Measurement of adherence to antiretroviral medications

Paterson, D.L., Potoski, B. and Capitano, B. (2002). Measurement of adherence to antiretroviral medications. In: Journal of Acquired Immune Deficiency Syndromes. 1st Workshop on HAART Adherence, Rome, Italy, (S103-S106). 25-26 June, 2001.

Author Paterson, D.L.
Potoski, B.
Capitano, B.
Title of paper Measurement of adherence to antiretroviral medications
Conference name 1st Workshop on HAART Adherence
Conference location Rome, Italy
Conference dates 25-26 June, 2001
Proceedings title Journal of Acquired Immune Deficiency Syndromes   Check publisher's open access policy
Journal name Jaids-Journal of Acquired Immune Deficiency Syndromes   Check publisher's open access policy
Place of Publication New York, N.Y. U.S.A.
Publisher Raven Press
Publication Year 2002
Sub-type Fully published paper
ISSN 0894-9255
Volume 31
Issue Suppl. 3
Start page S103
End page S106
Total pages 4
Language eng
Abstract/Summary Measurement of adherence may be important in determining why patients fail antiretroviral therapy. Although patient self-report is by far the most frequently used means of assessing adherence, it overestimates adherence. However, patients who state they are nonadherent almost always are. The pill identification test is a recently described tool that may be useful in clinical practice. The best methods of adherence measurement are pill counts and electronic monitoring. Pill counts suffer from inability to record the time of consumption of therapy. Electronic monitoring enables timing of pill consumption and is the closest to a gold standard for measuring adherence. However, this is only the case if patients are carefully instructed in how to use the device, e.g., not to remove extra doses from their pill bottle. A composite adherence score has been developed that uses electronic monitoring, pill counts, and patient self-report. The authors believe that careful measurement of adherence is essential in the assessment of a patient failing to respond to antiretroviral therapy.
Subjects 1103 Clinical Sciences
Keyword Adherence
Electronic Monitoring
Infected Patients
Q-Index Code E1

Document type: Conference Paper
Collection: UQ Centre for Clinical Research Publications
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Created: Tue, 07 Sep 2010, 17:08:16 EST