| Program development for enhancing adherence to antiretroviral therapy among persons living with HIV. | |
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MedLine Citation:
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PMID: 19072103 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this paper the development of a self-management program to optimize long-term adherence to antiretroviral therapy for people living with HIV/AIDS is presented. The program is based on intervention mapping: that is, a framework that facilitates the use of theory and empirical evidence in intervention development. In the preparatory phase we conducted a needs-assessment. The results of this phase were then used in the operational phase in which the program was elaborated as follow: in Step 1 we established program objectives; in Step 2 we translated theoretical methods into practical strategies; and in Step 3 we integrated the strategies into a self-management program which were designed to help individuals mobilize their skills to cope with their antiretroviral therapies (ART). These particular abilities are: ability to integrate ART in daily routine, to cope with side effects, to handle situations in which ART is difficult to take, to interact with health professionals and to maintain relationships with social contacts. To address individuals' resources and skills in conjunction with the experience of taking the medication, we developed two different modalities to deliver the intervention: direct support and virtual support. Direct support consists of four 45-minute individualized, face-to-face sessions with a health professional. The Web application involved at least four interactive sessions with a computer. This application was developed with the intention to support individuals in managing their therapy, in a punctual, real-time mode. Treatment adherence behavior is an indicator or gauge that can reveal problems in being able to manage the therapy. |
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Authors:
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José Côté; Gaston Godin; Pilar Ramirez Garcia; Marilou Gagnon; Genevieve Rouleau |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: AIDS patient care and STDs Volume: 22 ISSN: 1557-7449 ISO Abbreviation: AIDS Patient Care STDS Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-16 Completed Date: 2009-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9607225 Medline TA: AIDS Patient Care STDS Country: United States |
Other Details:
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Languages: eng Pagination: 965-75 Citation Subset: IM; X |
Affiliation:
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Research Chair in Innovative Nursing Practices, University of Montreal, CRCHUM, Montréal, Quebec, Canada. jose.cote@umontreal.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Antiretroviral Therapy, Highly Active* Behavior Therapy / methods HIV Infections / drug therapy* HIV-1 Humans Patient Compliance* Program Development* Social Support |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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