Systematic procedures to promote U.S. HIV medication adherence via Photovoice

Bibliographic Data

ID22945956
AuthorsMichelle Teti (0000-0002-3943-3810, University of Missouri, corresponding author), Victoria Shaffer (University of Missouri), Victoria A Shaffer (0000-0002-2533-7115, University of Missouri Health System), W Majee (0000-0003-1726-0979, University of Missouri), Rose Farnan (Truman Medical Centers, University of Missouri-Kansas City, Kansas, MO, USA), Mary M Gerkovich (University of Missouri–Kansas City), Mary Gerkovich (University of Missouri–Kansas City)
Year2018
Volume33
Issue6
Pages1074-1081
Publication date2018-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dax032
PMID28645145
OpenAlexW2689741778
LanguageEN
Citations received2
References cited19

Medication adherence is essential to promote the health of people living with HIV (PL-HIV) and prevent HIV transmission in the U.S. Novel medication health promotion interventions are needed that address patient-centeredness, understandability, and communication with providers. The aims of this article are to define the systematic stages we used to develop an effective health promotion intervention via the products (e.g. images and stories) of Photovoice. We designed an intervention to improve HIV adherence knowledge, attitudes, and communication with providers through Photovoice. 16 PL-HIV used Photovoice strategies to describe their experiences with medication via images and captions and create an intervention (10 adherence promotion posters) that integrated photo-stories of their adherence motivators, journeys from sickness to health, and how they manage and counter HIV stigma. We outline the systematic process we used to adapt Photovoice to create the effective intervention for replication. The process included six stages: (i) identify scope of the project; (ii) create collaborative project team; (iii) design project materials; (iv) review and revise materials with team members; (v) disseminate materials; and (vi) evaluate materials. Photovoice is used traditionally as a social action research method. In this project, it was adapted to create patient-driven images and stories for health promotion posters. Poster viewers experienced improved self-efficacy for HIV medication adherence. Describing the adaptation of the Photovoice process in a deliberate and transparent way can support fidelity to the essence of the participant-driven method, while also allowing researchers and practitioners to replicate Photovoice as a successful health promotion intervention.

Health communication · Health promotion · Intervention (counseling) · Medical education · Participatory action research · Photovoice · Psychiatry · Psychological intervention · Public health · Sociology · Stigma (botany) · Communication · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Nursing · Participatory Visual Research Methods · Psychology