Role of Religious Beliefs on Antiretroviral Treatment Adherence Among Pentecostal Christians in Sub-Saharan Africa: A Scoping Review Protocol

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BMJ open. 2022 Apr 1;12(4):e052750. doi: 10.1136/bmjopen-2021-052750.


INTRODUCTION: Sub-Saharan Africa continues to be disproportionately affected by HIV/AIDS. Thus, several countries in sub-Saharan Africa are implementing the UNAIDS recommendation to test and treat people living with HIV (PLHIV) regardless of their CD4 count. However, most antiretroviral therapy (ART) programs in this region continue to struggle with poor treatment adherence due to patient-related factors, including their religious beliefs. Unfortunately, the role of religious beliefs on adherence to ART has been under-explored in the literature. In this study protocol, we propose the steps for a scoping review to explore, identify, and map the literature on the impact of religious beliefs on ART adherence among Pentecostals living with HIV in sub-Saharan Africa.

METHODS AND ANALYSIS: We will use Arksey and O’Malley’s framework and methodological guidelines from the Joanna Briggs Institute to conduct this scoping review. The following databases will be searched for relevant literature: Web of Science, PubMed/Medline, Psych-ARTICLES, Academic Search Complete, Cumulative Index of Nursing, Allied Health, Google Scholar and articles published in conference proceedings. Studies published between January 2010 and February 2022 will be eligible. The eligibility of identified literature will be independently reviewed by two reviewers based on pre-determined inclusion and exclusion criteria. An Excel form will be designed to electronically capture data from studies that meet the inclusion criteria. Finally, we will use a narrative synthesis to summarize the extracted data to report on the nature of existing evidence and the impact of religious beliefs on ART adherence.

ETHICS AND DISSEMINATION: Ethics approval will not be required for the scoping review since it will involve synthesizing information from previously published articles and conference proceedings. Study results will be disseminated through publication in a scientific journal and presented at conferences and workshops aimed at improving ART adherence among PLHIV.

PMID:35365516 | DOI:10.1136/bmjopen-2021-052750

Ruth R. Culp