Abstract
Isoniazid preventive therapy (IPT) reduces the risk of active tuberculosis among people living with HIV, but implementation of IPT in South Africa and elsewhere remains slow. The objective of this study was to examine both nurse perceptions of clinical mentorship and patient perceptions of in-queue health education for promoting IPT uptake in Potchefstroom, South Africa. We measured adoption, fidelity, acceptability, and sustainability of the interventions using both quantitative and qualitative methods. Adoption, fidelity, and acceptability of the interventions were moderately high. However, nurses believed they could not sustain their increased prescriptions of IPT, and though many patients intended to ask nurses about IPT, few did. Most patients attributed their behavior to an imbalance of patient-provider power. National IPT guidelines should be unambiguous and easily implemented after minimal training on patient eligibility and appropriate medication durations, nurse-patient dynamics should empower the patient, and district-level support and monitoring should be implemented.
| Original language | English (US) |
|---|---|
| Journal | AIDS and behavior |
| DOIs | |
| State | Accepted/In press - Jan 1 2019 |
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Keywords
- Health education
- HIV
- Isoniazid
- Mentors
- Tuberculosis
ASJC Scopus subject areas
- Social Psychology
- Public Health, Environmental and Occupational Health
- Infectious Diseases
Cite this
Promoting Tuberculosis Preventive Therapy for People Living with HIV in South Africa : Interventions Hindered by Complicated Clinical Guidelines and Imbalanced Patient-Provider Dynamics. / Jarrett, Brooke A.; Woznica, Daniel M.; Tilchin, Carla; Mpungose, Nthabiseng; Motlhaoleng, Katlego; Golub, Jonathan E.; Martinson, Neil A.; Hanrahan, Colleen F.
In: AIDS and behavior, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Promoting Tuberculosis Preventive Therapy for People Living with HIV in South Africa
T2 - Interventions Hindered by Complicated Clinical Guidelines and Imbalanced Patient-Provider Dynamics
AU - Jarrett, Brooke A.
AU - Woznica, Daniel M.
AU - Tilchin, Carla
AU - Mpungose, Nthabiseng
AU - Motlhaoleng, Katlego
AU - Golub, Jonathan E.
AU - Martinson, Neil A.
AU - Hanrahan, Colleen F.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Isoniazid preventive therapy (IPT) reduces the risk of active tuberculosis among people living with HIV, but implementation of IPT in South Africa and elsewhere remains slow. The objective of this study was to examine both nurse perceptions of clinical mentorship and patient perceptions of in-queue health education for promoting IPT uptake in Potchefstroom, South Africa. We measured adoption, fidelity, acceptability, and sustainability of the interventions using both quantitative and qualitative methods. Adoption, fidelity, and acceptability of the interventions were moderately high. However, nurses believed they could not sustain their increased prescriptions of IPT, and though many patients intended to ask nurses about IPT, few did. Most patients attributed their behavior to an imbalance of patient-provider power. National IPT guidelines should be unambiguous and easily implemented after minimal training on patient eligibility and appropriate medication durations, nurse-patient dynamics should empower the patient, and district-level support and monitoring should be implemented.
AB - Isoniazid preventive therapy (IPT) reduces the risk of active tuberculosis among people living with HIV, but implementation of IPT in South Africa and elsewhere remains slow. The objective of this study was to examine both nurse perceptions of clinical mentorship and patient perceptions of in-queue health education for promoting IPT uptake in Potchefstroom, South Africa. We measured adoption, fidelity, acceptability, and sustainability of the interventions using both quantitative and qualitative methods. Adoption, fidelity, and acceptability of the interventions were moderately high. However, nurses believed they could not sustain their increased prescriptions of IPT, and though many patients intended to ask nurses about IPT, few did. Most patients attributed their behavior to an imbalance of patient-provider power. National IPT guidelines should be unambiguous and easily implemented after minimal training on patient eligibility and appropriate medication durations, nurse-patient dynamics should empower the patient, and district-level support and monitoring should be implemented.
KW - Health education
KW - HIV
KW - Isoniazid
KW - Mentors
KW - Tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85073958514&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85073958514&partnerID=8YFLogxK
U2 - 10.1007/s10461-019-02675-6
DO - 10.1007/s10461-019-02675-6
M3 - Article
C2 - 31549265
AN - SCOPUS:85073958514
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
ER -