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ABS290 - Medical adherence as an activity

3.3 Interventionist methodologies: bridging theory and practice
3:50 PM, Thursday 31 Aug 2017 (20 minutes)
Since the advent of effective drug strategies for managing HIV and AIDS, one of the biggest issues facing people living with HIV/AIDS (PWAs) is managing medical adherence. The powerful combination of drugs that can be effective in keeping the symptoms at bay also has noxious side effects that often require further medication. In this paper, we present an analysis of medical adherence as a concrete pill-taking activity, by comparing the concrete and psychological tools, interaction with a support community, and the roles that the PWA takes to support medical adherence. Specifically, we compare this activity as experienced by two PWAs: one successful in maintaining medical adherence, and another less successful. Both participants were PWAs of limited means living in subsidized housing in the gay neighbourhood of a large French-speaking metropolitan city in North America. Both had access to medical care and medicine through the provincial health care system. Results of the CHAT analysis indicate that the contradictions that interfere with success in this pill-taking activity are not those of lack of information or education on the disease or the drugs, but rather are rooted in concrete elements of the pill-taking activity. These results are discussed in terms of implications for supporting PWAs and other patients on difficult medical regimes, with a recommendation that efforts be directed not at the dissemination of information but rather on concrete training and support towards overcoming the contradictions inherent in the daily activity of pill-taking.
McGill Univeresity
McGill University