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High Concordance between Self-Reported Adherence, Treatment Outcome and Satisfaction with Care Using a Nine-Item Health Questionnaire in InfCareHIV.
- Source :
-
PloS one [PLoS One] 2016 Jun 16; Vol. 11 (6), pp. e0156916. Date of Electronic Publication: 2016 Jun 16 (Print Publication: 2016). - Publication Year :
- 2016
-
Abstract
- Background: In this cross-sectional study we present an integrated analysis of a self-reported Health Questionnaire and socio-demographic and treatment outcome data from the national Swedish HIV cohort, InfCareHIV.<br />Objectives: To evaluate the Health Questionnaire and identify the main determinants of adherence.<br />Methods: A total of 2,846 patients answered a nine-item disease-specific Health Questionnaire between 2012 and 2014, corresponding to 44% of all active patients in the national InfCareHIV cohort. The questionnaire assessed patient related outcome measures (PROMs) regarding health and antiretroviral treatment (ART) and patient related experience measures (PREMs) regarding involvement in care and satisfaction with the care provider.<br />Result: We found the Health Questionnaire to be valid and reliable when used in ordinary clinical practice. There was a high concordance between self-reported adherence to ART in the past seven days and treatment outcome, with 94% of patients who reported optimal adherence having a viral load <50 copies/ml. The main determinants of optimal adherence were heterosexual transmission path, being born in Sweden, being male, not reporting experience of ART side effects and being fully satisfied with care.<br />Conclusion: The nine-item Health Questionnaire can identify patients at risk of treatment failure, those in need of clinical assessment of adverse events and those with impaired physical health.
- Subjects :
- Adult
Antiretroviral Therapy, Highly Active
Cross-Sectional Studies
Female
HIV Infections psychology
Health Knowledge, Attitudes, Practice
Humans
Male
Medication Adherence psychology
Middle Aged
Self Report
Surveys and Questionnaires
Sweden
Treatment Outcome
Anti-HIV Agents therapeutic use
HIV Infections drug therapy
Medication Adherence statistics & numerical data
Personal Satisfaction
Quality of Life psychology
Viral Load drug effects
Subjects
Details
- Language :
- English
- ISSN :
- 1932-6203
- Volume :
- 11
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- PloS one
- Publication Type :
- Academic Journal
- Accession number :
- 27310201
- Full Text :
- https://doi.org/10.1371/journal.pone.0156916