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

Weiser, John; Beer, Linda; Brooks, John T.; Irwin, Kathleen; West, Brady T.; Duke, Christopher C.; Gremel, Garrett W.; Skarbinski, Jacek

doi:10.1177/2325957417729754

i

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

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2017 Nov/Dec
By Weiser, John ; Beer, Linda ; Brooks, John T. ; ...

File Language:

English

Details

Alternative Title:

J Int Assoc Provid AIDS Care
Personal Author:

Weiser, John ; Beer, Linda ; Brooks, John T. ; Irwin, Kathleen ; West, Brady T. ; Duke, Christopher C. ; Gremel, Garrett W. ; Skarbinski, Jacek
Description:

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.
Subjects:

Anti-HIV Agents Delivery Of Health Care Female Financial Support Health Personnel Health Services HIV Infections Humans Male Medication Adherence Middle Aged Nurse Practitioners Primary Health Care
Source:

J Int Assoc Provid AIDS Care. 16(6):624-631.
Pubmed ID:

28899259
Pubmed Central ID:

PMC5662493
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHS/United States
Place as Subject:

United States
Volume:

16
Issue:

6
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:2a9258e399f738c6d55c96af4e72178c18ea702a89957dd84cc8c296d4fc89e4
Download URL:

https://stacks.cdc.gov/view/cdc/49439/cdc_49439_DS1.pdf
File Type:

[PDF - 353.49 KB ]

nihms914347.nxml

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File Language:

English

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