51 SummaryThe objective of the study was to determine the effectiveness of

Table of Contents

5.1. SummaryThe objective of the study was to determine the effectiveness of the use of motivational video in reducing internalized stigma and promoting medication adherence among PLHIV. The research design utilized was a quasi-experimental pre-test post-test to determine the effectiveness in comparison to the variables used in the study. The total number of respondents who participated in the study included twenty-five (25) PLHIV who were 18-50 years old and diagnosed with HIV for at least 6 months. Ten (10) participants were included in the control group, and fifteen (15) participants comprised the experimental group who received the intervention. Data gathering was conducted in Ortigas and Sampaloc Manila during the second week of November until the last week of November. In order to answer the research questions, the researchers made use of inferential and descriptive statistics, which included independent t-test, standard deviation, arithmetic mean scores, and p-value.Based on the Internalized Stigma of Aids Tool (ISAT), the pretest mean score of the experimental group is higher than the pretest mean score of the control group which means the experimental group experiences higher internalized stigma than what the control group experiences. On the other hand, the pretest mean score for ARMS is higher in the experimental group compared to the mean score of the control group. It can be inferred from this data that the control group is more adherent to ART medications compared to the experimental group. After implementing the motivational video, the post-test mean score of the experimental group for ISAT is lower than the post-test mean score of the control group which implies that after conducting the intervention, the participants in the experimental group have decreased internalized stigma. The post-test mean score of the experimental group for ARMS is lower compared to the control group. Therefore, the use of the motivational improved the medication adherence in the experimental group.The pretest mean score of the control group for both ISAT and ARMS in relation to its post test did not yield a significant result. With the use of a motivational video, the pretest mean score of the experimental group for both ISAT and ARMS resulted to a significant difference relative to its posttest score. 5.2. ConclusionThe researchers therefore concluded that the use of a motivational video is effective in reducing internalized stigma and promoting medication adherence among PLHIV.5.3. Recommendations The following are the proposed recommendations that contribute to the improvement of nursing practice, nursing administration, and future nursing research. For Nursing Practice:1. Nurses may use the presented information to formulate and implement feasible interventions that may empower PLHIV, and help them realize that there is still life after being diagnosed with HIV.2. The video may help the nurses to provide proper health teachings about the importance of medication adherence as well as having a support system. 3. The video, being accessible and transferrable in gadgets, provides convenience to be viewed by anyone who has access to the video. For Nursing Administration:1. Since both internalized and social stigma among and towards PLHIV exist, nursing administrations can provide opportunities for nurses to be exposed or involved in studies involving PLHIV which are considered to be a highly sensitive topic. Having the opportunity to work with PLHIV will help them make appropriate views and judgments in handling vulnerable cases such as HIV and AIDS. With sound knowledge and judgment, nurses will be able to respect and preserve patients’ rights without manifesting the stigma itself. In return, this will promote reduction in internalized stigma among PLHIV. For Future Nursing Researchers:1. It is highly recommended to conduct further studies on this matter.2. The researchers encountered time constraints because of the possible delays on the progress of the study such as looking for willing participants who are newly diagnosed, the researchers recommend that future researchers to allot ample amount of time in looking for respondents.3. As much as the researchers would want to include demographics, the topic however, is highly sensitive. Future studies may include demographic data to determine the correlation of internalized stigma and medication adherence with age, gender, civil status, occupation, and religion.4. For further researches, a larger population of respondents would yield more accurate results.5. Limit the respondents to the younger population who are less educated regarding the disease process and the proper management of HIV. 6. If possible, look for newly diagnosed PLHIV within a year or two for more accurate data on internalized stigma since they are not yet able to cope with the disease. 7. Consecutive interventions with a longer time interval of two weeks to provide adequate time for behavioral changes. 8. A comparable research may be conducted that will utilize another tool to measure medication adherence because antiretroviral drugs are free from treatment hubs in the Philippines. PLHIV do not perceive buying and refilling of ART as a hindrance to their medication adherence.9. Use the Morisky Medication Adherence Scale-8 (MMAS-8) which is more specific for PLHIV.