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Psychol Health. 2015;30(8):987-1004. doi: 10.1080/08870446.2015.1012195. Epub 2015 Feb 23.

The Hepatitis C treatment experience: Patients' perceptions of the facilitators of and barriers to uptake, adherence and completion.

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1
a Clinical School , University of Sydney , Sydney , Australia.

Abstract

OBJECTIVE:

This study explores the perceptions of patients receiving treatment for Hepatitis C to determine what factors influence their decision to commence treatment, ability to maintain adherence and complete their treatment program.

DESIGN:

Semi-structured interview techniques were used in a qualitative study of 20 patients undergoing treatment for Chronic Hepatitis C (CHC).

MAIN OUTCOME MEASURES:

To explore patients' perceived barriers and facilitators of Hepatitis C treatment adherence and completion.

RESULTS:

Analysis of patient interviews identified four key themes: (1) motivations for commencing CHC treatment - fear of death and ridding themselves of stigma and shame; (2) the influential role of provider communication - patients reported that information and feedback that was personalised to their needs and lifestyles was the most effective for improving adherence to treatment; (3) facilitators of treatment adherence and completion - social, emotional and practical support improved adherence and completion, as did temporarily ceasing employment; (4) barriers to treatment adherence and completion - these included side effects, stigma, a complicated dosing schedule and limitations of the public healthcare system.

CONCLUSION:

To increase treatment adherence and completion rates, a patient-centred approach is required that addresses patients' social, practical, and emotional support needs and adaptive coping strategies.

KEYWORDS:

Hepatitis C treatment; Hepatitis C virus; coping strategies; qualitative research; treatment adherence

PMID:
25622699
DOI:
10.1080/08870446.2015.1012195
[Indexed for MEDLINE]

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