2022
“If it weren’t for my traditional healer, I would be dead”: Engaging traditional healers to support people living with HIV in rural Mozambique
Audet CM, Pettapiece-Phillips M, Tian Y, Shepherd BE, Vermund SH, Salato J. “If it weren’t for my traditional healer, I would be dead”: Engaging traditional healers to support people living with HIV in rural Mozambique. PLOS ONE 2022, 17: e0270565. PMID: 35763519, PMCID: PMC9239464, DOI: 10.1371/journal.pone.0270565.Peer-Reviewed Original ResearchConceptsTraditional healersPsychosocial supportCommunity health worker interventionPre-post intervention study designWorker interventionHealth worker interventionMedication possession ratioMedication side effectsIntervention study designPositive test resultsHome-based supportObserved therapyPossession ratioClinical outcomesHIV treatmentPoor adherencePost-intervention participantsHealth facilitiesPatient's desireSide effectsZambézia ProvinceCare servicesStudy designHIVTherapy
2011
Barriers to antiretroviral therapy adherence in rural Mozambique
Groh K, Audet CM, Baptista A, Sidat M, Vergara A, Vermund SH, Moon TD. Barriers to antiretroviral therapy adherence in rural Mozambique. BMC Public Health 2011, 11: 650. PMID: 21846344, PMCID: PMC3171727, DOI: 10.1186/1471-2458-11-650.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Retroviral AgentsAttitude of Health PersonnelAttitude to HealthCommunity Health ServicesCommunity Health WorkersCommunity-Based Participatory ResearchConfidentialityFemaleFocus GroupsHealth Services AccessibilityHIV InfectionsHumansMaleMedication AdherenceMozambiqueProfessional-Patient RelationsQualitative ResearchRural Health ServicesSocioeconomic FactorsConceptsHealth care workersCare workersAntiretroviral therapyPoor adherenceRural Zambézia ProvinceAntiretroviral therapy adherenceSuboptimal adherenceLack of confidentialityPatient adherencePoor treatmentTherapy adherencePatient preferencesMedications resultsChronic diseasesFocus groupsSide effectsZambézia ProvinceHospital staffHigh mortalityClinical sitesViral mutationsEffective interventionsAdherenceTraditional medicineMedications
2008
Simple Adherence Assessments to Predict Virologic Failure among HIV-Infected Adults with Discordant Immunologic and Clinical Responses to Antiretroviral Therapy
Goldman JD, Cantrell RA, Mulenga LB, Tambatamba BC, Reid SE, Levy JW, Limbada M, Taylor A, Saag MS, Vermund SH, Stringer JS, H. BH. Simple Adherence Assessments to Predict Virologic Failure among HIV-Infected Adults with Discordant Immunologic and Clinical Responses to Antiretroviral Therapy. AIDS Research And Human Retroviruses 2008, 24: 1031-1035. PMID: 18724803, PMCID: PMC2747786, DOI: 10.1089/aid.2008.0035.Peer-Reviewed Original ResearchConceptsMedication possession ratioVirologic failureOptimal adherenceSuboptimal adherenceTreatment failurePoor adherenceLow medication possession ratioDetectable HIV viremiaProportion of patientsSubset of patientsViral load measurementsART initiationHIV viremiaAntiretroviral therapyDetectable viremiaClinical responseDrug adherencePossession ratioMedian timeMissed doseImmunologic responseTreatment courseAdherence assessmentCopies/Patients