scispace - formally typeset
Open AccessJournal ArticleDOI

Self-report measures of antiretroviral therapy adherence: A review with recommendations for HIV research and clinical management.

TLDR
It is concluded that even brief self-report measures of antiretroviral adherence can be robust, and recommend items and strategies for HIV research and clinical management.
Abstract
A review of 77 studies employing self-report measures of antiretroviral adherence published 1/1996 through 8/2004 revealed great variety in adherence assessment item content, format, and response options. Recall periods ranged from 2 to 365 days (mode=7 days). The most common cutoff for optimal adherence was 100% (21/48 studies, or 44%). In 27 of 34 recall periods (79%), self-reported adherence was associated with adherence as assessed with other indirect measures. Data from 57 of 67 recall periods (84%) indicated self-reported adherence was significantly associated with HIV-1 RNA viral load; in 16 of 26 (62%), it was associated with CD4 count. Clearly, the field would benefit from item standardization and a priori definitions and operationalizations of adherence. We conclude that even brief self-report measures of antiretroviral adherence can be robust, and recommend items and strategies for HIV research and clinical management.

read more

Content maybe subject to copyright    Report

Citations
More filters
Journal ArticleDOI

Alcohol use and antiretroviral adherence: review and meta-analysis.

TL;DR: Results support a significant and reliable association of alcohol use and medication nonadherence and Methodological variables seem to moderate this association and could contribute to inconsistent findings across studies.
References
More filters
Journal ArticleDOI

Concurrent and predictive validity of a self reported measure of medication adherence

TL;DR: The psychometric properties and predictive validity of a structured four-item self-reported adherence measure (alpha reliability = 0.61) are tested, which can be easily integrated into the medical visit and address barriers to medication-taking.
Journal ArticleDOI

Adherence to protease inhibitor therapy and outcomes in patients with HIV infection.

TL;DR: Given the critical importance of adherence to therapy to patient outcome, secondary prevention of HIV infection, and willingness of providers to prescribe therapy, this prospectively investigated the association between protease inhibitor adherence and patient outcome and factors related to adherence.
Journal ArticleDOI

Variations in patients' adherence to medical recommendations: A quantitative review of 50 years of research

TL;DR: This review offers insights into the literature on patient adherence, providing direction for future research, and focuses on reliability and validity of adherence measurement and systematic study of substantive and methodologic moderators.
Related Papers (5)