Cognitive and Field Testing of a New Set of Medication Adherence Self-Report Items for HIV Care

被引:95
作者
Wilson, Ira B. [1 ]
Fowler, Floyd J., Jr. [2 ]
Cosenza, Carol A. [2 ]
Michaud, Joanne [1 ]
Bentkover, Judy [1 ]
Rana, Aadia [3 ]
Kogelman, Laura [4 ]
Rogers, William H. [5 ]
机构
[1] Brown Univ, Sch Publ Hlth, Dept Hlth Serv Policy & Practice, Providence, RI 02912 USA
[2] UMass Boston, Survey Res Ctr, Boston, MA USA
[3] Miriam Hosp, Dept Infect Dis, Providence, RI 02906 USA
[4] Tufts Med Ctr, Dept Infect Dis, Boston, MA USA
[5] Tufts Med Ctr, Hlth Inst, Boston, MA USA
关键词
HIV; Medication adherence; Self-report; Questionnaires; Survey methodology; COMBINATION ANTIRETROVIRAL THERAPY; PREDICTIVE-VALIDITY; VIROLOGICAL FAILURE; POPULATION; RESISTANCE; PATTERNS; OUTCOMES; DRUG;
D O I
10.1007/s10461-013-0610-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We conducted four rounds of cognitive testing of self-report items that included 66 sociodemographically diverse participants, then field tested the three best items from the cognitive testing in a clinic waiting room (N = 351) and in an online social networking site for men who have sex with men (N = 6,485). As part of the online survey we conducted a randomized assessment of two versions of the adherence questionnaire-one which asked about adherence to a specific antiretroviral medication, and a second which asked about adherence to their "HIV medicines" as a group. Participants were better able to respond using adjectival and adverbial scales than visual analogue or percent items. The internal consistency reliability of the three item adherence scale was 0.89. Mean scores for the two different versions of the online survey were similar (91.0 vs. 90.2, p < 0.05), suggesting that it is not necessary, in general, to ask about individual medications in an antiretroviral therapy regimen when attempting to describe overall adherence.
引用
收藏
页码:2349 / 2358
页数:10
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