dc.contributor.author | Musiimenta, Angella | |
dc.contributor.author | Atukunda, Esther Cathyln | |
dc.contributor.author | Tumuhimbise, Wilson | |
dc.contributor.author | Haberer, Jessica E | |
dc.date.accessioned | 2021-11-25T07:45:23Z | |
dc.date.available | 2021-11-25T07:45:23Z | |
dc.date.issued | 2019-01-09 | |
dc.identifier.citation | Musiimenta, A., Atukunda, E. C., Tumuhimbise, W., & Haberer, J. E. (2018). Resilience after withdrawing a technology-based medication adherence support intervention from people living with HIV in rural Uganda. AIDS care, 30(sup5), S89-S96. | en_US |
dc.identifier.issn | 0954-0121 | |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1002 | |
dc.description.abstract | Technology-based interventions for behavior change, such as adherence monitors and SMS text
messages, can improve adherence to HIV antiretroviral therapy. It is unclear, however, how the
effects of such interventions are maintained when interventions are withdrawn. We explored
resiliency of people living with HIV in coping with adherence to antiretroviral therapy (ART) after
withdrawing an adherence support intervention of real-time adherence monitors linked to SMS
text messages at study closure. This is a qualitative study conducted with former participants of
a pilot randomized controlled trial after study closure. Between April 2016 and November 2016,
we used convenient sampling to interview 28 of the 62 participants from the pilot trial, which
was conducted in rural Uganda. Interviews elicited information on experiences of taking ART in
the absence of the intervention, coping strategies, and changes in social support interactions.
Data were analyzed inductively using content analysis.
Most participants demonstrated resilience through learning adherence from the intervention;
and internalizing the habit of medication adherence. They seemed to have a sense of selfesteem, positive thinking, and access to supportive relationships. Other participants employed
adaptive coping strategies, such as using alternative cues (e.g., alarms), accessing spiritual
support, and adjusting their medication time to their routine. A few participants lacked
resiliency, lost the habit and struggled with adherence. They were dependent on the
intervention, appeared isolated and psychologically stressed, and were unable to overcome
challenges associated with poor social support systems. Intervention-related benefits may or may
not persist after the intervention is withdrawn. Contingent on individuals” underlying
characteristics and relationships, participants manifested resiliency through learning and
internalization, as well as using alternative coping strategies. Such resiliency could facilitate the
use of short-term interventions, which are particularly important for resource-limited settings.
Participants should be referred to available additional support at study closure when needed. | en_US |
dc.description.sponsorship | This work was supported by the US National Institutes of
Health under Grant [R34MH100940] and Fogarty International Center of the National Institutes of Health under
Grant [K43TW010388]. The study was registered with ClinicalTrials.gov [NCT01957865] | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Informa UK Limited, trading as Taylor & Francis Group | en_US |
dc.subject | Resilience | en_US |
dc.subject | post-intervention | en_US |
dc.subject | experiences | en_US |
dc.subject | real-time adherence monitoring | en_US |
dc.subject | sustaining behavior | en_US |
dc.subject | intervention dependence | en_US |
dc.title | Resilience after withdrawing a technology-based medication adherence support intervention from people living with HIV in rural Uganda | en_US |
dc.type | Article | en_US |