Anne Monroe|Juana Peña|Richard D. Moore|Kristin A. Riekert|Michelle N. Eakin|Sunil Kripalani|Geetanjali Chander
Randomized controlled trial of a pictorial aid intervention for medication adherence among HIV-positive patients with comorbid diabetes or hypertension
Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Vanderbilt University Medical Center|Johns Hopkins Medicine|Johns Hopkins University
hivinfected population ages burden chronic comorbidities increases adherence medications hiv diabetes hypertension crucial improve outcomes pilottested pictorial aid intervention improve medication adherence hiv common chronic conditions adult patients hiv diabetes dm andor hypertension htn attending clinic underserved patients risk poor health outcomes enrolled patients randomized receive either pictorial aid intervention photographic representation medications indications dosing schedule standard clinic visit discharge medication list adherence antiretroviral therapy art hiv therapy dm htn compared predictors art adherence baseline determined using logistic regression medication adherence assessed using medication possession ratio mpr 6month interval intervention change adherence treatment group compared anova among 46 participants trend towards higher adherence medications hiv compared medications hypertensiondiabetes baseline median mpr art 092 baseline median mpr medication comorbid condition 079 p 007 intervention feasible implement satisfaction intervention high small sample size intervention demonstrate significant improvement adherence medications hiv comorbid conditions patients hiv often medically complex may multiple barriers medication adherence medication adherence multifaceted process adherence promotion interventions require approach targets patientspecific barriers