title: Strategies to promote adherence to antiretroviral therapy applied by Dutch HIV nurse consultants: a descriptive qualitative study.
abstract: This study describes strategies used by Dutch HIV nurse consultants to promote adherence to antiretroviral therapy (ART) and the assumptions on which these strategies were based. The study used a descriptive qualitative design with individual and focus group interviews. Individual semi-structured interviews (n = 23) focusing on adherence-supporting procedures and case-based focus groups (3 groups with 5-7 participants each) focusing on adherence strategies were held with HIV nurse consultants (n = 19). The strategies described were mainly based on experience. Theoretical principles were rarely discussed and participants seldom referred to the literature. Adherence-promoting strategies were identified for two phases: (a) before beginning ART and (b) during follow-up care while on ART. Strategies that were not used in one specific phase were categorized under "all phases." Data yielded useful ideas for the care of HIV-infected patients, and findings can be applied to the development and use of adherence-promoting strategies.
authors.affiliation: Department of Internal Medicine and Infectious Diseases, University Medical Centre Utrecht, Utrecht, The Netherlands.
authors.forename: Sigrid C J M
authors.initials: SC
authors.lastname: Vervoort
authors.forename: Mieke H F
authors.initials: MH
authors.lastname: Grypdonck
authors.forename: Boukje M
authors.initials: BM
authors.lastname: Dijkstra
authors.forename: Esther E B
authors.initials: EE
authors.lastname: Hazelzet
authors.forename: Bert
authors.initials: B
authors.lastname: Fledderus
authors.forename: Jan C C
authors.initials: JC
authors.lastname: Borleffs
authors.forename: Andy I M
authors.initials: AI
authors.lastname: Hoepelman
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000451:nursing; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009723:Nurse-Patient Relations; D010349:Patient Compliance
chemical_list: D019380:Anti-HIV Agents