Patients Are Not Following the [Adherence] Club Rules Anymore
A Realist Case Study of the Antiretroviral Treatment Adherence Club, South Africa
Bibliographic Data
| ID | 4637787 |
|---|---|
| Authors | Ferdinand C Mukumbang (0000-0003-1441-2172, University of the Western Cape, Bellville, South Africa, corresponding author), Bruno Marchal (0000-0001-7185-022X, University of the Western Cape, Bellville, South Africa), Van Belle (0000-0003-2074-0359, The Institute of Tropical Medicine, Antwerp, Belgium), Sara Van Belle, Brian Van Wyk (0000-0003-1032-1847, University of the Western Cape, Bellville, South Africa) |
| Year | 2018 |
| Volume | 28 |
| Issue | 12 |
| Pages | 1839-1857 |
| Publication date | 2018-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732318784883 |
| PMID | 30033857 |
| OpenAlex | W2885009544 |
| Language | EN |
| Citations received | 7 |
| References cited | 37 |
There is growing evidence that differentiated care models employed to manage treatment-experienced patients on antiretroviral therapy could improve adherence to medication and retention in care. We conducted a realist evaluation to determine how, why, for whom, and under what health system context the adherence club intervention works (or not) in real-life implementation. In the first phase, we developed an initial program theory of the adherence club intervention. In this study, we report on an explanatory theory-testing case study to test the initial theory. We conducted a retrospective cohort analysis and an explanatory qualitative study to gain insights into the important mechanisms activated by the adherence club intervention and the relevant context conditions that trigger the different mechanisms to achieve the observed outcomes. This study identified potential mitigating circumstances under which the adherence club program could be implemented, which could inform the rollout and implementation of the adherence club intervention
Club · Family medicine · Journal club · Medical education · Medication adherence · Qualitative research · Sociology · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medication Adherence and Compliance · Medicine · Nursing · Psychology
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| Unique citing works | 7 |
|---|---|
| Citations per year | 1 |
| Citation span | 2019 - 2024 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 7 |