Simple, illustrated medicines information improves ARV knowledge and patient self-efficacy in limited literacy South African HIV patients.
Simple, illustrated medicines information improves ARV knowledge and patient self-efficacy in limited literacy South African HIV patients.
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DOI：
10.1080/09540121.2014.931559
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Browne SH
中科院分区：
文献类型：
--
作者：
Dowse R;Barford K;Browne SH
很少有研究调查识字能力有限的患者的抗逆转录病毒知识和自我效能感。使用随机对照研究设计，我们调查了一份简单的预先测试的患者信息传单(PIL)，其中包含HIV和ARV相关知识的文本和插图，以及在有限识字的非洲人口中六个月对自我效能的影响。招募的患者被随机分配到对照组(标准护理)或干预组(标准护理加图解PIL)。在基线、1个月、3个月和6个月时用22个问题的测试来评估艾滋病毒和药物相关知识。使用HIV治疗依从性自我效能量表(HIV-ASES)的修订版来评估自我效能。女性占三分之二，平均年龄39.0±9.6岁，平均受教育7.3±2.8年。接受PIL的患者在6个月的时间里显示出显著的知识增长(62.0%-94.4%)，在随后的每次访谈中都有所改善，而对照组没有任何改善。在基线时，副作用知识最低(50%-56%)，但干预组增加到92%。同样，基线(57%-67%)的其他医学相关知识显著提高(93%)，并持续了六个月以上。科恩基线后的d值在1.36至2.18之间，表明干预效果很大。在六个月的时间里，干预组的自我效能感显著提高，但不是对照组患者。在基线时，接受3年教育的≤患者的知识和自我效能感较低，但干预后没有观察到这一点，我们将其归因于PIL减轻了有限教育的影响。干预组知识与自我效能感显著相关。总之，一种设计良好、预先测试、简单、图解的PIL的低成本干预显著提高了受教育程度有限的HIV患者的抗逆转录病毒知识和自我效能。
Few studies have investigated ARV knowledge and self-efficacy in limited literacy patients. Using a randomized controlled study design, we investigated the influence of a simple pre-tested patient information leaflet (PIL) containing both text and illustrations on HIV- and ARV-related knowledge and on self-efficacy over six months in a limited literacy African population. The recruited patients were randomly allocated to either control (standard care) or intervention group (standard care plus illustrated PIL). HIV and medicines-related knowledge was evaluated with a 22-question test at baseline, one, three and six months. Self-efficacy was assessed using a modified version of the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES). Two-thirds of the patients were female, mean age was 39.0±9.6 years and mean education was 7.3±2.8 years. Patients who received the PIL showed a significant knowledge increase over the six-month period (62.0%– 94.4%), with improvement at each subsequent interview whereas the control group showed no improvement. At baseline, side effect knowledge was the lowest (50%-56%) but increased in the intervention group to 92%. Similarly, other medicine-related knowledge at baseline (57%-67%) improved significantly (93%) and was sustained over six months. Cohen’s d values post-baseline ranged between 1.36 and 2.18, indicating a large intervention effect. Self-efficacy improved significantly over six months in intervention but not control patients. At baseline, patients with ≤3 years of education had lower knowledge and self-efficacy but this was not observed post-intervention, which we attribute to the PIL mitigating the effect of limited education. Knowledge and self-efficacy were significantly correlated in the intervention group. In conclusion, a low-cost intervention of a well-designed, pre-tested, simple, illustrated PIL significantly increased both ARV knowledge and self-efficacy in HIV patients with limited education.
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影响因子：
15.8
作者：
Mills EJ;Nachega JB;Bangsberg DR;Singh S;Rachlis B;Wu P;Wilson K;Buchan I;Gill CJ;Cooper C
通讯作者：
Cooper C
影响因子：
3.5
作者：
Dowse, R;Ehlers, M
通讯作者：
Ehlers, M
影响因子：
5.7
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Macabasco-O'Connell, Aurelia;DeWalt, Darren A.;Broucksou, Kimberly A.;Hawk, Victoria;Baker, David W.;Schillinger, Dean;Ruo, Bernice;Bibbins-Domingo, Kirsten;Holmes, George M.;Erman, Brian;Weinberger, Morris;Pignone, Michael
通讯作者：
Pignone, Michael
影响因子：
5.7
作者：
Kalichman, SC;Ramachandran, B;Catz, S
通讯作者：
Catz, S
影响因子：
3.1
作者：
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通讯作者：
Chesney, Margaret A.