WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
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Abstract

IMPACT OF PEER EDUCATION TRAINING PROGRAMME ON ANTI –RETROVIRAL MEDICATION ADHERENCE AMONG PLWHA: A QUASI-EXPERIMENTAL STUDY

*Dr. Solomon Joseph Chiegil, Mercy Umeh Orji, Dr. Joseph Emmanuel Chiegil, Ogbondah Augustina Chizoma, Nawati Yakubu Shonzenba and David Tsokwa Nanushi

ABSTRACT

Background: Advancing global issue is Sub-optimal antiretroviral adherence. This study aim to improve medication adherence and appointment keeping through training of Peer-Educators, to arouse their concern and awareness necessary for ARV medication adherence. Methodology: A One-Group Pre- and Post-Test was adopted on Peer Education Training programme with control in Taraba, Nigeria. Questionnaire was validated and used to collect data from 60 PLWHA following ethical permission and informed consent. Descriptive inferential statistics were analysed. One-tailed independent sample T-test to determine impact of the intervention was done using percentage-change and Cohen?s Effect Size with 5% level of significance. Validity and reliability of Instrument tested with Cronbach Alpha, 0.795. Results: respondents mean age was 35.38 ± 7.061, majority were married (66.7%), females (63.3%) self –employed (41.6%), Mumuye (25%), Christians (71.7%) with lower educational attainments (28.3%). For Control, predisposing factors on 137-point scale scored = 78.10(2.11) ±11.92 and = 83.10(1.16) ± 7.23; Reinforcing on 15-points scale, = 8.74(2.05) ±2.66 and = 8.99(0.36) ±3.03; Enabling on 15-points scale, = 7.32(0.76) ±3.05 and = 7.90(0.51) and Self-Reported Adherence on 24-points scale, = 17.55(0.72) ±2.90 and = 17.99(0.09) ±5.00 at baseline and post intervention respectively. Experimental group at baseline reported predisposing factors on 137-points scale, = 70.00(2.07) ±15.15 and = 88.10(6.10); Reinforcing factors on 15-points scale, = 8.17(0.29) ±3.10 and = 10.33(0.94) ±1.96; Enabling factors on 15-points scale, = 6.99(1.14) ±2.24 and = 8.80(1.14) ±2.55 and Self-reported Adherence on 24-points scale, = 15.98(0.87) ±3.93 and = 20.10(0.33) ±3.33 at baseline and post intervention respectively for each group and adherence prevalence rate of 96%. Conclusion: Integrated Home-Based Care intervention program will be more effective than the usual clinic-based program for HIV/ AIDS management. Recommendation: Integrated Home-Based Care intervention program should be adopted for all HIV interventions.

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