Nurse-delivered antiretroviral treatment adherence intervention for people with low literacy skills and living with HIV/AIDS
Nurse-delivered antiretroviral treatment adherence intervention for people with low literacy skills and living with HIV/AIDS
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DOI：
10.1016/j.jana.2005.07.001
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发表时间：
2005-09-01
影响因子：
2
通讯作者：
Cain, D
中科院分区：
文献类型：
--
作者：
Kalichman, SC;Cherry, J;Cain, D
健康素养较低的艾滋病毒/艾滋病患者表现出更差的治疗依从性和更不利的健康后果。作者为正在服用抗逆转录病毒药物的健康素养较低的人进行了一项简短的艾滋病毒治疗依从性改善咨询干预的开发和试点测试。在健康行为改变理论、低文化人群健康教育原则和形成性研究的指导下，作者设计了由护士提供的两节加一节HIV治疗依从性干预。对30名健康素养较低的艾滋病毒阳性男性和女性进行的试点测试结果显示，干预增加了艾滋病毒/艾滋病知识、改善依从性的意图和坚持服药的自我效能。接受干预的参与者也显示出服药依从性的改善，遗漏药物的数量减少，非计划服药的数量减少。这些结果表明，为健康素养较低的人量身定做的相对简短的行为干预可能会对健康相关行为产生重大影响。
People living with HIV/AIDS who have lower health literacy show poorer treatment adherence and more adverse health outcomes. The authors undertook the development and pilot testing of a brief HIV treatment adherence improvement counseling intervention for people with lower health literacy who were taking antiretroviral medications. Guided by a theory of health behavior change, health education principles for lower literacy populations, and formative research, the authors designed a two-session plus one booster session nurse-delivered HIV treatment adherence intervention. Results from a pilot test with 30 HIV-positive men and women with lower health literacy showed that the intervention increased HIV/AIDS knowledge, intentions to improve adherence, and self-efficacy for adhering to medications. Participants exposed to the intervention also showed improvement in medication adherence, with reductions in numbers of missed pills and reductions in numbers of doses taken off-schedule. These results suggest that relatively brief behavioral interventions that are tailored for people with lower health literacy may have a significant impact on health-related behaviors.