Utility of a standardized nursing terminology to evaluate dosage and tailoring of an HIV/AIDS adherence intervention.
OBJECTIVE
To illustrate the utility of a standardized nursing terminology to calculate the dosage of the Client Adherence Profiling-Intervention Tailoring (CAP-IT) and to determine the extent to which a tailored intervention was delivered to 117 persons with HIV/AIDS who participated in the experimental arm of a randomized controlled trial (RCT).


METHODS
The intervention nurse assigned nursing diagnoses from the Home Health Care Classification (HHCC) based upon CAP scores. During the IT phase of CAP-IT, the nurse delivered and documented a tailored set of nursing interventions associated with the CAP and assigned nursing diagnoses. Hierarchical linear regression was used to evaluate the extent to which the number of interventions and intervention times were tailored to client needs.


RESULTS
Linear regression models that included CAP scores and nursing diagnoses as predictor variables explained 53.2% of the variance in total number of interventions and 58.9% of the variance in intervention time.


CONCLUSIONS
The use of the standardized nursing terminology enabled calculation of the intervention dose and documentation that a tailored intervention was delivered.
Bakken
Suzanne
S
Columbia University, New York, NY 10032, USA. sbh22@columbia.edu
Holzemer
William L
WL
Portillo
Carmen J
CJ
Grimes
Richard
R
Welch
Jennifer
J
Wantland
Dean
D
D000328:Adult; D000554:Ambulatory Care Facilities; D000704:Analysis of Variance; D004282:Documentation / Q000592:standards; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000451:nursing / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016014:Linear Models; D008297:Male; D020380:Needs Assessment; D024802:Nurse's Role; D009730:Nursing Assessment; D009733:Nursing Diagnosis / Q000592:standards*; D015403:Nursing Evaluation Research; D009737:Nursing Records / Q000592:standards; D010347:Patient Care Planning / Q000592:standards*; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic / Q000592:standards; D012959:Socioeconomic Factors; D009626:Terminology as Topic; D013781:Texas; D018875:Vocabulary, Controlled