Ilene Y Wong|Nicholas V Lawrence|Helen Struthers|James McIntyre|Gerald Friedland
Development and Assessment of an Innovative Culturally Sensitive Educational Videotape to Improve Adherence to Highly Active Antiretroviral Therapy in Soweto, South Africa
Stanford Health Care
increasing availability antiretroviral medication arv therapy face limited chronic medicationtaking experience among resourcepoor south africans raised concerns adequate adherence medications hypothesized culturally sensitive audiovisual patient education program would substantial measurable benefit increasing patient understanding concepts arv resistance risk medicationtaking skills identify potential barriers adherence successful strategies promote adherence 6 focus groups health care providers hivpositive adherence counselors held resulting production 17minute culturally sensitive educational videotape basic drugtaking concepts practical advice improve adherence presented videotape thirtyfour hivpositive patients including 11 arvnaive patients 23 arvexperienced patients shown educational videotape knowledge medication taking evaluated 24point pre postvideotape questionnaire average 34 patients gained 22 knowledge points p 0021 arvnaive patients average improvement 30 points p 00028 significant gains areas understanding medicationtaking strategies side effects preliminary findings indicate culturally sensitive educational videotape improve medicationtaking knowledge south africa study potential efficacy using media technology improve individuals adherence arv therapy warranted