrovirals Benjamin R Phelps 1 Sarah J Hathcock2 Jennifer Werdenberg1 Gordon E Schutze1 Abstract Background Lack of adherence to antiretroviral medications is one of the key challenges for paediatric HIV care and treatment programmes. There are few hands-on opportunities for healthcare workers to gain awareness of the psychosocial and logistic challenges that caregivers face when administering daily antiretroviral therapy to children. This article describes an educational activity that allows healthcare workers to simulate this caregiver role. Methods Paediatric formulations of several antiretroviral medications were dispensed to a convenience sample of staff at the Baylor College of Medicine-Bristol-Myers Squibb Children s Clinical Center of Excellence in Mbabane Swaziland. The amounts of the medications remaining were collected and measured one week later. Adherence rates were calculated. Following the exercise a brief questionnaire was administered to all staff participants. Results The 27 clinic staff involved in the exercise had varying and low adherence rates over the week during which the exercise was conducted. Leading perceived barriers to adherence included family friends don t help me remember tell me I shouldn t take it and forgot . Participants reported that the exercise was useful as it allowed them to better address the challenges faced by paediatric patients and caregivers. Conclusions Promoting good adherence practices among caregivers of children on antiretrovirals is challenging but essential in the treatment of paediatric HIV. Participants in this exercise achieved poor adherence rates but identified with many of the barriers commonly reported by caregivers. .