Effect of a brief antiretroviral adherence intervention delivered by HIV care providers.

摘要: Antiretroviral therapy (ART) is effective in controlling viral load many people infected with HIV, but high levels of adherence to ART are needed for prolonged suppression. This study evaluated a brief intervention delivered HIV-positive patients by primary care providers during routine medical examinations. Six clinics were randomly allocated deliver an focusing on (2 clinics) or safer sex (4 clinics). Interventions included written information (posters, brochures, and flyers) counseling from cohorts selected (n = 437) measured before after 10-month intervention. Among those 95% greater adherent at baseline, 91% who received the remained follow-up compared 75% (chi 12.59, P < 0.01). difference was significant logistic regression analysis (odds ratio 2.26; confidence interval 1.27-4.04), adjusting baseline adherence, demographics, HIV status. The did not significantly increase prevalence among less than baseline. Similar nonsignificant results observed load. A their helped maintain adequate regimens. More intensive improve initially adherent.