Characteristics of doctor‐patient relationship and implication on adherence to antiretroviral treatments

Martini, Michela; Parazzini, Fabio; Agnoletto, Vittorio

doi:10.1046/j.1468-1293.2001.00054.x

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…24 Martini et al 26 reported that patients who have a satisfying relationship with providers have better adherence to their ART regimens. 27 Bakken and her research team reported that patients who have strong rapport with their healthcare providers have better adherence to medication routines and keeping appointments. 3,4,6,7,28 In Chinese society, a physician's authority is highly valued.…”

Section: Discussionmentioning

confidence: 99%

Chinese HIV-Positive Patients and Their Healthcare Providers

Chen

Starks

Shiu

et al. 2007

Advances in Nursing Science

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In this qualitative study, 29 HIV-positive, Chinese patients reported highly favorable impressions of their healthcare providers, who were seen as providing important medical-related, financial, and emotional support. Generally, the patient-provider relationship positively impacted the participants and their ability to maintain their health and was especially critical when patients were isolated from familial sources of support due to intense AIDS stigma. Often family members were informed of an HIV diagnosis before the patient, revealing tensions between Confucian principles of collectivism and familial authority and increasingly prevalent Western ideals of individual autonomy and the privileged status of personal health information.

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Section: Discussionmentioning

confidence: 99%

Chinese HIV-Positive Patients and Their Healthcare Providers

Chen

Starks

Shiu

et al. 2007

Advances in Nursing Science

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“…Assigning patients to 2 experimental conditions, DAART and unapproved once-daily regimens, would have placed the subject in double jeopardy. Thus, we opted to provide modified DAART and allowed community HIV/AIDS clinicians to maintain important levels of trust [63][64][65] and to reflect the community standard of care. Second, most antiretroviral therapy regimens still have twice-daily dosing, despite the increasing number of available once-daily regimens [66,67].…”

Section: Discussionmentioning

confidence: 99%

Developing a Directly Administered Antiretroviral Therapy Intervention for HIV-Infected Drug Users: Implications for Program Replication

Altice

Mezger

Hodges

et al. 2004

Clinical Infectious Diseases

107

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Directly administered antiretroviral therapy (DAART) is one approach to improving adherence to among human immunodeficiency virus (HIV)-infected drug users. We evaluated the essential features of a community-based DAART intervention in a randomized, controlled trial of DAART versus self-administered therapy. Of the initial 72 subjects, 78% were racial minorities, and 32% were women. Social and medical comorbidities among subjects included homelessness (35% of subjects), lack of interpersonal support (86%), major depression (57%), and alcoholism (36%). At baseline, the median CD4+ cell count was 403 cells/mL and the median HIV-1 RNA load was 146,333 copies/mL (log10 5.31 copies/mL). During the prior 6 months, 33% of subjects had missed a medical appointment, and 47% had visited an emergency department. Although most subjects (67%) preferred to take their own medications, 76% would accept DAART if it were made compulsory. A methadone clinic was the DAART venue acceptable to the fewest subjects (36%), and a mobile syringe-exchange program was acceptable to the most subjects (83%). Adherence was higher for supervised than for unsupervised medication administration (P<.0001), a finding that supports use of daily supervision of once-daily regimens. Moreover, DAART should incorporate enhanced elements such as convenience, flexibility, confidentiality, cues and reminders, responsive pharmacy and medical services, and specialized training for staff.

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“…A quality patient-provider relationship has also been identified as an important source of support to promote adherence to HIV medication (Ingersoll & Heckman, 2005;Martini, Parazzini, & Agnoletto, 2001;Roberts, 2002) as well as the perception of the provider as open, respectful, empathic and showing genuine interest (Simoni et al, 2003). For example, in a qualitative study of 28 HIV-positive persons, the need for trust in their physicians was commonly identified (Roberts, 2002).…”

Section: Social Factorsmentioning

confidence: 99%

Patient-related Factors Predicting HIV Medication Adherence among Men and Women with Alcohol Problems

2007

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The study explored the relationship between HIV medication adherence and alcohol, cognitive, social and affective factors in 272 persons with alcohol problems. Alcohol and cognitive factors significantly differentiated those who did and did not adhere. Specifically, adherence confidence and number of drinks emerged as subfactors driving the associations to adherence. Among those who were less than perfectly adherent (n = 154), only alcohol factors predicted levels of nonadherence. Cognitive factors play a role in understanding some of the differences between those who do and do not adhere to their HIV medications, but they do not differentiate among levels of nonadherence.

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Characteristics of doctor‐patient relationship and implication on adherence to antiretroviral treatments

Cited by 7 publications

References 3 publications

Chinese HIV-Positive Patients and Their Healthcare Providers

Chinese HIV-Positive Patients and Their Healthcare Providers

Developing a Directly Administered Antiretroviral Therapy Intervention for HIV-Infected Drug Users: Implications for Program Replication

Patient-related Factors Predicting HIV Medication Adherence among Men and Women with Alcohol Problems

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