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How clinicians experience a simulated antiretroviral therapy adherence exercise: A qualitative study
Justin G Engelbrecht1, Fidele K Mukinda, Beryl Green
1Division Health Systems and Public Health, Stellenbosch University. justine.engelbrecht@gmail.com.
African Journal of Primary Health Care & Family Medicine
|November 21, 2018
Summary
Paediatric adherence simulation exercises enhance clinician empathy and awareness of patient needs, improving clinical and counselling skills for managing HIV and TB treatment. This approach fosters better patient-provider relationships and adherence strategies.
Area of Science:
- Medical Education
- Public Health
- Infectious Diseases
Background:
- The decentralization of paediatric antiretroviral therapy (ART) necessitates training primary healthcare clinicians to support treatment adherence.
- An adherence simulation exercise was integrated into a paediatric HIV and TB course to foster awareness and empathy among healthcare providers regarding complex adherence practices.
Purpose of the Study:
- To explore clinicians' experiences with a simulation exercise designed to enhance empathy.
- To evaluate if increased empathy improves clinicians' perceived clinical and counselling skills in managing paediatric HIV and TB.
Main Methods:
- A blended learning approach combining face-to-face sessions and distance learning was employed for the adherence module.
- Qualitative thematic analysis of focus-group discussions and semi-structured interviews captured participant experiences.
Main Results:
- Three key themes emerged: simulation experiences, patient-provider dynamics, and adherence strategies.
- The simulation positively impacted clinicians' reflections on patient relationships and their role in supporting adherence.
- Participants identified text messaging and enhanced adherence counselling as key strategies.
Conclusions:
- Simulation-based learning effectively raises awareness of the clinician-patient relationship and its impact on adherence.
- These exercises can generate valuable insights for improving clinical practice and adherence promotion strategies in paediatric HIV and TB care.
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