The University of Southampton
University of Southampton Institutional Repository

Female adherence self-efficacy before and after couple HIV testing and counseling within Malawi’s Option B+ Program

Female adherence self-efficacy before and after couple HIV testing and counseling within Malawi’s Option B+ Program
Female adherence self-efficacy before and after couple HIV testing and counseling within Malawi’s Option B+ Program
Adherence self-efficacy, belief in one’s ability to adhere to daily medication, is strongly associated with antiretroviral therapy (ART) adherence and preventing mother-to-child HIV transmission. Couple-based interventions could enhance self-efficacy and adherence. We assessed the relationship between couple HIV testing and counseling (cHTC) and adherence self-efficacy using a 100-point culturally-adapted adherence self-efficacy scale (ASES). Secondarily, we explored the relationship between ASES and ART adherence. Ninety HIV-positive pregnant women at an antenatal clinic in Lilongwe, Malawi were enrolled in an observational cohort study. They were assessed with ASES immediately before and one month after receiving cHTC. Median ASES scores were 100 (IQR 95, 100) before and 100 (IQR 99, 100) after cHTC; there was a significant median difference (p = 0.02) for participants before and after cHTC. This change in ASES scores was associated with the odds of self-reported ART adherence in the full population (OR 1.1, p = 0.01), and there was a trend in the same direction for participants with imperfect baseline ASES scores (OR 1.1, p = 0.2). In our population, adherence self-efficacy and ART adherence were both quite high, and those who had room to improve in self-efficacy may have benefited from cHTC, which in turn could impact ART adherence and ultimately mother-to-child transmission.
Wesevich, Austin
7b3ddfa8-1c84-4d29-a15e-ec44847eaa18
Hosseinipour, Mina C.
02e73573-3695-4457-a0d3-ef2d88e9e108
Golin, Carol E
d36e93ad-1974-468a-9408-253732a4551e
Mcgrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Tsidya, Mercy
bb5f846e-4637-4d78-b97e-69e8d81330e9
Chimndozi, Limbikani
2cc87d24-543f-40d6-9d37-47cd619e2b7f
Bhushan, Nivedita
1c0b79e4-5afa-4511-a754-a9dc168744be
Hoffman, Irving
b3caca07-fb1c-46cb-94df-93b71e38985a
Wesevich, Austin
7b3ddfa8-1c84-4d29-a15e-ec44847eaa18
Hosseinipour, Mina C.
02e73573-3695-4457-a0d3-ef2d88e9e108
Golin, Carol E
d36e93ad-1974-468a-9408-253732a4551e
Mcgrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Tsidya, Mercy
bb5f846e-4637-4d78-b97e-69e8d81330e9
Chimndozi, Limbikani
2cc87d24-543f-40d6-9d37-47cd619e2b7f
Bhushan, Nivedita
1c0b79e4-5afa-4511-a754-a9dc168744be
Hoffman, Irving
b3caca07-fb1c-46cb-94df-93b71e38985a

Wesevich, Austin, Hosseinipour, Mina C., Golin, Carol E, Mcgrath, Nuala, Tsidya, Mercy, Chimndozi, Limbikani, Bhushan, Nivedita and Hoffman, Irving (2019) Female adherence self-efficacy before and after couple HIV testing and counseling within Malawi’s Option B+ Program. AIDS Care : Pyschological and socio-medical aspects of AIDS/HIV. (doi:10.1080/09540121.2019.1634789).

Record type: Article

Abstract

Adherence self-efficacy, belief in one’s ability to adhere to daily medication, is strongly associated with antiretroviral therapy (ART) adherence and preventing mother-to-child HIV transmission. Couple-based interventions could enhance self-efficacy and adherence. We assessed the relationship between couple HIV testing and counseling (cHTC) and adherence self-efficacy using a 100-point culturally-adapted adherence self-efficacy scale (ASES). Secondarily, we explored the relationship between ASES and ART adherence. Ninety HIV-positive pregnant women at an antenatal clinic in Lilongwe, Malawi were enrolled in an observational cohort study. They were assessed with ASES immediately before and one month after receiving cHTC. Median ASES scores were 100 (IQR 95, 100) before and 100 (IQR 99, 100) after cHTC; there was a significant median difference (p = 0.02) for participants before and after cHTC. This change in ASES scores was associated with the odds of self-reported ART adherence in the full population (OR 1.1, p = 0.01), and there was a trend in the same direction for participants with imperfect baseline ASES scores (OR 1.1, p = 0.2). In our population, adherence self-efficacy and ART adherence were both quite high, and those who had room to improve in self-efficacy may have benefited from cHTC, which in turn could impact ART adherence and ultimately mother-to-child transmission.

Text
Female Adherence Self-Efficacy in Option B+ - Accepted Manuscript
Download (187kB)

More information

Accepted/In Press date: 11 June 2019
e-pub ahead of print date: 25 June 2019

Identifiers

Local EPrints ID: 431998
URI: http://eprints.soton.ac.uk/id/eprint/431998
PURE UUID: 340e0518-ad1b-402d-92c6-c060de4b4800
ORCID for Nuala Mcgrath: ORCID iD orcid.org/0000-0002-1039-0159

Catalogue record

Date deposited: 26 Jun 2019 16:30
Last modified: 16 Mar 2024 07:57

Export record

Altmetrics

Contributors

Author: Austin Wesevich
Author: Mina C. Hosseinipour
Author: Carol E Golin
Author: Nuala Mcgrath ORCID iD
Author: Mercy Tsidya
Author: Limbikani Chimndozi
Author: Nivedita Bhushan
Author: Irving Hoffman

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×