Integrated Islamic Doctrine to Promote Antiretroviral Therapy Adherence Among Southern Thai-Muslim Patients: Action Research Study

Introduction: Antiretroviral therapy (ART) non-adherence has been found increasingly prevalent in Thailand. The Islamic belief system is seldom utilized to support ART adherence. This study aimed to develop and evaluate the feasibility of an integrated Islamic-based intervention program to promote ART adherence among Muslim patients with HIV/AIDS and inconsistent ART adherence in southern Thailand. Method: An action research with a collaboration concept was utilized. In-depth interviews with ten patients and five health care providers were undertaken alongside participant observations. The program approaches were developed, comprising health education to address knowledge gaps and misunderstandings, motivation raising to strengthen patients’ resolve during lengthy drug-taking periods, practice-based workshops, including follow-up and phone-call visits. Results: A qualitative audit demonstrated an ART adherence improvement. Stakeholders’ satisfaction was expressed with the program components and activities. Discussion: Involving with Islamic doctrines could well support HIV-care services and increase patients’ motivation in their lifelong ART adherence.