Factors that influence the medication decision making of persons with HIV/AIDS: A taxonomic exploration

Cynthia K. Russell, Sheila McGuire 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

Fingerprint

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

Keywords

  • Adherence
  • Decision making
  • HIV
  • Medications
  • Taxonomy

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

Factors that influence the medication decision making of persons with HIV/AIDS : A taxonomic exploration. / Russell, Cynthia K.; Bunting, Sheila McGuire; 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 K. ; Bunting, Sheila McGuire ; 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.
@article{2874db52f4594b398cff7761454fdb85,
title = "Factors that influence the medication decision making of persons with HIV/AIDS: A taxonomic exploration",
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.",
keywords = "Adherence, Decision making, HIV, Medications, Taxonomy",
author = "Russell, {Cynthia K.} and Bunting, {Sheila McGuire} and Marshall Graney and Hartig, {Margaret T.} and Patricia Kisner and Brian Brown",
year = "2003",
month = "1",
day = "1",
doi = "10.1177/1055329003255114",
language = "English (US)",
volume = "14",
pages = "46--60",
journal = "Journal of the Association of Nurses in AIDS Care",
issn = "1055-3290",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Factors that influence the medication decision making of persons with HIV/AIDS

T2 - A taxonomic exploration

AU - Russell, Cynthia K.

AU - Bunting, Sheila McGuire

AU - Graney, Marshall

AU - Hartig, Margaret T.

AU - Kisner, Patricia

AU - Brown, Brian

PY - 2003/1/1

Y1 - 2003/1/1

N2 - 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.

AB - 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.

KW - Adherence

KW - Decision making

KW - HIV

KW - Medications

KW - Taxonomy

UR - http://www.scopus.com/inward/record.url?scp=0141976245&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141976245&partnerID=8YFLogxK

U2 - 10.1177/1055329003255114

DO - 10.1177/1055329003255114

M3 - Article

C2 - 12953612

AN - SCOPUS:0141976245

VL - 14

SP - 46

EP - 60

JO - Journal of the Association of Nurses in AIDS Care

JF - Journal of the Association of Nurses in AIDS Care

SN - 1055-3290

IS - 4

ER -