Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV

Objectives: Adherence to antiretroviral therapy and retention in care significantly drop for women with HIV during the postpartum period. We have a limited understanding of how outcome expectancies influence maternal adherence and retention in care. Methods: Women with HIV from an urban academic cli...

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Autores principales:	Florence M Momplaisir, Kathryn Fortune, Hervette Nkwihoreze, Allison K Groves, Erika Aaron, John B Jemmott
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/4a4d41e1c5054f23900ad018e9186b61
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spelling	oai:doaj.org-article:4a4d41e1c5054f23900ad018e9186b612021-12-01T23:06:52ZOutcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV1745-506510.1177/17455065211061094https://doaj.org/article/4a4d41e1c5054f23900ad018e9186b612021-11-01T00:00:00Zhttps://doi.org/10.1177/17455065211061094https://doaj.org/toc/1745-5065Objectives: Adherence to antiretroviral therapy and retention in care significantly drop for women with HIV during the postpartum period. We have a limited understanding of how outcome expectancies influence maternal adherence and retention in care. Methods: Women with HIV from an urban academic clinic completed in-depth interviews in the third trimester and at 3 to 9 months postpartum to evaluate outcome expectancies, facilitators, and barriers to antiretroviral therapy adherence and retention in care. Interviews were audio-recorded and analyzed for content. A codebook was created using deductive (based on the theory of reasoned action approach) and inductive (based on emergent themes) codes. Results: We conducted 21 interviews with 12 women during pregnancy and 9 women during postpartum period. Participants had a mean age of 31 (standard deviation = 5.7) and most were African American (75%). Outcome expectancies centered mostly around pediatric health to prevent perinatal transmission of HIV and to be healthy to raise their children. Other outcome expectancies included preventing transmission of HIV to their partners. Social support from partners served as a strong facilitator as they helped routinize pill-taking behaviors, provided reminders, and decreased social isolation. Barriers to antiretroviral therapy adherence included depression, the disruption of scheduling routines, and the physical demands associated with the postpartum period. These barriers were accentuated for women with multiple children. Conclusion: Women’s commitment to pediatric health was the primary motive for antiretroviral therapy adherence. Partners also served an important role. These findings suggest that interventions linking pediatric and maternal health, and partner support can improve maternal HIV treatment in the postpartum period.Florence M MomplaisirKathryn FortuneHervette NkwihorezeAllison K GrovesErika AaronJohn B JemmottSAGE PublishingarticleMedicineRENWomen's Health, Vol 17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Florence M Momplaisir Kathryn Fortune Hervette Nkwihoreze Allison K Groves Erika Aaron John B Jemmott Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV
description	Objectives: Adherence to antiretroviral therapy and retention in care significantly drop for women with HIV during the postpartum period. We have a limited understanding of how outcome expectancies influence maternal adherence and retention in care. Methods: Women with HIV from an urban academic clinic completed in-depth interviews in the third trimester and at 3 to 9 months postpartum to evaluate outcome expectancies, facilitators, and barriers to antiretroviral therapy adherence and retention in care. Interviews were audio-recorded and analyzed for content. A codebook was created using deductive (based on the theory of reasoned action approach) and inductive (based on emergent themes) codes. Results: We conducted 21 interviews with 12 women during pregnancy and 9 women during postpartum period. Participants had a mean age of 31 (standard deviation = 5.7) and most were African American (75%). Outcome expectancies centered mostly around pediatric health to prevent perinatal transmission of HIV and to be healthy to raise their children. Other outcome expectancies included preventing transmission of HIV to their partners. Social support from partners served as a strong facilitator as they helped routinize pill-taking behaviors, provided reminders, and decreased social isolation. Barriers to antiretroviral therapy adherence included depression, the disruption of scheduling routines, and the physical demands associated with the postpartum period. These barriers were accentuated for women with multiple children. Conclusion: Women’s commitment to pediatric health was the primary motive for antiretroviral therapy adherence. Partners also served an important role. These findings suggest that interventions linking pediatric and maternal health, and partner support can improve maternal HIV treatment in the postpartum period.
format	article
author	Florence M Momplaisir Kathryn Fortune Hervette Nkwihoreze Allison K Groves Erika Aaron John B Jemmott
author_facet	Florence M Momplaisir Kathryn Fortune Hervette Nkwihoreze Allison K Groves Erika Aaron John B Jemmott
author_sort	Florence M Momplaisir
title	Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV
title_short	Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV
title_full	Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV
title_fullStr	Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV
title_full_unstemmed	Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV
title_sort	outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with hiv
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/4a4d41e1c5054f23900ad018e9186b61
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Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV

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