An Integrated approach for antiretroviral adherence and secondary HIVtransmission risk-reductionsupport by nurses in Kenya
Date
2012Author
Kurth, Ann E.
McClelland, Lauren
Wanje, George
Ghee, Annette E
Peshu, Norbert
Mutunga, Esther
Jaoko Walter G.
Storwick, Marta
Holmes, King K.
McClelland, Scott
Language
enMetadata
Show full item recordAbstract
Ongoing antiretroviral therapy (ART) adherence
and secondary HIV transmission-risk reduction
(positive prevention) support are needed in resourcelimited
settings.We evaluated a nurse-delivered counseling
intervention in Kenya. We trained 90 nurses on
a brief counseling algorithm that comprised ART and
sexual-risk assessment, risk-reduction messages, and
health-promotion planning. Self-reported measures
were assessed before, immediately after, and 2 months
post-training. Consistent ART adherence assessment
was reported by 29% of nurses at baseline and 66%
at 2 months post-training (p , .001). Assessment of
patient sexual behaviors was 25% at baseline and
60% at 2 months post-training (p , .001). Nurse
practice behaviors recommended in the counseling
algorithm improved significantly at 2 months posttraining
compared with baseline, odds ratios 4.30–
10.50. We found that training nurses in clinical
counseling for ARTadherence and positive prevention
is feasible. Future studies should test impact of nurse
counseling on patient outcomes in resource-limited
settings.
URI
http://www.ncbi.nlm.nih.gov/pubmed/21803605http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/10075
Citation
Journal of the Association of Nurses in AIDS Care,Subject
Antiretrovirals,HIV counseling,
Prevention with positives,
Resource-limited settings,
Treatment adherence
Collections
- Faculty of Health Sciences (FHS) [10378]