Effect of format on comprehension of adherence data in chronic disease: A cross-sectional study in HIV

作者: Anita Lyons , Warren B. Bilker , Janet Hines , Robert Gross

DOI: 10.1016/J.PEC.2015.08.002

关键词:

摘要: Abstract Objective To determine which formats communicate medication adherence effectively to patients. Methods HIV-infected adults on antiretrovirals viewed examples of refill data in 5 formats: (1) percentage doses, (2) number days late (“days late”), (3) calendar with/without medications, (4) pie chart and (5) letter grade. Five scenarios (>95%, 90–95%, Results 124 participants were median age 48.5 years, 65% Black, 71% male. Understanding all differed by education (all interaction p values  3.3 (2.3–4.7), 3.1 (2.2–4.3) 2.0 (1.4–2.7), grade 1.8 (1.3–2.5). For >12 years education, ORs were: 1.3 (0.9–2.0), 2.4 (1.5–3.8), 2.9 (1.8–4.6), 1.7 (1.1–2.6). Calendar plot was most preferred. Conclusions Adherence the least understood format regardless education. Practice implications Calendars should be used convey information.

参考文章(29)
Elizabeth Greenberg, Ying Jin, Eric Dunleavy, Mark Kutner, Yung-chen Hsu, Bridget Boyle, Literacy in Everyday Life: Results from the 2003 National Assessment of Adult Literacy. NCES 2007-490. National Center for Education Statistics. ,(2007)
Jean B. Nachega, Michael Hislop, David W. Dowdy, Richard E. Chaisson, Leon Regensberg, Gary Maartens, Adherence to nonnucleoside reverse transcriptase inhibitor-based HIV therapy and virologic outcomes Annals of Internal Medicine. ,vol. 146, pp. 564- 573 ,(2007) , 10.7326/0003-4819-146-8-200704170-00007
K. Rivet Amico, José M. Zuniga, Ira B. Wilson, Robert Gross, Benjamin Young, Provider Guidance for Linking Patients to Antiretroviral Therapy Adherence Interventions: Recommendations from an IAPAC Advisory Committee on Adherence Monitoring and Support Journal of the International Association of Providers of AIDS Care. ,vol. 12, pp. 79- 83 ,(2013) , 10.1177/1545109712474844
Jean B. Nachega, Michael Hislop, David W. Dowdy, Melanie Lo, Saad B. Omer, Leon Regensberg, Richard E. Chaisson, Gary Maartens, Adherence to highly active antiretroviral therapy assessed by pharmacy claims predicts survival in HIV-infected South African adults. Journal of Acquired Immune Deficiency Syndromes. ,vol. 43, pp. 78- 84 ,(2006) , 10.1097/01.QAI.0000225015.43266.46
C.J Brainerd, V.F Reyna, Gist is the grist: Fuzzy-trace theory and the new intuitionism☆ Developmental Review. ,vol. 10, pp. 3- 47 ,(1990) , 10.1016/0273-2297(90)90003-M
Robert Gross, Scarlett L. Bellamy, Jennifer Chapman, Xiaoyan Han, Jacqueline O’Duor, Steven C. Palmer, Peter S. Houts, James C. Coyne, Brian L. Strom, Managed problem solving for antiretroviral therapy adherence: a randomized trial. JAMA Internal Medicine. ,vol. 173, pp. 300- 306 ,(2013) , 10.1001/JAMAINTERNMED.2013.2152
Rocio Garcia-Retamero, Mirta Galesic, Who proficts from visual aids: Overcoming challenges in people's understanding of risks Social Science & Medicine. ,vol. 70, pp. 1019- 1025 ,(2010) , 10.1016/J.SOCSCIMED.2009.11.031
Sandra M. Brown, Julie O. Culver, Kathryn E. Osann, Deborah J. MacDonald, Sharon Sand, Andrea A. Thornton, Marcia Grant, Deborah J. Bowen, Kelly A. Metcalfe, Harry B. Burke, Mark E. Robson, Susan Friedman, Jeffrey N. Weitzel, Health literacy, numeracy, and interpretation of graphical breast cancer risk estimates Patient Education and Counseling. ,vol. 83, pp. 92- 98 ,(2011) , 10.1016/J.PEC.2010.04.027
David R Bangsberg, Edward P Acosta, Reena Gupta, David Guzman, Elise D Riley, P Richard Harrigan, Neil Parkin, Steven G Deeks, Adherence-resistance relationships for protease and non-nucleoside reverse transcriptase inhibitors explained by virological fitness. AIDS. ,vol. 20, pp. 223- 231 ,(2006) , 10.1097/01.AIDS.0000199825.34241.49
Nancy R. Reynolds, Marcia A. Testa, Linda G. Marc, Margaret A. Chesney, Judith L. Neidig, Scott R. Smith, Stefano Vella, Gregory K. Robbins, Factors influencing medication adherence beliefs and self-efficacy in persons naive to antiretroviral therapy: a multicenter, cross-sectional study. Aids and Behavior. ,vol. 8, pp. 141- 150 ,(2004) , 10.1023/B:AIBE.0000030245.52406.BB