Pharmacist-led patient education on antiretroviral therapy: is it enough to improve adherence?
DOI:
https://doi.org/10.17533/udea.vitae.v23n2a02Keywords:
Medication Adherence, Pharmaceutical care, Patient Compliance, Acquired Immunodeficiency Syndrome, Highly Active Antiretroviral TherapyAbstract
Case presentation: A 58-year-old man with AIDS, under ART treatment for 12 years, presenting non-compliance due pharmacotherapy complexity and lack of knowledge regarding disease and treatment. A care plan including pharmaceutical and educational interventions was established during a 7-month follow up. The plan mainly contemplated individual educational interventions with a few adjustments in the pharmacotherapy. Improvement of adherence and increase in quality of life where achieved in the end of the interventions, but no clinical impact was observed. Conclusion: Although increase in self-care and compliance to ART were enhanced, less complex regimens decided in cooperation between pharmacists and physicians could achieve better outcomes and solve some adverse-effects.
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References
Guimarães MDC, Rocha GM, Campos LN et al. Difficulties reported by HIV-infected patients using antiretroviral therapy in brazil. Clinics. 2008; 63(2): 165-172.
Knobel H, Alonso J, Casado JL et al. Validation of a simplified medication adherence questionnaire in a large cohort of HIVinfected patients: the GEEMA Study. AIDS. 2002; 16(4): 605-613.
Remor E, Milner-Moskovics J, Preussler G. Adaptação brasileira do “Cuestionario para la Evaluación de la Adhesión al Tratamiento Antirretroviral”. Rev Saúde Pública. 2007; 41(5): 685-694.
De Soárez PC, Castelo A, Abrão P, Holmes WC, Ciconelli RM. Tradução e validação de um questionário de avaliação de qualidade de vida em AIDS no Brasil. Rev Panam Salud Publica. 2009; 25(1):69–76.1. Guimarães MDC, Rocha GM, Campos LN et al. Difficulties reported by HIV-infected patients using antiretroviral therapy
in brazil. Clinics. 2008; 63(2): 165-172.
Knobel H, Alonso J, Casado JL et al. Validation of a simplified
medication adherence questionnaire in a large cohort of HIVinfected patients: the GEEMA Study. AIDS. 2002; 16(4): 605-613.
Remor E, Milner-Moskovics J, Preussler G. Adaptação brasileira do “Cuestionario para la Evaluación de la Adhesión al Tratamiento Antirretroviral”. Rev Saúde Pública. 2007; 41(5): 685-694.
De Soárez PC, Castelo A, Abrão P, Holmes WC, Ciconelli RM. Tradução e validação de um questionário de avaliação de qualidade de vida em AIDS no Brasil. Rev Panam Salud Publica. 2009; 25(1):69–76.
Kelly DV, Bishop L, Young S, Hawboldt J, Phillips L, Keough TM. Pharmacist and physician views on collaborative practice: Findings from the community pharmaceutical care project. Can Pharm J (Ott). 2013; 146(4): 218–22.
Palella FJ Jr, Delaney KM, Moorman AC et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl J Med. 1998; 338(13):853-860.
Shuter J. Forgiveness of non-adherence to HIV-1 antiretroviral therapy. Journal of Antimicrobial Chemotherapy. 2008; 61: 769–773.
Recsky MA, Brumme ZL, Chan KJ, Wynhoven B, Yip B, Dong WW, et al. Antiretroviral resistance among HIV-infected persons who have died in British Columbia, in the era of modern antiretroviral therapy. Journal of Infectious Diseases. 2004; 190 (2), 285–92
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