title: Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS.
abstract: The purpose of this descriptive, correlational study was to examine the relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. The convenience sample of 707 non-hospitalized persons receiving health care for HIV/AIDS was recruited from seven U.S. sites. All measures were self-report. Perception of engagement with health care provider was measured by the newly developed Engagement with Health Care Provider scale. Adherence to therapeutic regimen included adherence to medications, provider advice, and appointments. Health status was measured by the Medical Outcomes Study Short Form 36 (MOS SF-36), Living with HIV scale, CD4 count, and length of time known to be HIV-positive. There were no significant relationships between engagement with health care provider and age, gender, ethnicity, and type of health care provider. Subscales of the MOS SF-36 and Living with HIV explained a significant, but modest amount of the variance in engagement. Clients who were more engaged with their health care provider reported greater adherence to medication regimen and provider advice. Clients who missed at least one appointment in the last month or who reported current or past injection drug use were significantly less engaged.
authors.affiliation: University of California, San Francisco, USA.
authors.forename: S
authors.initials: S
authors.lastname: Bakken
authors.forename: W L
authors.initials: WL
authors.lastname: Holzemer
authors.forename: M A
authors.initials: MA
authors.lastname: Brown
authors.forename: G M
authors.initials: GM
authors.lastname: Powell-Cope
authors.forename: J G
authors.initials: JG
authors.lastname: Turner
authors.forename: J
authors.initials: J
authors.lastname: Inouye
authors.forename: K M
authors.initials: KM
authors.lastname: Nokes
authors.forename: I B
authors.initials: IB
authors.lastname: Corless
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy; D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage*; D001294:Attitude to Health; D002140:California; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006282:Health Personnel / Q000592:standards / Q000639:trends; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D011788:Quality of Life; D012494:Sampling Studies; D016896:Treatment Outcome
chemical_list: D019380:Anti-HIV Agents