Multi and dependent variable, univariate Inconsistently associated: age, race, drug use, alcohol, Authors draw attention to risk report on analysis depression, knowledge and beliefs about treatment, of stereotyping and correlates or patient satisfaction with health care/patient/provider discrimination, and the predictors of relationship though data are limited. importance and challenges of adherence. communication and (See p124 for list of factors not generally associated eg relationship between gender, educational attainment). providers- minority clients. Telephone survey (Gallant 1998) found that physicians and patients have different perceptions of reasons for non-adherence. Discussion: Flaws in literature make it difficult to synthesise; no gold standard for measuring adherence, (how, what and when); sample sizes small, often convenience, no control group. Clinicians need to be careful not to stereotype patients based on sociodemographic features; appear largely unrelated. Atkinson et To expand on USA, Quantitative Adherence was positively associated with ART optimism Findings point to importance al. (2008) the work by and adherence self-efficacy. of d-p relationship for Harzke et al. Standardized crack adherence, due to link with (2004), who questionnaires: cocaine users ART optimism was positively associated with ART optimism, self-efficacy examined the Elicitation of on highly active doctor relationship, inversely associated with HIV-related relationships, Compliance and antiretroviral stress symptoms. Authors suggest that within a sample Adherence therapy (ART). important aspects of the of Behaviors (N=130). Adherence self-efficacy was positively associated with relationship are pt crack Questionnaire presence of social support. cenrtedness and as cocaine mediating factors (leading to between TCU Self-Rating Patient-doctor relationship was inversely associated with optimism etc) adherence and Form (SRF): anxiety/depressive symptoms. psychosocial measures Importance of making pt feel and other psychological Discussion: as person underscores measures functioning Increasing optimism and self-efficacy may foster importance of suggested by adherence. This a good patient-doctor relationship communication. the and a satisfying social network. Transactional Authors call for improving Proposed connection between identified providers’ capacity to make correlates/mechanism: pt feel as a person.
Multi and univariate analysis dependent variable, report on correlates or predictors of adherence. Inconsistently associated: age, race, drug use, alcohol, depression, knowledge and beliefs about treatment, patient satisfaction with health care/patient/provider relationship though data are limited. (See p124 for list of factors not generally associated eg gender, educational attainment). Telephone survey (Gallant 1998) found that physicians and patients have different perceptions of reasons for non-adherence. Discussion: Flaws in literature make it difficult to synthesise; no gold standard for measuring adherence, (how, what and when); sample sizes small, often convenience, no control group. Clinicians need to be careful not to stereotype patients based on sociodemographic features; appear largely unrelated. Authors draw attention to risk of stereotyping and discrimination, and the importance and challenges of communication and relationship between providers- minority clients. Atkinson et al. (2008) To expand on the work by Harzke et al. (2004), who examined the relationships, within a sample of crack cocaine between adherence and psychosocial and other measures suggested by the Transactional USA, Quantitative Standardized questionnaires: Elicitation of Compliance and Adherence Behaviors Questionnaire TCU Self-Rating Form (SRF): measures psychological functioning crack cocaine users on highly active antiretroviral therapy (ART). (N=130). Adherence was positively associated with ART optimism and adherence self-efficacy. ART optimism was positively associated with relationship, inversely associated with HIV-related stress symptoms. Adherence self-efficacy was positively associated with presence of social support. Patient-doctor relationship was inversely associated with anxiety/depressive symptoms. Discussion: Increasing optimism and self-efficacy may foster adherence. This a good patient-doctor relationship and a satisfying social network. Proposed connection between identified correlates/mechanism: doctor Findings point to importance of d-p relationship for adherence, due to link with ART optimism, self-efficacy Authors suggest that important aspects of the relationship are pt cenrtedness and as mediating factors (leading to optimism etc) Importance of making pt feel as person underscores importance of communication. Authors call for improving providers’ capacity to make pt feel as a person.
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