The role of integrated home-based care in patient adherence to antiretroviral therapy

Revista da Sociedade Brasileira de Medicina Tropical

Universidade Federal do Espírito Santo, Vitória, Brasil¹  Silva, Angela Caulyt Santos da¹  Secretaria de Saúde do Espírito Santo, Vitória, Brasil¹  Gupta, Neil¹  Passos, Luciana Neves¹ 

关键词: HIV therapy;    Antiretroviral therapy;    Adherence;    Home-based care;   

DOI  :  10.1590/S0037-86822005000300007

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

Non-adherence is one of the primary obstacles to successful antiretroviral therapy in HIV+ patients worldwide. In Brazil, the Domiciliary Therapeutic Assistance is a multidisciplinary and integrated home-based assistance program provided for HIV+ patients confined in their homes due to physical deficiency. This study investigated ADT's ability to monitor and promote appropriate adherence to ARV therapy. Fifty-six individuals were recruited from three study groups: Group 1 - patients currently in the ADT program, Group 2 - 21 patients previously treated by the ADT program, and Group 3 - 20 patients who have always been treated using conventional ambulatory care. Using multivariable self-reporting to evaluate adherence, patients in the ADT program had significantly better adherence than patients in ambulatory care (F = 6.66, p = 0.003). This effect was independent of demographic and socioeconomic characteristics as well as medical history. Patients in the ADT program also showed a trend towards greater therapeutic success than ambulatory patients. These results suggest the incorporation of characteristics of ADT in conventional ambulatory care as a strategy to increase adherence to ARV therapy.

【 授权许可】

Unknown