title: Survey of patient and clinician attitudes on adherence in a rural HIV clinic.
abstract: Adherence is critical to the success of antiretroviral therapy, with near perfect medication taking required for optimal results. Many factors may affect a patient's ability to adhere to antiretroviral therapy, including complexity of the regimen and adverse effects from medications. Previous research showed that some disparity may exist between clinicians' and patients' attitudes regarding characteristics of a regimen that are likely to affect adherence. The present survey was conducted in a rural HIV clinic and confirmed that similar differences were present in clinician and patient perceptions of adherence barriers. The patient population noted side effects and complexity of schedule as most likely to affect adherence, illustrating the need for thorough discussion of new regimens and involvement of the patient in treatment decisions.
authors.affiliation: HIV Wellness Clinic, Christiana Care Health System, Georgetown, Delaware, USA.
authors.forename: Carolyn J
authors.initials: CJ
authors.lastname: Savini
authors.forename: Christopher W
authors.initials: CW
authors.lastname: James
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: DiGuglielmo
mesh_terms: D000554:Ambulatory Care Facilities; D019380:Anti-HIV Agents / Q000009:adverse effects / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D003691:Delaware; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D019538:Health Care Surveys; D006801:Humans; D008503:Medical Staff / Q000523:psychology*; D020380:Needs Assessment; D009722:Nurse Practitioners / Q000523:psychology; D009740:Nursing Staff / Q000523:psychology*; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D010358:Patient Participation; D019035:Rural Health Services; D012646:Self Administration / Q000009:adverse effects / Q000523:psychology; D011795:Surveys and Questionnaires
chemical_list: D019380:Anti-HIV Agents