ArticleJournal of the American Pharmacists Association : JAPhA
Pharmacists' strategies for promoting medication adherence among patients with HIV.
Article in Journal of the American Pharmacists Association : JAPhA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- The Role of Pharmacies in the HIV Prevention and Care Continuums: A Systematic Review.AIDS and behavior · 2021Pooled it
- Patients, Social Workers, and Pharmacists' Perceptions of Barriers to Providing HIV Care in Community Pharmacies in the United States.Pharmacy (Basel, Switzerland) · 2021Article
- "Dispense antiretrovirals daily!" restructuring the delivery of HIV services to optimize antiretroviral initiation among men in Malawi.PloS one · 2021Article
- Correlation Between Patients' Medication Adherence and Their Psychological Contract with Hospital Pharmacists.Patient preference and adherence · 2020Article
- Determination of medication adherence and related factors among people living with HIV/AIDS in a Turkish university hospitalTurkish journal of medical sciences · 2019Article
- A structural equation model of patient-healthcare provider relationships and HIV-infected patient outcomes in Chinese populations.AIDS care · 2018Article
- Total daily pill burden in HIV-infected patients in the southern United States.AIDS patient care and STDs · 2014Article
- Impact of HIV-specialized pharmacies on adherence and persistence with antiretroviral therapy.AIDS patient care and STDs · 2012Article
- HIV medication therapy management services in community pharmacies.Journal of the American Pharmacists Association : JAPhA · 2012Article
- Using implementation science to evaluate perceived feasibility of pharmacy-based HIV services in the Southeastern United States.Journal of the American Pharmacists Association : JAPhAArticle
- Are community-based pharmacists underused in the care of persons living with HIV? A need for structural and policy changes.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo provide pharmacists' perspectives on medication adherence barriers for patients with human immunodeficiency virus (HIV) and to describe pharmacists' strategies for promoting adherence to antiretroviral medications.
designMultisite, qualitative, descriptive study.
settingFour midwestern U. S. states, from August through October 2009.
participants19 pharmacists at 10 pharmacies providing services to patients with HIV.
interventionPharmacists were interviewed using a semistructured interview guide.
main outcome measuresBarriers to medication adherence, pharmacist interventions, challenges to promoting adherence.
resultsPharmacists reported a range of adherence barriers that were patient specific (e.g., cognitive factors, lack of social support), therapy related (e.g., adverse effects, intolerable medications), and structural level (e.g., strained provider relationships). They used a combination of individually tailored, patient-specific interventions that identified and resolved adherence barriers and actively anticipated and addressed potential adherence barriers. Pharmacist interventions included medication-specific education to enhance patient self-efficacy, follow-up calls to monitor adherence, practical and social support to motivate adherence, and patient referrals to other health care providers. However, the pharmacists faced internal (e.g., lack of time, lack of trained personnel) and external (e.g., insurance policies that disallowed patient enrollment in automatic prescription refill program) challenges.
conclusionPharmacists in community settings went beyond prescription drug counseling mandated by law to provide additional pharmacy services that were tailored to the needs of patients with HIV. Given that many individuals with HIV are living longer, more research is needed on the effectiveness and cost effectiveness of pharmacists' interventions in clinical practice, in order to inform insurance reimbursement policies.
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