Delivery of HIV Antiretroviral Therapy Adherence Support Services by HIV Care Providers in the United States, 2013 to 2014-Reference-Cited by-同舟云学术

Delivery of HIV Antiretroviral Therapy Adherence Support Services by HIV Care Providers in the United States, 2013 to 2014

Published:2017-09-13 Issue:6 Volume:16 Page:624-631
ISSN:2325-9582
Container-title:Journal of the International Association of Providers of AIDS Care (JIAPAC)
language:en
Short-container-title:J Int Assoc Provid AIDS Care

Author:

Weiser John¹,Beer Linda¹,Brooks John T.¹,Irwin Kathleen¹,West Brady T.²,Duke Christopher C.³,Gremel Garrett W.³,Skarbinski Jacek¹

Affiliation:

1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA

2. Survey Research Center, University of Michigan, Ann Arbor, MI, USA

3. Altarum Institute, Ann Arbor, MI, USA

Abstract

Background: Little is known about clinicians’ adoption of recommendations of the International Association of Providers of AIDS Care and others for supporting adherence to antiretroviral therapy (ART). Methods: We surveyed a probability sample of US HIV care providers to estimate the percentage offering 3 ART adherence support services to most or all patients and assessed the characteristics of providers offering all 3 services (comprehensive support) to most or all patients. Results: Almost all providers (95.5%) discussed ART adherence at every visit, 60.1% offered advice about tools to increase adherence, 53.5% referred nonadherent patients for supportive services, and 42.8% provided comprehensive support. Nurse practitioners were more likely to offer comprehensive support as were providers who practiced at Ryan White HIV/AIDS Program-funded facilities, provided primary care, or started caring for HIV-infected patients within 10 years. Conclusion: Less than half of HIV care providers offered comprehensive ART adherence support. Certain subgroups may benefit from interventions to increase delivery of adherence support.

Funder

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

Link

http://journals.sagepub.com/doi/pdf/10.1177/2325957417729754

Reference26 articles.

1. Modeling the Impact of Interventions Along the HIV Continuum of Care in Newark, New Jersey

2. Provider Guidance for Linking Patients to Antiretroviral Therapy Adherence Interventions

3. Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIV: Evidence-Based Recommendations From an International Association of Physicians in AIDS Care Panel