Assessing and achieving readiness to initiate HIV medication

• 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.

Nyckelord

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

Publikations- och innehållstyp

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