An Integrated Approach for Antiretroviral Adherence and Secondary HIV Transmission Risk-Reduction Support by Nurses in Kenya

Ann E. Kurth, Lauren McClelland, George Wanje, Annette E. Ghee, Norbert Peshu, Esther Mutunga, Walter Jaoko, Marta Storwick, King K. Holmes, Scott McClelland

Research output: Contribution to journalArticle

Abstract

Ongoing antiretroviral therapy (ART) adherence and secondary HIV transmission-risk reduction (positiveprevention) support are needed in resource-limited settings. We evaluated a nurse-delivered counseling intervention in Kenya. We trained 90 nurses on a brief counseling algorithm that comprised ART and sexual-risk assessment, risk-reduction messages, and health-promotion planning. Self-reported measures were assessed before, immediately after, and 2 months post-training. Consistent ART adherence assessment was reported by 29% of nurses at baseline and 66% at 2 months post-training (p < .001). Assessment of patient sexual behaviors was 25% at baseline and 60% at 2 months post-training (p < .001). Nurse practice behaviors recommended in the counseling algorithm improved significantly at 2 months post-training compared with baseline, odds ratios 4.30-10.50. We found that training nurses in clinical counseling for ART adherence and positive prevention is feasible. Future studies should test impact of nurse counseling on patient outcomes in resource-limited settings.

Original languageEnglish (US)
Pages (from-to)146-154
Number of pages9
JournalJournal of the Association of Nurses in AIDS Care
Volume23
Issue number2
DOIs
StatePublished - Mar 1 2012

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Keywords

  • Antiretrovirals
  • HIV counseling
  • Prevention with positives
  • Resource-limited settings
  • Treatment adherence

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

Kurth, A. E., McClelland, L., Wanje, G., Ghee, A. E., Peshu, N., Mutunga, E., Jaoko, W., Storwick, M., Holmes, K. K., & McClelland, S. (2012). An Integrated Approach for Antiretroviral Adherence and Secondary HIV Transmission Risk-Reduction Support by Nurses in Kenya. Journal of the Association of Nurses in AIDS Care, 23(2), 146-154. https://doi.org/10.1016/j.jana.2011.05.001