Characterizing the "HIV Care Adherence Journey" for Persons With HIV in the Philippines: Conceptual Foundation for Person-Centered Intervention.
Ryan Q De Torres, Don Operario
PMID 38563452WHAT IT FOUND
Filipinos with HIV described adherence as a dynamic journey shaped by stigma, support, and navigation of care systems, not just pill-taking.
They valued nonjudgmental providers and discreet clinic practices. These themes inform person-centered assessment, not tested interventions.
Key findings
01Stigma drove non-disclosure, fear of care linkage, and covert adherence strategies like hiding medications or visiting clinics at off-peak hours.
02Participants identified client-centered, nonjudgmental provider attitudes and practical support like home ART delivery as key enablers of sustained care engagement.
03Adherence outcomes were viewed multidimensionally, encompassing undetectable status, psychosocial well-being, and regained ability to work and travel, not just viral suppression.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and geographically concentrated in Metro Manila, limiting transferability to rural or other cultural contexts. Recruitment via public HIV advocates and social networks may have selected for individuals more open about their status or more engaged in care. The study describes experiences and perceptions; it does not measure clinical outcomes or test the effectiveness of any care model.
Declared interests
The authors declare no conflict of interest.
The easy way to misread this
Do not interpret these themes as evidence that a person-centered adherence intervention improves clinical outcomes. This qualitative study describes patient and provider experiences to build a conceptual framework; it does not test efficacy.