GCU Medication Adherence for HIV Positive African American Adults PPT Summary

MEDICATION ADHERENCE FOR HIV
POSITIVE AFRICAN AMERICAN
ADULTS: AN EDUCATIONAL
INTERVENTION
OBJECTIVES
The aim of this study is to assess the impact of
health education programs in decreasing nonadherence in AA HIV positive adults.
Use recommendations from evidence-based
practice.
Can educational programs increase medication
adherence?
INTRODUCTION
Treatment adherence is a fundamental element
that reinforces the norms of care, non-adherence
has continued to be a noteworthy issue.
Younger patients have poor adherence to HIV
medications compared to older patients (Sayegh
et al., 2016).
Some of the causes of non-adherence in HIV
patients is neurocognitive dysfunction,
complications in the treatment regimen,
polypharmacy and comorbidities.
THE PROBLEM
 HIV medication non-adherence can
lead to:
 Increase viral load
 HIV related complications
 Drug resistance
 Increase transmission rate
 Decrease patient quality of life
 Increase in healthcare costs.
The literature review was organized from the
PICOT question and integrated key ideas on
ART non-adherence and health education to
acquire precise outcomes.
LITERATURE
REVIEW
The Medline database, CINAHL, Cochrane Database
of Systematic Reviews; Cochrane Central Register of
Controlled trials through GCU library database were
used as databases of information using articles
published in the recent 5 years.
THEORETICAL
FRAMEWORK
 This EBP change project was guided by the
Health Belief Model (HBM).
 The HBM fit in this change project
because its principle idea was
medication adherence.
 It also explains why few people are
engaged in detection and prevention
programs.
 It’s gives an understanding and
prediction on how patients will react to
the education program.
 It addresses problems and behaviors
that evoke health concerns and
focuses on patient compliance
Implementation
 Twenty male and female African
American HIV positive adults
were recruited for this project
 Participants were recruited by
the project manager and other
members of the project team
and consent obtained.
 Social distancing was
maintained through an online
video conferencing program
(zoom)
Implementation continues….
 Medication adherence was determined through an
HIV knowledge questionnaire and the Morisky
Medication Adherence Scale.
 Each participant was assigned a number.
 Each zoom session comprised of education on HIV
infection, treatment options, adherence, drug
resistance, transmission, HIV testing, and drug side
effects.
 Participants were followed-up 2 weeks after
education session.
THE EVIDENCE-BASED PRACTICE USED IN
CREATING AN INTERVENTION PLAN
 This project aimed at proving the validity of
educational programs in improving drug
adherence.
 EBP was designed to measure:
Knowledge improvement
Improved adherence to prescription drugs
RESOURCES NEEDED
 Health workers i.e. eight nurses, three
physicians, and ancillary workers.
 Zoom video conferencing to
connect.
 Working connectivity.
 A population sample.
 Microsoft word, PPT presentation,
and other office supplies
75% of the population score
highly on knowledge
retention.
EXPECTED
MEASURABLE
OUTCOMES
75% of respondents attain a
score of more than 6 on the
post-MMAS-8.
HOW THE INTERVENTION WOULD BE
EVALUATED
 Assessment using phone calls was done
after two weeks of commencement
Questionnaires were also used in postMMAS-8.
 Follow-up calls in the evening started in the
third week up to week 8 of task execution.
CONT..
The expected MMAS-8 result that 75% of the
respondents attain more than 6 was attained .
The mean improved from 6.05 before
intervention to 6-9 after intervention.
This proves that the project’s objective was
attained.
Patients had improved their drug adherence
knowledge.
BARRIERS TO PLAN IMPLEMENTATION
The online mode of survey had little
commitment.
Some participants were unfamiliar with
Zoom virtual technology.
The timeframe of the project was short.
The population sample was small.
CONCLUSION
The aim of this project was to use education
and follow-up phone calls to improve HIV
medication adherence.
One of the factors contributing to nonadherence is patient perception.
The ability to develop and apply the knowledge
into practice that improves patient outcomes
and this way the quality of care improves.
REFERENCES
 Altice, F., Evuarherhe, O., Shina, S., Carter, G., & Beaubrun, A. C. (2019). Adherence to HIV treatment
regimens: systematic literature review and meta-analysis. Patient preference and adherence, 13, 475.

Center for Disease Control and Prevention. (2014). HIV in the United States: At a glance. Retrieved
from http://www.cdc.gov/hiv/statistics/basics/ataglance.html

Cherry, S. T., deMarrais, K., & Keita, C. (2020). Medication Adherence Among African American
Women Who Have Been HIV Positive for 10 or More Years. Journal of Black Studies,
0021934720921518.

Health Belief Model. (2013). Retrieved from
http://currentnursing.com/n[ursing_theory/health_belief_model.htm

McMahon, J. M., Braksmajer, A., Zhang, C., Leblanc, N., Chen, M., Aidala, A., & Simmons, J. (2019).
Syndemic factors associated with adherence to antiretroviral therapy among HIV-positive adult
heterosexual men. AIDS research and therapy, 16(1), 1-10.

Sayegh, P., Thaler, N. S., Arentoft, A., Kuhn, T. P., Schonfeld, D., Castellon, S. A., … & Hinkin, C. H.
(2016). Medication adherence in HIV-positive African Americans: The roles of age, health beliefs, and
sensation seeking. Cogent psychology, 3(1), 1137207.

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