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Description:Adherence Improving self-Management Strategy (AIMS) is a nurse-delivered, individual-level intervention designed to increase medication adherence among HIV clinic patients in the Netherlands. Nurses receive three 6-hour training sessions on the AIMS intervention, and a 1.5-hour booster training session after seeing at least 2 patients. The intervention is delivered during routine clinic visits. Medication adherence data are collected using a Medication Event Monitoring System (MEMS)-cap for 4 to 8 weeks prior to the first AIMS intervention visit. Nurses utilize MEMS cap data to provide adherence feedback and to tailor the intervention to meet the needs and abilities of each patient. Patients are guided on identifying and achieving adherence goals and developing coping plans (e.g., identify patterns, causes, solutions) for periods of non-adherence. The aim of the intervention is for patients to achieve their desired level of adherence for the first 5 months, behavioral maintenance for the next 5 months, and follow-up for another 5 months. Patients are seen more frequently by the nurses if they experience adherence difficulties .
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