Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Fehringer, Jéssica
Data de Publicação: 2006
Outros Autores: Bastos, Francisco Inácio Pinkusfeld Monteiro, Massard, Elize, Maia, Leonardo, Pilotto, Jose Henrique da Silva, Kerrigan, Deanna
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/535
Resumo: We would like to thank all of the patients and providers who participated in this study. We would also like to recognize the contributions of Rosa Maria Pinheiro Rezende and the staff at Hospital PAM Ribeiro Neto and Hospital Geral de Nova Iguaçu. This research was supported by a Pilot Grant from the Johns Hopkins University Center for AIDS Research (CFAR), Grant P30 AI42855, as well as a Career Development Grant from the National Institute of Mental Health of the National Institutes of Health, K01 MH3491.
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spelling Fehringer, JéssicaBastos, Francisco Inácio Pinkusfeld MonteiroMassard, ElizeMaia, LeonardoPilotto, Jose Henrique da SilvaKerrigan, Deanna2010-08-23T16:48:29Z2010-11-04T14:19:43Z2010-08-23T16:48:29Z2010-11-04T14:19:43Z2006FEHRINGER, Jéssica et al. Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil. AIDS Patient Care and STDs, Larchmont, v. 20, n. 9, p. 637-648, 2006.1087-2914https://www.arca.fiocruz.br/handle/icict/53510.1089/apc.2006.20.637We would like to thank all of the patients and providers who participated in this study. We would also like to recognize the contributions of Rosa Maria Pinheiro Rezende and the staff at Hospital PAM Ribeiro Neto and Hospital Geral de Nova Iguaçu. This research was supported by a Pilot Grant from the Johns Hopkins University Center for AIDS Research (CFAR), Grant P30 AI42855, as well as a Career Development Grant from the National Institute of Mental Health of the National Institutes of Health, K01 MH3491.Johns Hopkins Bloomberg School of Public Health. Baltimore, Maryland, USA.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, BrasilOswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil.Ribeiro Neto Hospital. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Johns Hopkins Bloomberg School of Public Health. Baltimore, Maryland, USA.This exploratory study examined patient–provider communication dynamics regarding adherence to highly active antiretroviral therapy (HAART) and protective sexual behavior among people living with HIV/AIDS (PLWHA). We conducted 20 direct observations of routine consultations between PLWHA and care providers in two large public health clinics providing free HIV medications and clinical care to PLWHA in the greater Rio de Janeiro area of Brazil. Immediately after these observations, 20 semistructured in-depth interviews were conducted with observation participants regarding their communication with providers, overall clinic experience, and questions and concerns about adherence to HAART and safe sex. Findings from observations showed that patient–provider communication focused almost exclusively on biomedical aspects of HIV-related treatment such as symptom management. In most observations, adherence to HAART was addressed. However, questions posed by providers regarding adherence were generally close-ended and leading, discouraging an open exchange regarding potential difficulties related to adherence. HIV/sexually transmitted infection (STI)- related protective behaviors were seldom addressed except when the patient displayed STI symptoms or was thought to be pregnant. In qualitative interviews, patients generally reported satisfaction with their providers, but also reported a variety of concerns and challenges related to adherence to HAART and protective sexual behavior that were not expressed in patient–provider interactions. We conclude that one way in which adherence to HAART and protective sexual behavior among PLWHA could be facilitated is by improving patient–provider communication on these topics, including increasing the frequency of openended, nonjudgmental dialogue initiated by care providers.engMary Ann Liebert, Inc.Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAntiretroviral TherapySexual protectionHighly Activeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTBastos_Supporting adherence_2006.pdf.txtBastos_Supporting adherence_2006.pdf.txtExtracted texttext/plain48631https://www.arca.fiocruz.br/bitstream/icict/535/6/Bastos_Supporting%20adherence_2006.pdf.txt713921b4c264d6765395d261b8616e57MD56ORIGINALBastos_Supporting adherence_2006.pdfapplication/pdf71631https://www.arca.fiocruz.br/bitstream/icict/535/2/Bastos_Supporting%20adherence_2006.pdfb5c6f705c708a5dd854f9ec8fe4d7488MD52LICENSElicense.txttext/plain1841https://www.arca.fiocruz.br/bitstream/icict/535/3/license.txt071a37fe797148bdbc86e60b8c72f7e4MD53THUMBNAILBastos_Supporting adherence_2006.pdf.jpgBastos_Supporting adherence_2006.pdf.jpgGenerated Thumbnailimage/jpeg2265https://www.arca.fiocruz.br/bitstream/icict/535/5/Bastos_Supporting%20adherence_2006.pdf.jpg58ef8e393d05a23684dca49aaf3122a0MD55icict/5352023-09-04 11:17:37.626oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-09-04T14:17:37Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
title Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
spellingShingle Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
Fehringer, Jéssica
Antiretroviral Therapy
Sexual protection
Highly Active
title_short Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
title_full Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
title_fullStr Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
title_full_unstemmed Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
title_sort Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
author Fehringer, Jéssica
author_facet Fehringer, Jéssica
Bastos, Francisco Inácio Pinkusfeld Monteiro
Massard, Elize
Maia, Leonardo
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
author_role author
author2 Bastos, Francisco Inácio Pinkusfeld Monteiro
Massard, Elize
Maia, Leonardo
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Fehringer, Jéssica
Bastos, Francisco Inácio Pinkusfeld Monteiro
Massard, Elize
Maia, Leonardo
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
dc.subject.en.none.fl_str_mv Antiretroviral Therapy
Sexual protection
Highly Active
topic Antiretroviral Therapy
Sexual protection
Highly Active
description We would like to thank all of the patients and providers who participated in this study. We would also like to recognize the contributions of Rosa Maria Pinheiro Rezende and the staff at Hospital PAM Ribeiro Neto and Hospital Geral de Nova Iguaçu. This research was supported by a Pilot Grant from the Johns Hopkins University Center for AIDS Research (CFAR), Grant P30 AI42855, as well as a Career Development Grant from the National Institute of Mental Health of the National Institutes of Health, K01 MH3491.
publishDate 2006
dc.date.issued.fl_str_mv 2006
dc.date.accessioned.fl_str_mv 2010-08-23T16:48:29Z
2010-11-04T14:19:43Z
dc.date.available.fl_str_mv 2010-08-23T16:48:29Z
2010-11-04T14:19:43Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv FEHRINGER, Jéssica et al. Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil. AIDS Patient Care and STDs, Larchmont, v. 20, n. 9, p. 637-648, 2006.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/535
dc.identifier.issn.pt_BR.fl_str_mv 1087-2914
dc.identifier.doi.none.fl_str_mv 10.1089/apc.2006.20.637
identifier_str_mv FEHRINGER, Jéssica et al. Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil. AIDS Patient Care and STDs, Larchmont, v. 20, n. 9, p. 637-648, 2006.
1087-2914
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url https://www.arca.fiocruz.br/handle/icict/535
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Mary Ann Liebert, Inc.
publisher.none.fl_str_mv Mary Ann Liebert, Inc.
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