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Grant Miller: Managerial Incentives in Public Service Delivery
Knodel, John E., Jiraporn Kespichayawattana, Chanpen Saengtienchai, and Suvinee Wiwatwanich. 2010. "The Role of Parents and Family Members in ART Treatment Adherence: Evidence from Thailand." Research on Aging, 32(1): 19-39.
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.
PMCID: PMC2835367. (Pub Med Central)
Country of focus: Thailand.