Factors that influence the medication decision making of persons with HIV/AIDS

A taxonomic exploration

Cynthia Russell, Sheila M. Bunting, Marshall Graney, Margaret T. Hartig, Patricia Kisner, Brian Brown

    Research output: Contribution to journalArticle

    17 Citations (Scopus)

    Abstract

    It is well known that patients often alter their medication regimens and that these changes may have profound consequences for their health outcomes. Not so well known are the factors that influence the medication decision making of persons managing their own treatment in their day-to-day home situations. In this study, persons living with HIV/AIDS (PLWH) were asked about factors that affected the taking of their medications. Using semistructured interviews in this study of 57 PLWH, the authors used intensive analysis of the narratives to create taxonomies of the barriers and facilitators to taking HIV medications and the decisions that were involved. Categories of identified facilitators included motivation, factors of faith, routines, and others' influences. Categories of identified barriers included perceptions, psycho-emotional issues, provider/clinic issues, interpersonal factors, and disease and treatment factors. This study showed medication decision making to be a complex process, influenced by often-competing life and treatment issues and affected by participants' beliefs and values. These findings call for research into the everyday self-care of PLWH to understand the reasoned decision-making that PLWH use in managing not only their medications but also their lives.

    Original languageEnglish (US)
    Pages (from-to)46-60
    Number of pages15
    JournalJournal of the Association of Nurses in AIDS Care
    Volume14
    Issue number4
    DOIs
    StatePublished - Jan 1 2003

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    Decision Making
    Acquired Immunodeficiency Syndrome
    HIV
    Self Care
    Motivation
    Therapeutics
    Interviews
    Health
    Research

    All Science Journal Classification (ASJC) codes

    • Advanced and Specialized Nursing

    Cite this

    Factors that influence the medication decision making of persons with HIV/AIDS : A taxonomic exploration. / Russell, Cynthia; Bunting, Sheila M.; Graney, Marshall; Hartig, Margaret T.; Kisner, Patricia; Brown, Brian.

    In: Journal of the Association of Nurses in AIDS Care, Vol. 14, No. 4, 01.01.2003, p. 46-60.

    Research output: Contribution to journalArticle

    Russell, Cynthia ; Bunting, Sheila M. ; Graney, Marshall ; Hartig, Margaret T. ; Kisner, Patricia ; Brown, Brian. / Factors that influence the medication decision making of persons with HIV/AIDS : A taxonomic exploration. In: Journal of the Association of Nurses in AIDS Care. 2003 ; Vol. 14, No. 4. pp. 46-60.
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