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  • Title: Measuring HIV treatment adherence in clinical practice.
    Author: Hecht FM.
    Journal: AIDS Clin Care; 1998 Aug; 10(8):57-9. PubMed ID: 11365682.
    Abstract:
    Measuring adherence to HIV treatment regimens is important in determining whether patients will develop undetectable HIV viremia or drug-resistant HIV. A few methods of measurement have shown documented effectiveness. Questioning the patient with specific, nonjudgmental questions is the best method for gaining accurate information about adherence problems and enhancing regimen adherence. Measuring drug levels should only be a supplemental approach because, for most antiretrovirals, such measurements only give evidence of the most recent dose taken. Electronic pill monitoring, pill counts, and prescription refill reviews are also adjuncts to patient self-reports, however, each method has its limitations. A list of questions is provided that explains what should and should not be asked when assessing patient treatment adherence.
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