Developing countries like Nigeria continue to have HIV epidemic challenge due to the scarcity of evidence-based information and lack of resources to boost HIV education. The study population, Owerri, is one of the states in Nigeria with a high incidence rate of HIV. The purpose of this phenomenological study was to explore the experiences of people living with HIV/AIDS regarding the effects of nonadherence to HIV/AIDS drugs. The integrated theory of health behavior model provided the framework for the study. I collected, transcribed, and analyzed interview data to identify clusters and themes. Results showed that various factors influenced and (e.g., free drugs, fear, culture, medication side effects, discrimination, relationship/support system, poverty, belief, easy access) contributed to adherence behavior among respondents. People living with HIV/AIDS may be encouraged to adhere to drug treatments because of these research findings. This study contributed to a positive social change in that respondents were excited and open about sharing their fears, challenges, struggles and hope with the anticipation to influence others to be open about their HIV disease.

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This study assessed music educators' health literacy, musician health literacy, and intentions to teach the health-related Fine Arts TEKS in ensembles. An online survey was developed using the integrated behavior model, Newest Vital Sign (NVS), and Musician Health Literacy Questionnaire (MHL-Q19). Texas music educators who taught secondary band, choir, or orchestra were recruited via email and social media. Results: This survey yielded N = 207 respondents, with 43%, 29%, 14.5%, and 13.5% teaching band, choir, orchestra, and multiple ensembles, respectively. Most participants (67.6%) demonstrated adequate health literacy by answering at least four items correctly on the NVS. Attitude (p =.47) and personal agency (p =.30) were significant predictors of behavioral intention, while perceived norm was not (R2 =.484). Including NVS total score and MHL-Q19 total score in the model showed that while both factors improved the model (ΔR2=.038), only NVS total score was significant (p =.26) in predicting behavioral intention. Music educators in this study had adequate health literacy, which may contribute to their intentions to teach health concepts in ensembles. However, future efforts to improve these intentions should focus on bolstering perceived norms and personal agency by providing music educators with opportunities to take charge of implementing these concepts in their classrooms while showing that other stakeholders (i.e., campus administration, parents of students, and music educator colleagues) are also invested in presenting health concepts to student-musicians.