title: The Client Adherence Profiling-Intervention Tailoring (CAP-IT) intervention for enhancing adherence to HIV/AIDS medications: a pilot study.
abstract: This article describes the Client Adherence Profiling-Intervention Tailoring (CAP-IT) intervention designed to enhance adherence to HIV/AIDS medications and reports the results of a pilot study aimed at assessing the feasibility of CAP-IT. Initially, CAP-IT was designed to be implemented by nurse case managers during regularly scheduled home visits; it is currently under revision for use in an outpatient, ambulatory care setting. CAP-IT is an innovative, structured nursing assessment and care-planning activity that allows a standardized assessment of client needs and tailored highly active antiretroviral therapy adherence intervention strategies. CAP-IT is significantly different from the current standard nursing case management practice. Pilot study results in a sample of 10 home care patients suggests that clients have knowledge and skill deficits related to adherence and in the management of the side effects of medications. In addition, the pilot study supported the acceptability of the protocol to clients and the feasibility of integrating CAP-IT into nurse case manager practice. The pilot study results also provided evidence for the efficacy of CAP-IT. The next steps include testing CAP-IT in a randomized clinical trial to determine its effectiveness.
authors.affiliation: Department of Community Health Systems, School of Nursing, University of California, San Francisco, USA.
authors.forename: W L
authors.initials: WL
authors.lastname: Holzemer
authors.forename: S B
authors.initials: SB
authors.lastname: Henry
authors.forename: C J
authors.initials: CJ
authors.lastname: Portillo
authors.forename: H
authors.initials: H
authors.lastname: Miramontes
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D019090:Case Management / Q000458:organization & administration*; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000451:nursing / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D020380:Needs Assessment; D009730:Nursing Assessment / Q000379:methods*; D015403:Nursing Evaluation Research; D010347:Patient Care Planning / Q000458:organization & administration*; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D010865:Pilot Projects
chemical_list: D019380:Anti-HIV Agents