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Computer-assisted self-interviewing (CASI) to improve provider assessment of adherence in routine clinical practice
David R Bangsberg1, Amy Bronstone, Margaret A Chesney
1Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California-San Francisco, 94110, USA. db@epi-center.ucsf.edu
Abstract:
Adherence to HIV antiretroviral therapy is closely associated with viral load suppression, progression to AIDS, and death in HIV-infected people. There is, however, no standardized approach to adherence assessment in routine clinical practice, and several studies suggest that providers rarely estimate adherence better than chance. Computer-assisted self-interview technology is an efficient means to identify HIV antiretroviral regimen errors and monitor adherence in order to maximize the benefits of therapy.