Engagement with Care, Substance Use, and Adherence to Therapy in HIV/AIDS.
Patrice K NicholasSuzanne WillardClinton ThompsonCarol Dawson-RoseInge B CorlessDean J WantlandElizabeth F SefcikKathleen M NokesKenn M KirkseyMary Jane HamiltonWilliam L HolzemerCarmen J PortilloMarta Rivero MendezLinda M RobinsonMaria RosaSarie P HumanYvette P CucaElizabeth CastilloMary MarylandJohn ArudoLucille Sanzero EllerMark A StantonMarykate DriscollJoachim G VossShahnaz MoezziPublished in: AIDS research and treatment (2014)
Engagement with care for those living with HIV is aimed at establishing a strong relationship between patients and their health care provider and is often associated with greater adherence to therapy and treatment (Flickinger, Saha, Moore, and Beach, 2013). Substance use behaviors are linked with lower rates of engagement with care and medication adherence (Horvath, Carrico, Simoni, Boyer, Amico, and Petroli, 2013). This study is a secondary data analysis using a cross-sectional design from a larger randomized controlled trial (n = 775) that investigated the efficacy of a self-care symptom management manual for participants living with HIV. Participants were recruited from countries of Africa and the US. This study provides evidence that substance use is linked with lower self-reported engagement with care and adherence to therapy. Data on substance use and engagement are presented. Clinical implications of the study address the importance of utilizing health care system and policy factors to improve engagement with care.
Keyphrases
- healthcare
- social media
- palliative care
- randomized controlled trial
- hiv aids
- quality improvement
- affordable care act
- primary care
- public health
- study protocol
- antiretroviral therapy
- type diabetes
- systematic review
- ejection fraction
- newly diagnosed
- prognostic factors
- deep learning
- metabolic syndrome
- health information
- high resolution
- insulin resistance
- histone deacetylase
- atomic force microscopy
- weight loss
- smoking cessation