Stress and poverty predictors of treatment adherence among people with low-literacy living with HIV/Aids(2323 Kalichman SC, Grebler T. Stress and poverty predictors of treatment adherence among people with low-literacy living with HIV/AIDS. Psychosom Med [Internet]. 2010[cited 2014 Feb 9];72(8):810-6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016469/pdf/nihms260158.pdf
http://www.ncbi.nlm.nih.gov/pmc/articles...
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2010 |
Analysis of association between social development, health, and stressors related to poverty in relation to antiretroviral therapy adherence in a sample of people with low literacy living with HIV/Aids in southeastern United States. Sample: 188 participants. |
One hundred eighty-eight men and women living with HIV/Aids who demonstrated poor health literacy completed measures of social and health-related stress, indicators of extreme poverty, as well as other factors associated with non adherence. HIV treatment adherence was monitored prospectively, using unannounced pill counts. |
The shortage of food, hunger, depression, internalized stigma, drug use and social stressors associated with HIV contributed to non adherence to antiretroviral therapy. In socially disadvantaged people in developing countries, poverty, food insufficiency and hunger should be directly addressed. |
Association between health literacy and HIV treatment adherence: further evidence from objectively measured medication adherence(2424 Kalichman SC, Pope H, White D, Cherry C, Amaral CM, Swetzes C, et al. Association between health literacy and HIV treatment adherence: further evidence from objectively measured medication adherence. J Int Assoc Physicians AIDS Care [Internet]. 2008[cited 2014 Feb 3];7(6):317-23. Available from: http://jia.sagepub.com/content/7/6/317.full.pdf+html
http://jia.sagepub.com/content/7/6/317.f...
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2008 |
Analysis of the association between health literacy and adherence to HIV treatment. Sample: 145 participants. |
Men and women receiving antiretroviral therapy completed a test of health literacy and measures of common adherence markers. Medication adherence was monitored by unannounced pill counts. |
Association between literacy and adherence existed and was confirmed using an objective measure of medication adherence. |
HIV treatment adherence, patient health literacy, and health care provider-patient communication: results from the 2010 Aids treatment for life international survey(2525 Nachega JB, Morroni C, Zuniga JM, Schechter M, Rockstroh J, Solomon S, et al. HIV treatment adherence, patient health literacy, and health care provider-patient communication: results from the 2010 AIDS treatment for life international survey. J Int Assoc Physicians AIDS Care [Internet]. 2012[cited 2014 Jan 22];11(2):128-33. Available from: http://jia.sagepub.com/content/11/2/128.full.pdf+html
http://jia.sagepub.com/content/11/2/128....
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2012 |
International survey aimed to analyze patients from different countries in relation to the level of adherence to antiretrovirals, health literacy and communication with health professionals. Sample: 2,035 participants. |
The Aids Treatment for Life International Survey was a multicountry cross-sectional study. A 40-minute interview was conducted using a standardized self-report adherence questionnaire. |
Different levels of adherence to antiretrovirals in different geographic regions and low health literacy can determine the low adherence to treatment, by requiring more behavioral and clinical educational interventions, to achieve and maintain optimal levels of adherence, virologic suppression and long-term treatment success. |
Requesting help to understand medical information among people living with HIV and poor health literacy(88 Kalichman SC, Pellowski J, Chen Y. Requesting help to understand medical information among people living with HIV and poor health literacy. Aids Patient Care STDS [Internet]. 2013 [cited 2014 Dec 8];27(6):326-32. Available from: http://online.liebertpub.com/doi/pdf/10.1089/apc.2013.0056
http://online.liebertpub.com/doi/pdf/10....
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2013 |
Analysis of adherence to antiretroviral therapy for people living with HIV who had poor health literacy skills. Sample: 474 participants. |
Five sources of data were collected in the current study: literacy assessments, information-related assistance interviews, health behavior assessments, unannounced medication adherence pill counts, and chart abstracted viral load and CD4 counts. |
Individuals who sought informational assistance were significantly more likely to adhere to multiple strategies. However, despite asking for information and using more strategies of control, participants who requested informational assistance showed lower adherence to treatment and less suppression of HIV replication. People living with HIV with poor skills and health literacy could benefit from medication adherence programs. |
Program to enhance health literacy and treatment adherence in low-income HIV-infected Latino men and women. Aids Patient Care and STDS(1515 Servellen GV, Carpio F, Lopez M, Garcia-Teague L, Herrera G, Monterrosa F, et al. Program to enhance health literacy and treatment adherence in low-income HIV-infected latino men and women. AIDS Patient Care STDS [Internet]. 2003[cited 2014 Jan 25];17(11):581-94. Available from: http://online.liebertpub.com/doi/pdf/10.1089/108729103322555971
http://online.liebertpub.com/doi/pdf/10....
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2003 |
Evaluation of acceptance and effectiveness of a program to improve health literacy in low-income Latino men and women with HIV, who received antiretroviral therapy. It was a program of instructional modular support with follow-up of 5 weeks to 6 months by a nurse. Objectives of the program were to improve knowledge and skills, build confidence to follow the treatment regimen, and teach assertive communication. Sample: 81 participants. |
Participants rated the program highly on measures of satisfaction, providing evidence of its acceptability. The effectiveness of the program was assessed in comparisons of the intervention (n=41) and standard care only (n=40) groups at baseline and 6-week intervals. |
Program participants showed significant improvement on knowledge related to HIV/Aids, its treatment, and understanding of the technical terms related to HIV infection, compared to participants in the comparison group. |