Skip to main content
Article
Impact of an Adherence Program on the Health and Outlook of HIV-Infected Patients Failing Antiretroviral Therapy
Nursing Faculty Publications
  • Michael F. Parry
  • Pamela Wright
  • Julie G. Stewart, Sacred Heart University
  • Gavin McLeod
  • James Tucker
  • Amy R. Weinberg
Document Type
Article
Publication Date
9-1-2005
Abstract

Background: We prospectively studied the impact of an adherence counselor on the outcome of patients failing antiretroviral therapy because of nonadherence. Methods: Forty-six patients, identified as chronically nonadherent were enrolled. Individual attention was provided using the information, motivation and behavioral methodology. HIV RNA (viral load, in copies/mL), CD4 count (in cells/[mm.sup.3]), and body weight before and after the adherence counselor were measured. Qualitative outcome and patient satisfaction were assessed by deidentified third-party interviews. Results: Over half completed at least 1 year; only 8 patients were lost to follow-up. Mean CD4 counts increased significantly (P < .05) for completers at 6 and 12 months. Viral loads decreased between baseline and 6 months. Most clients reported subjective benefit from working with the adherence counselor. Conclusion: Although few clients showed complete virologic suppression, the value of an adherence counselor was validated. Longer term adherence programs should be evaluated.

Comments

Originally published:

Parry, Michael F., Wright, Pamela, Stewart, Julie G., McLeod, Gavin X., Tucker, James, Weinberg, Amy R. "Impact of an Adherence Program on the Health and Outlook of HIV-Infected Patients Failing Antiretroviral Therapy." Journal of the International Association of Physicians in AIDS Care 4.3 (2005): 59-66.

Citation Information
Michael F. Parry, Pamela Wright, Julie G. Stewart, Gavin McLeod, et al.. "Impact of an Adherence Program on the Health and Outlook of HIV-Infected Patients Failing Antiretroviral Therapy" (2005)
Available at: http://works.bepress.com/julie_stewart1/8/