TY - JOUR
T1 - Development and implementation of a medication adherence training instrument for persons living with HIV
T2 - The MATI
AU - McPherson-Baker, Shvawn
AU - Jones, Deborah
AU - Durán, Ron E.
AU - Klimas, Nancy
AU - Schneiderman, Neil
PY - 2005/3
Y1 - 2005/3
N2 - Recent advances in the medical management of HIV offer the potential for increased longevity, improved quality of life, and the treatment of HIV as a chronic, rather than terminal, illness. The advent of highly active antiretroviral therapy (HAART) has required the necessity of strict adherence to complex medication regimens. As a vital factor in the successful outcome of HAART therapy, adherence-focused treatment represents a teaching opportunity for practitioners involved in the care and management of persons who are HIV positive. Scores of articles have been published regarding nonadherence, and numerous strategies have been employed to encourage adherence. Despite these efforts, medication adherence continues to present problems for patients and health care providers. This article discusses prior and existing adherence interventions for people living with HIV and outlines the rationale related to the development of a structured protocol, the Medication Adherence Training Instrument (MATI), for the evaluation and enhancement of HIV medication adherence by health care providers. The key components to the MATI throughout all sessions are to provide information, enhance motivation, and assess current levels of adherence and HIV-related knowledge.
AB - Recent advances in the medical management of HIV offer the potential for increased longevity, improved quality of life, and the treatment of HIV as a chronic, rather than terminal, illness. The advent of highly active antiretroviral therapy (HAART) has required the necessity of strict adherence to complex medication regimens. As a vital factor in the successful outcome of HAART therapy, adherence-focused treatment represents a teaching opportunity for practitioners involved in the care and management of persons who are HIV positive. Scores of articles have been published regarding nonadherence, and numerous strategies have been employed to encourage adherence. Despite these efforts, medication adherence continues to present problems for patients and health care providers. This article discusses prior and existing adherence interventions for people living with HIV and outlines the rationale related to the development of a structured protocol, the Medication Adherence Training Instrument (MATI), for the evaluation and enhancement of HIV medication adherence by health care providers. The key components to the MATI throughout all sessions are to provide information, enhance motivation, and assess current levels of adherence and HIV-related knowledge.
KW - Adherence
KW - Highly active retroviral therapy
KW - HIV
UR - http://www.scopus.com/inward/record.url?scp=16844377912&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=16844377912&partnerID=8YFLogxK
U2 - 10.1177/0145445504272604
DO - 10.1177/0145445504272604
M3 - Article
C2 - 15657412
AN - SCOPUS:16844377912
VL - 29
SP - 286
EP - 317
JO - Behavior Modification
JF - Behavior Modification
SN - 0145-4455
IS - 2
ER -
