Improving the self-report of HIV antiretroviral medication adherence: is the glass half full or half empty?

Improving the self-report of HIV antiretroviral medication adherence: is the glass half full or half empty?
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DOI:
10.1007/s11904-009-0024-x
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发表时间:
2009-11
影响因子:
4.6
通讯作者:
Berg, Karina M
Berg, Karina M
中科院分区:
医学2区
文献类型:
--
作者:
Wilson, Ira B;Carter, Amanda E;Berg, Karina M

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自我报告是衡量抗逆转录病毒治疗依从性的最广泛使用的方法。自我报告和病毒载量之间的关联已经被反复证明,但这种关联并没有解决自我报告如何衡量实际的服药行为。理解坚持自我报告需要学习记忆科学和行为报告。在本文的第一部分,我们讨论了认知心理学中与坚持自我报告有关的研究,主要集中在研究受访者用于回答调查问题的认知过程。在第二部分中,我们回顾了最近的文章,研究自我报告和客观的依从性措施之间的关系,强调协会的力量和关键的方法学问题。最后,我们提出了未来研究的关键问题和方法建议。
Self-reports are the most widely used method for measuring antiretroviral adherence. The association between self-reports and viral loads has been repeatedly demonstrated, but this association does not address how well self-reports measure actual medication-taking behaviors. Understanding adherence self-reports requires studying the science of memory and the reporting of behaviors. In the first section of this review, we discuss research in cognitive psychology that pertains to adherence self-reports, focusing primarily on studies that examine cognitive processes respondents use to answer survey questions. In the second section, we review recent articles examining the relationship between self-reports and objective measures of adherence, highlighting the strength of associations and key methodologic issues. We conclude with key questions for future research and methodologic recommendations.