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dc.contributor.authorDadi, Tegene Legese
dc.contributor.authorWiemers, Anja M. C.
dc.contributor.authorTegene, Yadessa
dc.contributor.authorMedhin, Girmay
dc.contributor.authorSpigt, Marcus
dc.date.accessioned2024-09-06T11:22:43Z
dc.date.available2024-09-06T11:22:43Z
dc.date.issued2024-01-31
dc.description.abstractIntroduction Availability of anti-retroviral treatment has changed HIV in to a manageable chronic disease, making efective self-management essential. However, only a few studies in low- and middle-income countries (LMICs) reported experiences of people living with HIV (PLWH) on self-management.<p> <p>Methods This meta-synthesis of qualitative studies investigated perspectives of PLWH in LMICs on self-management. Various databases, including PubMed, EMBASE, EBSCO, and CINHAL, were searched through June 2022. Relevant additional articles were also included using cross-referencing of the identified papers. We used a thematic synthesis guided by the "Model of the Individual and Family Self-Management Theory" (IFSMT). <p>Result PLWH in LIMICs experience a variety of challenges that restrict their options for effective self-management and compromises their quality of life. The main ones include: misconceptions about the disease, poor self-efficacy and self-management skills, negative social perceptions, and a non-patient-centered model of care that reduces the role of patients. The experiences that influenced the ability to practice self-management are summarized in context (the condition itself, physical and environmental factors, individual and family factors) and process factors (knowledge and beliefs, relationship with the health care worker, self-regulation skills and abilities, and social facilitation). Context and process greatly impacted quality of life through the self-management practices of the patients. <p>Conclusion and recommendation PLWH encounter multiple challenges, are not empowered enough to manage their own chronic condition, and their needs beyond medical care are not addressed by service providers. Self-management practice of these patients is poor, and service providers do not follow service delivery approaches that empower patients to be at the center of their own care and to achieve an effective and sustainable outcome from treatment. These findings call for a comprehensive well thought self-management interventions.en_US
dc.identifier.citationDadi, Wiemers, Tegene, Medhin, Spigt. Experiences of people living with HIV in low- and middle-income countries and their perspectives in self-management: a meta-synthesis. AIDS research and therapy. 2024;21(1)en_US
dc.identifier.cristinIDFRIDAID 2245329
dc.identifier.doi10.1186/s12981-024-00595-7
dc.identifier.issn1742-6405
dc.identifier.urihttps://hdl.handle.net/10037/34544
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalAIDS research and therapy
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleExperiences of people living with HIV in low- and middle-income countries and their perspectives in self-management: a meta-synthesisen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)