Patients' Perspectives on Informal Caregiver Involvement in HIV Health Care Appointments
- 1 December 2009
- journal article
- research article
- Published by Mary Ann Liebert Inc in AIDS Patient Care and STDs
- Vol. 23 (12), 1043-1051
- https://doi.org/10.1089/apc.2009.0020
Abstract
HIV treatment advances have had a major impact on disease-related morbidity and mortality. However, not all HIV-positive persons are experiencing improved health outcomes. In the United States in particular, patient nonadherence and prescription bias may explain some health disparities. To address these factors, researchers and practitioners may benefit from enlisting support from an underutilized resource: patients' families and significant or supportive others. Little is known about informal caregiver involvement in treatment planning or how such involvement might affect health care delivery and receipt. The purpose of this study was to investigate patient perspectives on informal caregiver involvement in treatment planning, including the perceived consequences of others' involvement. Forty-two predominantly African American HIV-positive adults who were partnered at the time of diagnosis were recruited in 2005 from infectious disease clinics in Milwaukee, Wisconsin. Participants took part in individual semistructured interviews. They were asked questions pertaining to their diagnosis, treatment planning, and informal caregiver involvement at medical appointments. Data were recorded, transcribed, and coded for themes using NVivo 7 qualitative software. A minority of those interviewed were accompanied to medical appointments. Still, participants overwhelmingly identified more potential benefits than disadvantages to others' involvement. Benefits categories include improved information communication, the development of stronger relationships, improved family health, and successful treatment outcomes. Disadvantages of involvement included negative emotional and behavioral consequences for the patient and disrupted patient–provider communication. Recommendations for health care providers are discussed.Keywords
This publication has 40 references indexed in Scilit:
- Experiences of Stigma and Discrimination among Adults Living with HIV in a Low HIV-Prevalence Context: A Qualitative AnalysisAIDS Patient Care and STDs, 2009
- Antiretroviral Medication Support Practices among Partners of Men Who Have Sex with Men: A Qualitative StudyAIDS Patient Care and STDs, 2008
- Gender differences in health status and care among HIV-infected minority drug usersAIDS Care, 2008
- Is the quality of the patient-provider relationship associated with better adherence and health outcomes for patients with HIV?Journal of General Internal Medicine, 2006
- If I Didn’t Have HIV, I’d Be Dead Now: Illness Narratives of Drug Users Living With HIV/AIDSQualitative Health Research, 2005
- Theory-Guided, Empirically Supported Avenues for Intervention on HIV Medication Nonadherence: Findings from the Healthy Living ProjectAIDS Patient Care and STDs, 2003
- Informal Caregivers of Persons with HIV/AIDS: A Review and AnalysisJournal of the Association of Nurses in AIDS Care, 2003
- Social Support, Substance Use, and Denial in Relationship to Antiretroviral Treatment Adherence among HIV-Infected PersonsAIDS Patient Care and STDs, 2003
- Long-Term HIV/AIDS Survival Estimation in the Highly Active Antiretroviral Therapy EraMedical Decision Making, 2003
- Should physicians withhold highly active antiretroviral therapies from HIV-AIDS patients who are thought to be poorly adherent to treatment?AIDS, 2001