Adherence to Antiretroviral Medications in HIV: Differences in Data Collected via Self-Report and Electronic Monitoring

Controversy remains regarding the reliability of methods used to determine adherence to antiretroviral medication in HIV. In this study the authors compared adherence rates of 119 HIV-positive participants during a 6-month study, as estimated via electronic monitoring (EM) and self-report (SR). Adhe...

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Veröffentlicht in:Health psychology 2006-05, Vol.25 (3), p.329-335
Hauptverfasser: Levine, Andrew J, Hinkin, Charles H, Marion, Sarah, Keuning, Allison, Castellon, Steven A, Lam, Mona N, Robinet, Marta, Longshore, Douglas, Newton, Thomas, Myers, Hector, Durvasula, Ramani S
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container_end_page 335
container_issue 3
container_start_page 329
container_title Health psychology
container_volume 25
creator Levine, Andrew J
Hinkin, Charles H
Marion, Sarah
Keuning, Allison
Castellon, Steven A
Lam, Mona N
Robinet, Marta
Longshore, Douglas
Newton, Thomas
Myers, Hector
Durvasula, Ramani S
description Controversy remains regarding the reliability of methods used to determine adherence to antiretroviral medication in HIV. In this study the authors compared adherence rates of 119 HIV-positive participants during a 6-month study, as estimated via electronic monitoring (EM) and self-report (SR). Adherence for both short (4-day) and long (4-week, or intervisit) periods was examined, as well as factors that underlie discrepancies between EM and SR. Results showed that intervisit EM estimates were consistently lower than those of SR. SR estimates based on shorter periods (4 days) were closer to those of EM. Higher discrepancies between EM and SR estimates were associated with lower cognitive functioning and externalized locus of control. These findings lend support for using both EM and SR methods; however, study design (e.g., length) and other factors (e.g., cognitive status, cost) should be considered.
doi_str_mv 10.1037/0278-6133.25.3.329
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subjects Adherence
Adult
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiretroviral Drugs
Antiretroviral therapy
Antiretroviral Therapy, Highly Active
Antiviral agents
Antiviral Drugs
Biological and medical sciences
Data Collection
Electronic monitoring
Female
HIV
HIV Infections - drug therapy
Human
Humans
Interviews as Topic
Los Angeles
Male
Medical sciences
Methodology. Experimentation
Middle Aged
Monitoring
Patient Compliance
Pharmacology. Drug treatments
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Disclosure
Self-Report
Selfreport
Techniques and methods
Treatment Compliance
title Adherence to Antiretroviral Medications in HIV: Differences in Data Collected via Self-Report and Electronic Monitoring
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