title: The importance of the patient-clinician relationship in adherence to antiretroviral medication.
abstract: The aim of the study was to assess dimensions of the patient-clinician relationship in relation to adherence with antiretroviral medication in a sample of HIV patients. This was a correlational evaluation, using a cross-sectional design. Thirty-eight HIV patients in two UK HIV units provided complete data. Analysis suggested that the elements of the patient-clinician relationship contributing to adherence with medication were the patient perception of being valued and respected by the clinician, the patients' ability to initiate discussions about the treatment, empowerment and level of trust placed in the nurse. The latter, and the time since starting antiretroviral treatment, were the only two variables that could predict adherence in a regression model, explaining 41% of the variance in adherence. Building trusted relationships with the patients and investing in educational and communication techniques to improve the therapeutic relationship could strongly contribute to HIV patients to maintaining high adherence rates.
authors.affiliation: School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. alex.molassiotis@manchester.ac.uk
authors.forename: Alex
authors.initials: A
authors.lastname: Molassiotis
authors.forename: Kate
authors.initials: K
authors.lastname: Morris
authors.forename: Ian
authors.initials: I
authors.lastname: Trueman
mesh_terms: D019380:Anti-HIV Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D009723:Nurse-Patient Relations; D010349:Patient Compliance; D010595:Pharmacists; D006113:United Kingdom
chemical_list: D019380:Anti-HIV Agents