The Client Adherence Profiling-Intervention Tailoring (CAP-IT) intervention for enhancing adherence to HIV/AIDS medications: a pilot study.
The Client Adherence Profiling-Intervention Tailoring (CAP-IT) intervention for enhancing adherence to HIV/AIDS medications: a pilot study.
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DOI：
10.1016/s1055-3290(06)60420-2
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发表时间：
2000-01-01
期刊：
影响因子：
--
通讯作者：
Miramontes, H
中科院分区：
文献类型：
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作者：
Holzemer, W L;Henry, S B;Miramontes, H
本文描述了客户依从性分析-干预定制（CAP-IT）干预，旨在提高对艾滋病毒/艾滋病药物的依从性，并报告了旨在评估CAP-IT可行性的试点研究的结果。最初，CAP-IT被设计为由护士病例管理人员在定期安排的家访中实施；它目前正在修订使用在门诊，门诊护理设置。CAP-IT是一项创新的、结构化的护理评估和护理计划活动，允许对客户需求进行标准化评估，并量身定制高效抗逆转录病毒治疗依从性干预策略。CAP-IT与目前标准的护理案例管理实践有很大不同。在10个家庭护理病人样本中的初步研究结果表明，客户在依从性和药物副作用管理方面存在知识和技能缺陷。此外，试点研究支持了该方案对客户的可接受性以及将CAP-IT整合到护士病例管理实践中的可行性。试点研究结果也为CAP-IT的有效性提供了证据。接下来的步骤包括在随机临床试验中测试CAP-IT以确定其有效性。
This article describes the Client Adherence Profiling-Intervention Tailoring (CAP-IT) intervention designed to enhance adherence to HIV/AIDS medications and reports the results of a pilot study aimed at assessing the feasibility of CAP-IT. Initially, CAP-IT was designed to be implemented by nurse case managers during regularly scheduled home visits; it is currently under revision for use in an outpatient, ambulatory care setting. CAP-IT is an innovative, structured nursing assessment and care-planning activity that allows a standardized assessment of client needs and tailored highly active antiretroviral therapy adherence intervention strategies. CAP-IT is significantly different from the current standard nursing case management practice. Pilot study results in a sample of 10 home care patients suggests that clients have knowledge and skill deficits related to adherence and in the management of the side effects of medications. In addition, the pilot study supported the acceptability of the protocol to clients and the feasibility of integrating CAP-IT into nurse case manager practice. The pilot study results also provided evidence for the efficacy of CAP-IT. The next steps include testing CAP-IT in a randomized clinical trial to determine its effectiveness.