Medicine and Health Sciences Commons^™

Development And Assessment Of An Innovative Video To Introduce Concepts Of Adherence In Soweto, South Africa, Ilene Wong

Yale Medicine Thesis Digital Library

ISSUES: The widening availability of antiretroviral therapy but dearth of medication taking experience among rural South Africans has raised concerns about adequate adherence to these medications. Interventions to improve adherence have been limited in development and evaluation and are often not culturally appropriate to patients in resource poor settings. It is hypothesized that a culturally-sensitive audio-visual patient education program may be of significant use in increasing patient understanding of concepts of resistance and medication taking skills, particularly in areas with low literacy rates. METHODS: After focus groups with health care providers and HIV-positive adherence counselors, a 15 minute educational video …