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Published on: March 30, 2014
Telephone nurse counseling improves HIV medication adherence: an effectiveness study
Paul F Cook1, Mishcha M McCabe, Suzie Emiliozzi
1University of Colorado-Denver, Aurora, CO, USA.
Summary
A telephonic nursing program improved adherence to antiretroviral therapy for people with HIV (PLWH). This intervention effectively translated counseling strategies into routine care, demonstrating a high success rate in maintaining medication adherence.
Area of Science:
- Infectious Diseases
- Behavioral Medicine
- Nursing Science
Background:
- Adherence to antiretroviral therapy (ART) is critical for people living with HIV (PLWH) to prevent viral resistance and treatment failure.
- Translating evidence-based adherence interventions into routine clinical practice remains a significant challenge.
- Cognitive-behavioral and motivational interviewing techniques are validated approaches for improving adherence.
Purpose of the Study:
- To evaluate the effectiveness of a telephonic nursing program in enhancing ART adherence among PLWH.
- To assess the feasibility of integrating adherence counseling into standard HIV care settings.
- To identify factors associated with medication adherence in this population.
Main Methods:
- An effectiveness study involving 98 PLWH recruited from US HIV care settings.
- Participants received up to six months of telephonic nursing counseling, averaging three sessions.
- Nurses utilized cognitive-behavioral and motivational interviewing principles to address barriers and support adherence.
Main Results:
- A higher percentage of participants achieved ≥95% ART adherence at six months compared to expected rates.
- Participant self-efficacy correlated with baseline medication adherence.
- Attrition occurred but did not correlate with adherence, self-efficacy, or clinical severity.
Conclusions:
- Telephonic nursing counseling is a potentially effective method for improving ART adherence in PLWH.
- This program demonstrates a viable strategy for disseminating psychological adherence support into diverse care environments.
- The findings support the integration of structured, nurse-led telephonic interventions in HIV management.
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