Medical adherence among prenatal, HIV seropositive, African American women: Family issues.

Shelton, D.; Marconi, Katherine; Pounds, Moses B.; Scopetta, Mercedes Arca; Szapocznik, José; OʼSullivan, Mary J.

doi:10.1037/h0089091

Cited by 26 publications

(13 citation statements)

References 16 publications

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“…Social support is generally considered to be a facilitator of adherence, 10,11 and this may be true particularly in the context of long-term stable relationships; however, social activities, especially those that are unstructured and spontaneous, are apt to disrupt pill taking routines and lead to nonadherence. The extent to which social activities impede adherence may be mediated by the patient's self-disclosure, or lack thereof, of their HIV and treatment status.…”

Section: Discussionmentioning

confidence: 99%

“…Variables that have been shown to correlate with antiretroviral adherence with some consistency include: age 1,7,8 ; psychosocial functioning including depression, 9,10 active substance abuse, 3,8,9 and social supports 10,11 ; attitudes and beliefs toward treatment including perceived treatment efficacy, [12][13][14] and selfefficacy [15][16][17] ; treatment characteristics such as side effects 8,12,16 and regimen complexity 18 ; and variables related to the patient-doctor relationship. 8,16,19,20 The magnitude of the correlations between these variables and antiretroviral adherence generally ranges from 0.20-0.40, rendering these variables useful in understanding the contextual background in which adherence lapses occur, but none of these variables is able to reliably predict how well an individual patient will adhere.…”

Section: Introductionmentioning

confidence: 99%

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Relationship Between Routinization of Daily Behaviors and Medication Adherence in HIV-Positive Drug Users

Wagner

Ryan²

2004

AIDS Patient Care and STDs

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Although lifestyle factors and routinization of daily activities are emerging as important variables in understanding and improving medication adherence, measures of these constructs remain crude and rudimentary. This study evaluated whether a brief, yet more comprehensive measure of the routinization of daily behaviors and activities is predictive of medication adherence. Participants with HIV and histories of drug dependency completed a 2-week practice trial that mimicked highly active antiretroviral therapy (HAART) (phase 1), followed by a 2-week observation of adherence to HAART (phase 2) for those who started antiretroviral therapy during the study. Fifty-one participants completed the study. Average electronic monitored adherence rate (proportion of prescribed doses taken) in the practice trial was 67% (standard deviation [SD] = 24), which was significantly correlated (r = 0.50; p< 0.05) with adherence to HAART. A high frequency of four daily activities (eating breakfast, watching favorite television program, attending meetings, sleeping at home) was associated with higher adherence, whereas a low frequency of having friends over to visit was associated with higher adherence; the composite score that combined these five activities, and represented the extent to which a patient's daily routine incorporated these specific behaviors, was highly correlated (r = 0.63, p < 0.001) with adherence. In a stepwise multiple regression analysis with several adherence correlates included as independent variables, the composite score was the best independent predictor of adherence, accounting for over one third (36%) of the variance. These findings suggest that the extent to which one's daily life is structured and routinized is an important factor in understanding medication adherence. The individual items of this scale as well as a composite measure may be used to predict adherence and inform strategies to enhance adherence via recommended changes in the patient's daily routine.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship Between Routinization of Daily Behaviors and Medication Adherence in HIV-Positive Drug Users

Wagner

Ryan²

2004

AIDS Patient Care and STDs

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“…Both a less satisfactory relationship with one's health care provider and psychosocial factors including less social support, greater alcohol use and psychological distress may contribute to medication adherence problems among persons with HIV (Catz et al, 2000;Haubrich et al, 1999;Kalichman et al, 1999;Morse et al, 1991;Mostashari et al, 1998;Shelton et al, 1993;Singh et al, 1996). For example, one longitudinal investigation of HIV antiretroviral adherence undertaken in a veteran's hospital found that treatment-adherent patients had lower levels of depression than patients who were not adherent (Singh et al, 1996).…”

mentioning

confidence: 92%

Rates and correlates of HIV treatment adherence among late middle-aged and older adults living with HIV disease

Catz

Heckman

Kochman

et al. 2001

Psychol. Health Med.

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A growing number of older adults in the USA are contracting new HIV infections, and more persons living with HIV are living longer due to medical treatment advances. New treatments for HIV disease can improve immune functioning and decrease AIDS-related mortality. However, older persons living with HIV may not respond well to treatment and may experience dif culties adhering to complex medication regimens. One hundred and thirteen late middle-aged and older adults living with HIV (aged 47-69 years) were administered measures of demographic, medical and psychological characteristics. Eighty-four of these patients were currently prescribed antiretroviral medication for treatment of HIV, and this sub-set of participants completed brief self-report measures of medication adherence. Nearly one-third (31%) of older adults reported skipping medication doses in the past week. Education level, satisfaction with patient-provider relationships, physical wellbeing, alcohol use, perceptions of life stressor burden, anxiety and somatization distinguished patients reporting consistent versus inconsistent adherence. Less education, poorer relationships with physicians, greater alcohol use and higher levels of somatization uniquely predicted adherence problems in a multivariate model. Reasons for nonadherence most frequently cited by older adults are presented and recommendations are offered regarding adherence-related domains that should be monitored and addressed among older adults receiving HIV care.

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“…In one study, 15% of patients failed to attend the ideal number of visits in a cohort of 1824 AfricanAmerican and white participants (Kissinger et al, 1995). Thirty-six percent of HIV-positive pregnant women were found to miss their scheduled appointments on a randomly selected week in an HIV prenatal clinic (Shelton et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

Demographic and psychosocial factors associated with appointment attendance among HIV-positive outpatients

et al. 2011

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Non-adherence to medical regimens is a critical threat to HIV-infected individuals. Persons living with HIV/AIDS must adhere to their outpatient medical appointments to benefit from continually improving HIV care regimens. The primary purpose of the present study was to identify individual and psychosocial characteristics associated with HIV-related medical appointment non-attendance. One hundred seventy eight adult participants attending the Outpatient Adult HIV/AIDS Immunology Clinic at Jackson Memorial Hospital (JMH) in Miami, Florida participated in the study. Scheduled and missed appointments obtained retrospectively over a 12-month period indicated that medical appointment non-attendance was a significant problem. Overall, 27.9% of scheduled appointments were missed during the study period. Young age and limited family support were predictors of non-attendance. These findings support those of others and highlight targeted intervention efforts to reduce appointment non-attendance among persons living with HIV/AIDS.

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Medical adherence among prenatal, HIV seropositive, African American women: Family issues.

Cited by 26 publications

References 16 publications

Relationship Between Routinization of Daily Behaviors and Medication Adherence in HIV-Positive Drug Users

Relationship Between Routinization of Daily Behaviors and Medication Adherence in HIV-Positive Drug Users

Rates and correlates of HIV treatment adherence among late middle-aged and older adults living with HIV disease

Demographic and psychosocial factors associated with appointment attendance among HIV-positive outpatients

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