{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:35:14Z","timestamp":1777944914429,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000867","name":"robert wood johnson foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Adherence to antiretroviral therapy and retention in care significantly drop for women with HIV during the postpartum period. We have a limited understanding of how outcome expectancies influence maternal adherence and retention in care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Women with HIV from an urban academic clinic completed in-depth interviews in the third trimester and at 3 to 9\u2009months postpartum to evaluate outcome expectancies, facilitators, and barriers to antiretroviral therapy adherence and retention in care. Interviews were audio-recorded and analyzed for content. A codebook was created using deductive (based on the theory of reasoned action approach) and inductive (based on emergent themes) codes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We conducted 21 interviews with 12 women during pregnancy and 9 women during postpartum period. Participants had a mean age of 31 (standard deviation\u2009=\u20095.7) and most were African American (75%). Outcome expectancies centered mostly around pediatric health to prevent perinatal transmission of HIV and to be healthy to raise their children. Other outcome expectancies included preventing transmission of HIV to their partners. Social support from partners served as a strong facilitator as they helped routinize pill-taking behaviors, provided reminders, and decreased social isolation. Barriers to antiretroviral therapy adherence included depression, the disruption of scheduling routines, and the physical demands associated with the postpartum period. These barriers were accentuated for women with multiple children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Women\u2019s commitment to pediatric health was the primary motive for antiretroviral therapy adherence. Partners also served an important role. These findings suggest that interventions linking pediatric and maternal health, and partner support can improve maternal HIV treatment in the postpartum period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455065211061094","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T07:46:43Z","timestamp":1637653603000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcome expectancies toward adherence to antiretroviral therapy for pregnant and postpartum women with HIV"],"prefix":"10.1177","volume":"17","author":[{"given":"Florence M","family":"Momplaisir","sequence":"first","affiliation":[{"name":"Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4564-4304","authenticated-orcid":false,"given":"Kathryn","family":"Fortune","sequence":"additional","affiliation":[{"name":"Albany Medical Center, Albany, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hervette","family":"Nkwihoreze","sequence":"additional","affiliation":[{"name":"Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison K","family":"Groves","sequence":"additional","affiliation":[{"name":"Department of Community and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Aaron","sequence":"additional","affiliation":[{"name":"Department of Medicine, Drexel University College of Medicine, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"John B","family":"Jemmott","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,23]]},"reference":[{"key":"bibr1-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002290"},{"key":"bibr2-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ678"},{"key":"bibr3-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0160775"},{"key":"bibr4-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000002094"},{"key":"bibr5-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000948"},{"key":"bibr6-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000002071"},{"key":"bibr7-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002268"},{"key":"bibr8-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2018.1428725"},{"key":"bibr9-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02601-w"},{"key":"bibr10-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-016-9481-8"},{"key":"bibr11-17455065211061094","volume-title":"Predicting and changing behavior: the reasoned action approach","author":"Fishbein M","year":"2010"},{"key":"bibr12-17455065211061094","volume-title":"Qualitative data analysis: an expanded sourcebook","author":"Miles MB","year":"1994"},{"key":"bibr13-17455065211061094","volume-title":"Social research methods: qualitative and quantitative approaches","author":"Bernard HR","year":"2013"},{"key":"bibr14-17455065211061094","volume-title":"Web application for managing, analyzing, and presenting qualitative and mixed method research data","author":"Version D. 8.0. 35","year":"2018"},{"key":"bibr15-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000501"},{"key":"bibr16-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019023"},{"key":"bibr17-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1276-x"},{"key":"bibr18-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701767208"},{"key":"bibr19-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001707"},{"key":"bibr20-17455065211061094","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.19.1.20679"},{"key":"bibr21-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001375"},{"key":"bibr22-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001364"},{"key":"bibr23-17455065211061094","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001357"},{"key":"bibr24-17455065211061094","unstructured":"A randomized controlled trial of Women Involved in Supporting Health (WISH). 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