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A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies

BACKGROUND: Observational studies suggest that HIV-focused pharmacies can improve antiretroviral therapy (ART) refill adherence, but there is a lack of clear documentation about the kind and variability of adherence interventions that are conducted. OBJECTIVES: To use qualitative research methods to...

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Autores principales: Cocohoba, Jennifer, Comfort, Megan, Kianfar, Hamaseh, Johnson, Mallory O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Managed Care Pharmacy 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988691/
https://www.ncbi.nlm.nih.gov/pubmed/23806059
http://dx.doi.org/10.18553/jmcp.2013.19.6.454
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author Cocohoba, Jennifer
Comfort, Megan
Kianfar, Hamaseh
Johnson, Mallory O.
author_facet Cocohoba, Jennifer
Comfort, Megan
Kianfar, Hamaseh
Johnson, Mallory O.
author_sort Cocohoba, Jennifer
collection PubMed
description BACKGROUND: Observational studies suggest that HIV-focused pharmacies can improve antiretroviral therapy (ART) refill adherence, but there is a lack of clear documentation about the kind and variability of adherence interventions that are conducted. OBJECTIVES: To use qualitative research methods to obtain an in-depth understanding of how ART adherence support and counseling is provided in human immunodeficiency virus (HIV)-focused community pharmacies. To determine relevant facilitators and barriers around adherence support from both patient’s and pharmacist’s perspectives. METHODS: A qualitative research study of patients who patronized and pharmacists who were employed at HIV-focused pharmacies in the San Francisco Bay Area was conducted. Participants were recruited using flyers at HIV clinics and community-based organizations and using blurbs in newsletters. Transcripts were analyzed using grounded theory methods to determine emergent themes in the data. RESULTS: 19 eligible patients with a self-reported diagnosis of HIV, who were taking their current ART regimen for at least 3 months, and who obtained their ART from a community pharmacy in the San Francisco Bay Area were included; 9 pharmacists who were employed at 9 different pharmacy locations frequented by participants were interviewed. Emergent themes included descriptions of pharmacy adherence counseling and support, roles and responsibilities regarding medication adherence, barriers to providing adherence support, and feeling connected as a facilitator to adherence support relationships. CONCLUSIONS: Pharmacists provide diverse types of ART adherence support and are uniquely positioned to help clients manage their medications. Additional training on developing relationships with patients and advertising their adherence services may further the role of community pharmacists in supporting antiretroviral adherence. 
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spelling pubmed-39886912014-04-16 A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies Cocohoba, Jennifer Comfort, Megan Kianfar, Hamaseh Johnson, Mallory O. J Manag Care Pharm Research BACKGROUND: Observational studies suggest that HIV-focused pharmacies can improve antiretroviral therapy (ART) refill adherence, but there is a lack of clear documentation about the kind and variability of adherence interventions that are conducted. OBJECTIVES: To use qualitative research methods to obtain an in-depth understanding of how ART adherence support and counseling is provided in human immunodeficiency virus (HIV)-focused community pharmacies. To determine relevant facilitators and barriers around adherence support from both patient’s and pharmacist’s perspectives. METHODS: A qualitative research study of patients who patronized and pharmacists who were employed at HIV-focused pharmacies in the San Francisco Bay Area was conducted. Participants were recruited using flyers at HIV clinics and community-based organizations and using blurbs in newsletters. Transcripts were analyzed using grounded theory methods to determine emergent themes in the data. RESULTS: 19 eligible patients with a self-reported diagnosis of HIV, who were taking their current ART regimen for at least 3 months, and who obtained their ART from a community pharmacy in the San Francisco Bay Area were included; 9 pharmacists who were employed at 9 different pharmacy locations frequented by participants were interviewed. Emergent themes included descriptions of pharmacy adherence counseling and support, roles and responsibilities regarding medication adherence, barriers to providing adherence support, and feeling connected as a facilitator to adherence support relationships. CONCLUSIONS: Pharmacists provide diverse types of ART adherence support and are uniquely positioned to help clients manage their medications. Additional training on developing relationships with patients and advertising their adherence services may further the role of community pharmacists in supporting antiretroviral adherence.  Academy of Managed Care Pharmacy 2013-07 /pmc/articles/PMC3988691/ /pubmed/23806059 http://dx.doi.org/10.18553/jmcp.2013.19.6.454 Text en Copyright © 2013, Academy of Managed Care Pharmacy. All rights reserved. https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Research
Cocohoba, Jennifer
Comfort, Megan
Kianfar, Hamaseh
Johnson, Mallory O.
A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies
title A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies
title_full A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies
title_fullStr A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies
title_full_unstemmed A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies
title_short A Qualitative Study Examining HIV Antiretroviral Adherence Counseling and Support in Community Pharmacies
title_sort qualitative study examining hiv antiretroviral adherence counseling and support in community pharmacies
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988691/
https://www.ncbi.nlm.nih.gov/pubmed/23806059
http://dx.doi.org/10.18553/jmcp.2013.19.6.454
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