Abstract
Successful medication management is an essential ingredient for effective treatment for HIV. Risk factors for poor medication adherence, including neurocognitive impairment and low health literacy, are common in HIV patients. To better understand the most salient risks for poor management of HIV medications, we tested the interrelation of neurocognitive functioning, reading literacy for health related information, and numeracy and their effect on self-management of a simulated HIV medication regimen. Cross-sectional data on 191 HIV-positive men and women recruited from HIV outpatient clinics in South Florida were collected. Exploratory factor analysis was conducted with literacy, numeracy, and neurocognitive scores and suggested that four factors were present representing executive skill, verbal memory, planning, and motor speed. Both the literacy and numeracy scores loaded on the executive factor. Adjusted analyses showed that executive and planning skills were significantly related to medication management. Findings suggest that patients must rely on higher order cognitive skills to successfully navigate medication self-management, and that efforts to simplify health information that merely lowers readability are likely to meet with limited success.
| Original language | English |
|---|---|
| Pages (from-to) | 477-484 |
| Number of pages | 8 |
| Journal | AIDS Patient Care and STDs |
| Volume | 24 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 1 2010 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Infectious Diseases
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Neurocognition, health-related reading literacy, and numeracy in medication management for HIV infection. / Waldrop-Valverde, Drenna; Jones, Deborah; Gould, Felicia; Kumar, Mahendra; Ownby, Raymond L.
In: AIDS Patient Care and STDs, Vol. 24, No. 8, 01.08.2010, p. 477-484.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Neurocognition, health-related reading literacy, and numeracy in medication management for HIV infection
AU - Waldrop-Valverde, Drenna
AU - Jones, Deborah
AU - Gould, Felicia
AU - Kumar, Mahendra
AU - Ownby, Raymond L.
PY - 2010/8/1
Y1 - 2010/8/1
N2 - Successful medication management is an essential ingredient for effective treatment for HIV. Risk factors for poor medication adherence, including neurocognitive impairment and low health literacy, are common in HIV patients. To better understand the most salient risks for poor management of HIV medications, we tested the interrelation of neurocognitive functioning, reading literacy for health related information, and numeracy and their effect on self-management of a simulated HIV medication regimen. Cross-sectional data on 191 HIV-positive men and women recruited from HIV outpatient clinics in South Florida were collected. Exploratory factor analysis was conducted with literacy, numeracy, and neurocognitive scores and suggested that four factors were present representing executive skill, verbal memory, planning, and motor speed. Both the literacy and numeracy scores loaded on the executive factor. Adjusted analyses showed that executive and planning skills were significantly related to medication management. Findings suggest that patients must rely on higher order cognitive skills to successfully navigate medication self-management, and that efforts to simplify health information that merely lowers readability are likely to meet with limited success.
AB - Successful medication management is an essential ingredient for effective treatment for HIV. Risk factors for poor medication adherence, including neurocognitive impairment and low health literacy, are common in HIV patients. To better understand the most salient risks for poor management of HIV medications, we tested the interrelation of neurocognitive functioning, reading literacy for health related information, and numeracy and their effect on self-management of a simulated HIV medication regimen. Cross-sectional data on 191 HIV-positive men and women recruited from HIV outpatient clinics in South Florida were collected. Exploratory factor analysis was conducted with literacy, numeracy, and neurocognitive scores and suggested that four factors were present representing executive skill, verbal memory, planning, and motor speed. Both the literacy and numeracy scores loaded on the executive factor. Adjusted analyses showed that executive and planning skills were significantly related to medication management. Findings suggest that patients must rely on higher order cognitive skills to successfully navigate medication self-management, and that efforts to simplify health information that merely lowers readability are likely to meet with limited success.
UR - http://www.scopus.com/inward/record.url?scp=77955857974&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77955857974&partnerID=8YFLogxK
U2 - 10.1089/apc.2009.0300
DO - 10.1089/apc.2009.0300
M3 - Article
C2 - 20662594
AN - SCOPUS:77955857974
VL - 24
SP - 477
EP - 484
JO - AIDS Patient Care and STDs
JF - AIDS Patient Care and STDs
SN - 1087-2914
IS - 8
ER -