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A descriptive study of medication ad...

Zinger, Lana.

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A descriptive study of medication adherence among HIV positive adults in an urban clinic.

Record Type:	Electronic resources : Monograph/item
Title/Author:	A descriptive study of medication adherence among HIV positive adults in an urban clinic./
Author:	Zinger, Lana.
Description:	140 p.
Notes:	Source: Dissertation Abstracts International, Volume: 65-06, Section: B, page: 2835.
Contained By:	Dissertation Abstracts International65-06B.
Subject:	Health Sciences, Education. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3135393
ISBN:	0496826174

A descriptive study of medication adherence among HIV positive adults in an urban clinic.
Zinger, Lana.

A descriptive study of medication adherence among HIV positive adults in an urban clinic. - 140 p.

Source: Dissertation Abstracts International, Volume: 65-06, Section: B, page: 2835.

Thesis (Ed.D.)--Columbia University Teachers College, 2004.

Combination antiretroviral therapy can stabilize HIV disease progression and extend the lives of people living with HIV, but strict treatment adherence is required to attain maximal therapeutic outcomes. Self-reports of reasons why HIV-infected urban adults do not adhere to their medication regimen are underreported, especially from inner-city HIV clinics.

ISBN: 0496826174Subjects--Topical Terms:

1017921
Health Sciences, Education.

A descriptive study of medication adherence among HIV positive adults in an urban clinic.
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100 1 $a Zinger, Lana. $3 1939923
245 1 2 $a A descriptive study of medication adherence among HIV positive adults in an urban clinic.
300 $a 140 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-06, Section: B, page: 2835.
500 $a Sponsor: Charles Basch.
502 $a Thesis (Ed.D.)--Columbia University Teachers College, 2004.
520 $a Combination antiretroviral therapy can stabilize HIV disease progression and extend the lives of people living with HIV, but strict treatment adherence is required to attain maximal therapeutic outcomes. Self-reports of reasons why HIV-infected urban adults do not adhere to their medication regimen are underreported, especially from inner-city HIV clinics.
520 $a The purpose of this study was to improve understanding about factors that may influence adherence to antiretroviral treatment in HIV-positive, urban adults and to describe some of the barriers they face in adhering to antiretroviral therapies. Understanding these factors can help in planning educational programs that target barriers and improve adherence to antiretroviral medication regimens.
520 $a The client sample (N = 60) was composed of 30 reportedly adherent participants and 30 reportedly non-adherent participants. Face-to-face semi-structured interviews were used to improve understanding about adherence. The results were presented in two parts. First, case studies of ten subjects who adhered to medication and ten who did not adhere were described. Second, facilitators of and barriers to adherence were presented, and direct quotes were used to illustrate the respective factors. Narratives were used to present a multi-faceted view of urban adults with HIV who are successful and unsuccessful with adherence.
520 $a Adherence was associated with positive patient-clinician relationship, social support networks, perceived medication efficacy and beliefs about the importance of adherence. The majority of obstacles that reportedly prevented HIV-positive participants from taking their medications were poor clinician relationship, negative beliefs about the efficacy of medication, poor social support networks, and substance abuse.
520 $a Several implications for practice and research were suggested from the findings. Inner-city clinics are busy, lack funding, and are overbooked. Physicians working in inner-city clinics might need help with supporting patients' adherence. This research supports the need for health educators or others to work in tandem with physicians to improve patient-clinician relationships and increase adherence to medication.
590 $a School code: 0055.
650 4 $a Health Sciences, Education. $3 1017921
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710 2 0 $a Columbia University Teachers College. $3 1250841
773 0 $t Dissertation Abstracts International $g 65-06B.
790 1 0 $a Basch, Charles, $e advisor
790 $a 0055
791 $a Ed.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3135393