Browsing by Author "Bradshaw, Melissa Elizabeth"
Now showing 1 - 1 of 1
Results Per Page
Sort Options
- ItemExploring the acceptability of a visual intervention to improve paediatric adherence to antiretroviral therapy in South Africa(Stellenbosch : Stellenbosch University, 2019-04) Bradshaw, Melissa Elizabeth; Coetzee, Bronwyne; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology.ENGLISH ABSTRACT: Near-perfect levels of adherence are required by children five years and younger on ART in order to achieve optimal treatment outcomes. Caregivers of children on ART are fundamental in ensuring their child achieves high levels of adherence, as they are responsible for administering medication to the child. Caregivers require the necessary adherence-related information, motivation, and behavioural skills to ensure their child remains adherent to ART. However, these components are often affected by caregiver, child, and medication regimen characteristics, as well as contextual and healthcare related factors. Whilst there are a number of children who are non-adherent to ART, effective interventions targeted at this age group are not available. Visual interventions, such as the Petrie device demonstration developed in accordance with the IMB-model, has shown potential in enhancing medication adherence, and may be appropriate for use with caregivers of children on ART. In this study, I explored the acceptability of the Petrie device demonstration with caregivers of young children on ART. Participants included in the study were eleven caregivers to children five years and younger on ART, attending outpatient clinics within the City of Cape Town Municipality, South Africa. Data describing participants’ understanding and beliefs of their child’s diagnosis and treatment, medication knowledge, and adherence-related factors were collected using questionnaires. Interviews and a brief questionnaire were used to determine how participants reacted to the device after seeing it. The quantitative data was analysed using descriptive analyses Thematic analysis was used to analyse the qualitative data. Participants reported high levels of adherence despite experiencing various barriers to adherence. The Petrie device demonstration was found to be acceptable to participants. The demonstration increased adherence-related knowledge and motivation, which led to some participants suggesting changes in medication administration behaviour that they intended to implement. As the demonstration may prove effective in enhancing adherence to ART, future research should be conducted to determine the efficacy of the device in doing so. Whilst the demonstration appears suitable for use as part of routine clinical practice, aspects of implementation and feasibility require further work.