Free Essay Expanding on Colleague's Post about a HEART Intervention

Expanding on Colleague's Post

In this essay, my colleague identified a HEART intervention as a culturally sensitive intervention for helping people living with HIV to adhere to anti-retrieval drugs. According to Mbuagbaw et al. (2015), adherence refers to the extent to which patients take drugs as prescribed by their healthcare professional. The author explained why HEART intervention is culturally appropriate for a patient of different ethnicities. I would like to add that to add that culturally appropriate interventions should address family systems, the perception of professional roles, systems, and language barriers ("Culturally appropriate intervention," 2013). Apart from what was discussed by my colleague, I would also like to say that HEART intervention adheres to the concept of cultural appropriateness is using appropriate language level and use of simple, nonmedical terms that can be easily understood by the client or participant (CDC, 2015).

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Further Suggestions

I agree with my colleague that community-based participatory research (CBPR) strategies can make the HEART intervention more culturally appropriate thus further improving adherence to anti-retroviral treatments. Also, the incorporation of CBPR strategies in HIV interventions is aimed at empowering communities to address the factors associated with the current inequality and identify their problems and seek relevant solutions (Adams et al., 2015). Additionally, the use of CBPR is useful in acknowledging and implementing the respondents' needs, behaviors, and beliefs regarding their well-being (Riffin et al., 2016). I would have also added that CBPR contributes to the effectiveness of the HAART intervention because community members bring their knowledge and lived experience to the research with the aim of combining education and action to accomplish social change that would be beneficial to the community (Lazarus et al., 2014).

References

Adams, S. A., Heiney, S. P., Brandt, H. M., Wirth, M. D., Khan, S., Johnson, H., ... Hebert, J. R. (2015). A comparison of a centralized versus de-centralized recruitment schema in two community-based participatory research studies for cancer prevention. Journal of Community Health, 40(2), 251-259. https://doi.org/10.1007/s10900-014-9924-9

Lazarus, L., Shaw, A., LeBlanc, S., Martin, A., Marshall, Z., Weersink, K., ... the PROUD Community Advisory Committee. (2014). Establishing a community-based participatory research partnership among people who use drugs in Ottawa: the PROUD cohort study. Harm Reduction Journal, 11(1), 26. https://doi.org/10.1186/1477-7517-11-26

Mbuagbaw, L., Sivaramalingam, B., Navarro, T., Hobson, N., Keepanasseril, A., Wilczynski, N. J., ... the Patient Adherence Review (PAR) Team. (2015). Interventions for enhancing adherence to antiretroviral therapy (Art): a systematic review of high quality studies. AIDS Patient Care and STDs, 29(5), 248-266. https://doi.org/10.1089/apc.2014.0308

Riffin, C., Kenien, C., Ghesquiere, A., Dorime, A., Villanueva, C., Gardner, D., ... Reid, M. C. (2016). Community-based participatory research: understanding a promising approach to addressing knowledge gaps in palliative care. Annals of Palliative Medicine, 5(3), 218-224. https://doi.org/10.21037/apm.2016.05.03

CDC (2015). ART adherence. Retrieved from https://www.cdc.gov/actagainstaids/pdf/campaigns/pic/cdc-pic-art-adherence-md-brochure.pdf

Culturally appropriate intervention. (2013). Retrieved from http://www.uky.edu/Classes/FAM/357/fam544/Culturally_Appropriate_Intervention.htm