This Article Full Text (PDF) All Versions of this Article: 0164027509348130v1 0164027509348130v2 32/1/19    most recent References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Knodel, J. Articles by Wiwatwanich, S. Social Bookmarking                         What's this?

The Role of Parents and Family Members in ART Treatment Adherence: Evidence From Thailand

University of Michigan, Ann Arbor, MI, USA, jknodel{at}umich.edu

Jiraporn Kespichayawattana

Chulalongkorn University, Bangkok, THAILAND

Chanpen Saengtienchai

Faculty of Nursing at Chulalongkorn University

Suvinee Wiwatwanich

Chulalongkorn University, Bangkok, THAILAND

High levels of treatment adherence are crucial for the success of expanding antiretroviral therapy (ART) treatment programs everywhere. Augmenting adherence through treatment supporters is one promising strategy. Most discussions focus on peers, especially members of persons with HIV/AIDS (PHA) groups, for this purpose. Far less attention is given to family members and especially older age parents. Yet ART recipients often live with or nearby parents and other family members who are highly motivated to ensure the treatment’s success. This study examines the extent that family members, especially parents, assist adherence in Thailand. Results indicate that most adult ART patients live with family members and more than half live with or in the same locality as a parent. Family members, including parents, commonly remind ART patients to take medications, especially if coresident. Moreover, parents often remind patients to get resupplies and sometimes accompany them to appointments. Clearly close family members, including parents, should be explicitly incorporated into adherence augmentation programs and provided adequate information to facilitate their role as long-term adherence partners, not only in Thailand but wherever ART recipients are closely linked to family members through living and caregiving arrangements.

Key Words: ART adherence • Thailand • HIV/AIDS • older age parents • treatment partners

This version was published on January 1, 2010

Research on Aging, Vol. 32, No. 1, 19-39 (2010)
DOI: 10.1177/0164027509348130


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?