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Development and implementation of a medication adherence training instrument for persons living with HIV: the MATI
Shvawn McPherson-Baker1, Deborah Jones, Ron E Durán
1University of Miami, c/o Veterans Affairs Medical Center, Florida 33125, USA. s.baker5@umiami.edu
Insights
Adherence to highly active antiretroviral therapy (HAART) is crucial for managing HIV as a chronic condition. The Medication Adherence Training Instrument (MATI) protocol aims to improve patient adherence through information, motivation, and assessment.
Area of Science:
- Infectious Diseases
- Pharmacology
- Public Health
Background:
- Advances in HIV treatment, including highly active antiretroviral therapy (HAART), have transformed HIV into a manageable chronic condition.
- Strict adherence to complex HAART regimens is essential for successful patient outcomes and improved quality of life.
- Despite numerous interventions, medication adherence remains a significant challenge for people living with HIV and their healthcare providers.
Observation:
- Nonadherence to antiretroviral medications poses a persistent problem in HIV management.
- Existing adherence interventions have shown limited success in consistently improving patient compliance.
- There is a need for structured, evidence-based tools to support healthcare providers in enhancing HIV medication adherence.
Findings:
- The Medication Adherence Training Instrument (MATI) is a structured protocol designed to evaluate and enhance HIV medication adherence.
- MATI focuses on providing essential information, boosting patient motivation, and assessing adherence levels and HIV-related knowledge.
- This protocol offers a systematic approach for healthcare providers to address adherence challenges.
Implications:
- Implementing the MATI protocol can lead to improved HAART adherence rates among people living with HIV.
- Enhanced adherence can translate to better treatment outcomes, increased longevity, and a higher quality of life for patients.
- MATI provides a valuable framework for healthcare education and patient management in HIV care.
Abstract:
Recent advances in the medical management of HIV offer the potential for increased longevity, improved quality of life, and the treatment of HIV as a chronic, rather than terminal, illness. The advent of highly active antiretroviral therapy (HAART) has required the necessity of strict adherence to complex medication regimens. As a vital factor in the successful outcome of HAART therapy, adherence-focused treatment represents a teaching opportunity for practitioners involved in the care and management of persons who are HIV positive. Scores of articles have been published regarding nonadherence, and numerous strategies have been employed to encourage adherence. Despite these efforts, medication adherence continues to present problems for patients and health care providers. This article discusses prior and existing adherence interventions for people living with HIV and outlines the rationale related to the development of a structured protocol, the Medication Adherence Training Instrument (MATI), for the evaluation and enhancement of HIV medication adherence by health care providers. The key components to the MATI throughout all sessions are to provide information, enhance motivation, and assess current levels of adherence and HIV-related knowledge.
