Abstract

BELLENZANI, Renata  and  NEMES, Maria Ines Battistella. Evaluation of a psychosocial intervention in caring for adherence to treatment for HIV/AIDS: a case study. Temas psicol. [online]. 2013, vol.21, n.3, pp. 765-789. ISSN 1413-389X.  http://dx.doi.org/10.9788/TP2013.3-EE06PT.

Patient adherence to medication is a central dimension for aids programs worldwide. The role of health professionals on adherence, especially in chronic diseases has been emphasized by studies, including the committee of experts from WHO, which recommends support to patients and not his guiltiness. We conducted a case study, using the evaluation approach, analysing a set of 04 individual assistance sessions of a patient who had problems with adherence to antiretroviral therapy. An "Evaluative Framework" guided the analysis of one database case - audio recordings and transcripts of overall protocol composed of 44 people cared by three professionals trained, in a specialized service, in the context of a clinical trial that evaluated the effectiveness of a novel modality of psychosocial intervention on adherence of health care. It's theoretical and methodological bases are 'Framework Vulnerability and Human Rights'; the references of Care and Psychosocial Attention in the setting of aids, inspired by social constructionism. It was valued the notions: convenience and practical success to suggest change of focus toward the patient's perspective, democratizing the relation of care; in the dialogues centered on everyday scenes of the medications taken seeking to enlarge the mutual recognition of the vulnerability to illness due treatment failures. The results refer to the instrumentality of "Evaluative Framework" and the content of the evaluations that focused on intersubjective dynamic of interactions and dialogues around the everyday experiences with ART in search of better way to living with the treatment.

Keywords : Adherence; antiretroviral therapy; psychosocial intervention; health care.

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