The Problem of Antiretroviral Adherence: a Representational Approach for Intervention

2.50
Hdl Handle:
http://hdl.handle.net/10755/161566
Type:
Presentation
Title:
The Problem of Antiretroviral Adherence: a Representational Approach for Intervention
Abstract:
The Problem of Antiretroviral Adherence: a Representational Approach for Intervention
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Reynolds, Nancy, PhD
P.I. Institution Name:Ohio State University
Title:Associate Professor
Contact Address:College of Nursing, Department of Adult Health and Illness, Columbus, OH, 43210, USA
Contact Telephone:614.292.4449
PROBLEM: The challenges associated with adhering to combination antiretroviral therapies are substantial. Educational approaches used by clinicians and researchers to improve adherence have often been atheoretical and based on the assumption that the patient simply lacks appropriate knowledge. Knowledge is a necessary component of adherence, yet intervention strategies that merely offer information are not sufficient in promoting sustained adherence behavior. Maximizing adherence and achieving the full potential of the ARV therapies demand multidimensional initiatives that address complex behavioral and biomedical issues. PURPOSE: This presentation will describe a theory-based intervention that is currently being tested in a prospective, RCT.* The study will determine if the intervention increases antiretroviral adherence and improves health outcomes (virologic, immunologic, clinical events, QOL). THEORETICAL/CONCEPTUAL FRAMEWORK: The intervention is based on Donovan and Ward's representational approach to patient education, an approach informed by Leventhal's Common Sense Model. The model emphasizes the importance of patients' perceptions about their illness and treatment and provides a useful framework for broadening a patient-centered understanding of the dynamic factors involved in antiretroviral medication adherence behavior. SAMPLE: A diverse community-based sample of 200 individuals who are receiving antiretroviral medications through the Ohio Department of Health HIV/AIDS Drug Assistance Program (ADAP). METHODS: The intervention is delivered by trained registered nurses with expertise in HIV care via scheduled telephone sessions (weeks 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, 24, 28, 32, 36) and consultation (16 hr/day pager access). Measures are taken at baseline and 1, 3, 6, 9 and 12 months. CONCLUSIONS: A representational approach shows promise for guiding the development of interventions that promote adherence to ARV medication regimens.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Problem of Antiretroviral Adherence: a Representational Approach for Interventionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161566-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Problem of Antiretroviral Adherence: a Representational Approach for Intervention</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Reynolds, Nancy, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Ohio State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, Department of Adult Health and Illness, Columbus, OH, 43210, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">614.292.4449</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">reynolds.1@osu.edu</td></tr><tr><td colspan="2" class="item-abstract">PROBLEM: The challenges associated with adhering to combination antiretroviral therapies are substantial. Educational approaches used by clinicians and researchers to improve adherence have often been atheoretical and based on the assumption that the patient simply lacks appropriate knowledge. Knowledge is a necessary component of adherence, yet intervention strategies that merely offer information are not sufficient in promoting sustained adherence behavior. Maximizing adherence and achieving the full potential of the ARV therapies demand multidimensional initiatives that address complex behavioral and biomedical issues. PURPOSE: This presentation will describe a theory-based intervention that is currently being tested in a prospective, RCT.* The study will determine if the intervention increases antiretroviral adherence and improves health outcomes (virologic, immunologic, clinical events, QOL). THEORETICAL/CONCEPTUAL FRAMEWORK: The intervention is based on Donovan and Ward's representational approach to patient education, an approach informed by Leventhal's Common Sense Model. The model emphasizes the importance of patients' perceptions about their illness and treatment and provides a useful framework for broadening a patient-centered understanding of the dynamic factors involved in antiretroviral medication adherence behavior. SAMPLE: A diverse community-based sample of 200 individuals who are receiving antiretroviral medications through the Ohio Department of Health HIV/AIDS Drug Assistance Program (ADAP). METHODS: The intervention is delivered by trained registered nurses with expertise in HIV care via scheduled telephone sessions (weeks 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, 24, 28, 32, 36) and consultation (16 hr/day pager access). Measures are taken at baseline and 1, 3, 6, 9 and 12 months. CONCLUSIONS: A representational approach shows promise for guiding the development of interventions that promote adherence to ARV medication regimens.</td></tr></table>en_GB
dc.date.available2011-10-26T23:23:29Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:23:29Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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