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Assessing and achieving readiness to initiate HIV medication
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- Nordqvist, Ola (author)
- Uppsala universitet,Institutionen för farmaci,Uppsala University, Sweden
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- Södergård, Björn (author)
- Uppsala universitet,Institutionen för farmaci,Uppsala University, Sweden;Karolinska University Hospital, Sweden
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- Tully, Mary Patricia (author)
- Uppsala universitet,Institutionen för farmaci,Uppsala University, Sweden;University of Manchester, UK
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- (creator_code:org_t)
- Elsevier BV, 2006
- 2006
- English.
- In: Patient Education and Counseling. - : Elsevier BV. - 0738-3991 .- 1873-5134. ; 62:1, s. 21-30
- Journal article (peer-reviewed)
Abstract
Subject headings
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- ObjectiveTo summarise published HIV-specific research on readiness theories, factors influencing readiness, instruments to measure readiness and interventions to increase readiness for treatment.MethodsMedline and PsychInfo were searched until August 2004.ResultsTwo HIV-specific readiness theories were identified. Fear of side effects, emotions emerging from the diagnosis and lack of trust in the physician were some barriers to overcome in order to reach readiness. Of the three measurement instruments found, the index of readiness showed the most promise. Multi-step intervention programs to increase readiness for HIV treatment had been investigated.ConclusionReadiness instruments may be useful tools in clinical practice but the predictive validity of the instruments needs to be further established in the HIV-infected population.Practice implicationsReadiness instruments and practice placebo trials may serve as complements to routine care, since health care providers currently have no better than chance probability in identifying those patients who are ready to adhere.
Keyword
- Adaptation
- Psychological
- Anti-HIV Agents/adverse effects/*therapeutic use
- Communication
- Emotions
- Fear
- HIV Infections/drug therapy/psychology
- Health Behavior
- Health Knowledge; Attitudes; Practice
- Humans
- Needs Assessment/*organization & administration
- Negativism
- Nursing Assessment/*methods/standards
- Patient Compliance/*psychology
- Patient Education
- Physician-Patient Relations
- Predictive Value of Tests
- Psychological Theory
- Qualitative Research
- Questionnaires
- Reproducibility of Results
- Research Design
- Research Support; Non-U.S. Gov't
- Trust
Publication and Content Type
- ref (subject category)
- art (subject category)
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