Abstract
TRF among PLWH to facilitate understanding of patient's experiences and pathways towards prevention and intervention strategies.Methods: Focus groups (k=5; 4-8 participants/group) were conducted during the Spring of 2014.Eligible participants were (a) HIV-infected; (b) ≥18 years; (c) prescribed antiretroviral therapy; (d) <90% adherent to medications; and (e) fluent in English.Focus groups lasted 90-120 minutes and followed a semi-structured guide.They were facilitated by two doctoral students trained in qualitative interviewing.Data is being analyzed using thematic analysis in an iterative process.Three coders independently reviewed and coded transcripts.Formal analyses are currently being conducted using NVivo 11.Results: Preliminary analyses have revealed the following themes: patient experiences of TRF; etiological factors at the organizational-, provider-, and patient-levels; strategies to manage TRF; consequences of TRF; and resiliency factors that prevent the occurrence of TRF.Conclusions: These results have provided a conceptual framework for future investigations to build from in an effort to improve adherence and retention in HIV care across a patient's lifespan.This study underscores the need for research to better understand TRF among patients prescribed chronic treatment regimens.The implications of the model for PLWH are outlined.