HIV/AIDS medication adherence factors

inner-city clinic patient's self-reports.

Marshall J. Graney, Sheila M. Bunting, Cynthia Russell

    Research output: Contribution to journalArticle

    12 Citations (Scopus)

    Abstract

    OBJECTIVE: To document common facilitators of, and barriers to, HIV/AIDS medication regimen adherence and to identify facilitators and barriers significantly correlated to attainment of higher vs. lower adherence. DESIGN: Data were collected using semi-structured interviews. SETTING: An outpatient clinic serving as the regional treatment center for HIV disease. PATIENTS: A purposive sample of 57 clinic patients was enrolled and completed the study. MAIN OUTCOME MEASURES: Self-reported adherence was measured using a visual analog scale and specified as higher or lower adherence at the 80% level, the approximate median. RESULTS: Many barriers to adherence were more prevalent in the lower adherence group, including complexity of the medication regimen and experiencing side effects. Lower adherence patients also had more problems with privacy and interference with social life and work or school. Patients in the higher adherence group were more concerned with forgetting as an adherence barrier. In general, social support, motivation to avoid AIDS, perceiving the health care practitioner as a facilitator, knowledge of medications, and keeping schedules were identified as factors enhancing adherence. CONCLUSIONS: The high prevalence of many barriers shows that the health care provider has an important role in patient education and support to accomplish increased adherence. Fear and avoidance behaviors in the lower adherence group contrasted with the increased concern with forgetting in the higher adherence group. Communicating treatment advances with patients may help more patients to address many barriers to higher adherence.

    Original languageEnglish (US)
    Pages (from-to)73-78
    Number of pages6
    JournalTennessee medicine : journal of the Tennessee Medical Association
    Volume96
    Issue number2
    StatePublished - Jan 1 2003

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    Medication Adherence
    Self Report
    Acquired Immunodeficiency Syndrome
    HIV
    Avoidance Learning
    Privacy
    Patient Education
    Patient Compliance
    Ambulatory Care Facilities
    Visual Analog Scale
    Social Support
    Health Personnel
    Fear
    Motivation
    Appointments and Schedules
    Interviews
    Delivery of Health Care
    Therapeutics

    All Science Journal Classification (ASJC) codes

    • Medicine(all)

    Cite this

    HIV/AIDS medication adherence factors : inner-city clinic patient's self-reports. / Graney, Marshall J.; Bunting, Sheila M.; Russell, Cynthia.

    In: Tennessee medicine : journal of the Tennessee Medical Association, Vol. 96, No. 2, 01.01.2003, p. 73-78.

    Research output: Contribution to journalArticle

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    abstract = "OBJECTIVE: To document common facilitators of, and barriers to, HIV/AIDS medication regimen adherence and to identify facilitators and barriers significantly correlated to attainment of higher vs. lower adherence. DESIGN: Data were collected using semi-structured interviews. SETTING: An outpatient clinic serving as the regional treatment center for HIV disease. PATIENTS: A purposive sample of 57 clinic patients was enrolled and completed the study. MAIN OUTCOME MEASURES: Self-reported adherence was measured using a visual analog scale and specified as higher or lower adherence at the 80{\%} level, the approximate median. RESULTS: Many barriers to adherence were more prevalent in the lower adherence group, including complexity of the medication regimen and experiencing side effects. Lower adherence patients also had more problems with privacy and interference with social life and work or school. Patients in the higher adherence group were more concerned with forgetting as an adherence barrier. In general, social support, motivation to avoid AIDS, perceiving the health care practitioner as a facilitator, knowledge of medications, and keeping schedules were identified as factors enhancing adherence. CONCLUSIONS: The high prevalence of many barriers shows that the health care provider has an important role in patient education and support to accomplish increased adherence. Fear and avoidance behaviors in the lower adherence group contrasted with the increased concern with forgetting in the higher adherence group. Communicating treatment advances with patients may help more patients to address many barriers to higher adherence.",
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