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Factors associated with accurate self-reported adherence to HIV antiretrovirals

Factors associated with accurate self-reported adherence to HIV antiretrovirals The purpose of this study was to determine the conditions in which self-reports provide an accurate assessment of adherence to HIV antiretrovirals. In a sample of 58 participants, self-reported and electronically monitored adherence to antiretroviral therapy were compared over a three-day period. Of the 16 who reported missed doses, only six (38%) accurately reported the number of doses they took, although the electronic monitoring data confirmed that all but one (94%) did in fact miss at least one dose. In contrast, 25 (60%) of the 42 participants who reported no missed doses were accurate. Nearly all (96%) participants who actually did take all their doses accurately reported their adherence compared to only 20% of those who missed at least one dose (P<0.001). Cognitive functioning was marginally associated with self-report accuracy, but all other baseline factors were not associated with accuracy. Our findings highlight the need for more effective self-report methodology and a better understanding of the circumstances in which self-reports are valid measures of adherence. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of STD & AIDS SAGE

Factors associated with accurate self-reported adherence to HIV antiretrovirals

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References (19)

Publisher
SAGE
Copyright
© Royal Society of Medicine Press Limited 2003
ISSN
0956-4624
eISSN
1758-1052
DOI
10.1258/095646203321264917
pmid
12716500
Publisher site
See Article on Publisher Site

Abstract

The purpose of this study was to determine the conditions in which self-reports provide an accurate assessment of adherence to HIV antiretrovirals. In a sample of 58 participants, self-reported and electronically monitored adherence to antiretroviral therapy were compared over a three-day period. Of the 16 who reported missed doses, only six (38%) accurately reported the number of doses they took, although the electronic monitoring data confirmed that all but one (94%) did in fact miss at least one dose. In contrast, 25 (60%) of the 42 participants who reported no missed doses were accurate. Nearly all (96%) participants who actually did take all their doses accurately reported their adherence compared to only 20% of those who missed at least one dose (P<0.001). Cognitive functioning was marginally associated with self-report accuracy, but all other baseline factors were not associated with accuracy. Our findings highlight the need for more effective self-report methodology and a better understanding of the circumstances in which self-reports are valid measures of adherence.

Journal

International Journal of STD & AIDS – SAGE

Published: Apr 1, 2003

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