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Assessing and achieving readiness to initiate HIV medication
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
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2006 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 62, no 1, 21-30 p.Article in journal (Refereed) Published
Abstract [en]

Objective

To summarise published HIV-specific research on readiness theories, factors influencing readiness, instruments to measure readiness and interventions to increase readiness for treatment.

Methods

Medline and PsychInfo were searched until August 2004.

Results

Two 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.

Conclusion

Readiness 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 implications

Readiness 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.

Place, publisher, year, edition, pages
2006. Vol. 62, no 1, 21-30 p.
Keyword [en]
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
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-81977DOI: 10.1016/j.pec.2005.09.014PubMedID: 16766244OAI: oai:DiVA.org:uu-81977DiVA: diva2:109892
Available from: 2006-09-06 Created: 2006-09-06 Last updated: 2013-01-31Bibliographically approved

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Nordqvist, OlaKettis Lindblad, Åsa

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