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Ramaiya, Megan K.; Haight, Elizabeth; Simoni, Jane M.; Chéry, Jean Marcxime; Dervis, Witson; Genna, Wilner; Dubé, Jean Géto; Calixte, Guirlène; Balan, Jean Gabriel; Honoré, Jean Guy; Puttkammer, Nancy
Journal of the International Association of Providers of AIDS Care, 01/2020, Volume: 19Journal Article
While Haiti has scaled up use of antiretroviral therapy (ART), current studies suggest sub-optimal adherence threatens long-term viral suppression in this understudied setting. Patient-provider communication (PPC) and information, motivation, and behavioral skills (IMB) have been implicated in ART adherence globally. However, no studies have examined their relevance in Haiti. The present mixed-methods study utilized cross-sectional survey data from 128 ART-initiating patients at 2 large HIV treatment sites in Haiti, as well as observational data from 12 clinic visits, to document associations between adherence-related PPC and IMB. Multivariate regression analyses suggested that PPC is associated with IMB constructs. At the bivariate level, more effective PPC was associated with higher levels of adherence-related information and motivation, but not behavioral skills. Observational findings indicate infrequent and non-collaborative adherence support. Taken together, findings lay the groundwork for additional research in the area of PPC, IMB, and ART adherence in Haiti.
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