An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring.

Details

Serval ID
serval:BIB_459E2B323395
Type
Article: article from journal or magazin.
Collection
Publications
Title
An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring.
Journal
Aids Care
Author(s)
Krummenacher I., Cavassini M., Bugnon O., Schneider M.P.
ISSN
1360-0451 (Electronic)
ISSN-L
0954-0121
Publication state
Published
Issued date
2011
Volume
23
Number
5
Pages
550-561
Language
english
Abstract
To ensure successful treatment, HIV patients must maintain a high degree of medication adherence over time. Since August 2004, patients who are (or are at risk of) experiencing problems with their HIV antiretroviral therapy (ART) have been referred by their physicians to an interdisciplinary HIV-adherence program. The program consists of a multifactorial intervention along with electronic drug monitoring (MEMS(TM)). The pharmacists organize individualized semi-structured motivational interviews based on cognitive, emotional, behavioral, and social issues. At the end of each session, the patient brings an adherence report to the physician. This enables the physician to use the adherence results to evaluate the treatment plan. The aim of this study was to retrospectively analyze this on-going interdisciplinary HIV-adherence program. All patients who were included between August 2004 and the end of April 2008 were analyzed. One hundred and four patients were included (59% women, median age 39 (31.0, 46.0) years, 42% black ethnicity). Eighty (77%) patients were ART-experienced patients and 59% had a protease inhibitor-based treatment. The retention rate was high (92%) in the program. Patient inclusion in this HIV-adherence program was determined by patient issues for naive patients and by nonadherence or suboptimal clinical outcomes for ART-experienced patients. The median time spent by a subject at the pharmacy was 35 (25.0, 48.0) minutes, half for the medication handling and half for the interview. The adherence results showed a persistence of 87% and an execution of 88%. Proportion of undetectable subjects increased during study. In conclusion, retention and persistence rates were high in this highly selected problematic population.
Pubmed
Web of science
Create date
13/05/2011 10:24
Last modification date
20/08/2019 13:50
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