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Practical and Conceptual Challenges in Measuring Antiretroviral Adherence

Bibliographic Data

ID23375182
AuthorsKarina M Berg (0000-0001-7536-3760, Albert Einstein College of Medicine), Julia H Arnsten (0000-0002-7741-1567, Albert Einstein College of Medicine)
Year2006
Volume43
IssueSupplement 1
PagesS79-S87
Publication date2006-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJAIDS Journal of Acquired Immune Deficiency Syndromes (JOURNAL)
Journal identifiersISSN: 1525-4135 • E-ISSN: 1944-7884
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.qai.0000248337.97814.66
PMID17133207
PMCIDPMC2866146
OpenAlexW2042509763
LanguageEN
Citations received57
References cited86

Accurate measurement of antiretroviral adherence is essential for targeting and rigorously evaluating interventions to improve adherence and prevent viral resistance. Across diseases, medication adherence is an individual, complex, and dynamic human behavior that presents unique measurement challenges. Measurement of medication adherence is further complicated by the diversity of available measures, which have different utility in clinical and research settings. Limited understanding of how to optimize existing adherence measures has hindered progress in adherence research in HIV and other diseases. Although self-report is the most widely used adherence measure and the most promising for use in clinical care and resource-limited settings, adherence researchers have yet to develop evidence-based standards for self-reported adherence. In addition, the use of objective measures, such as electronic drug monitoring or pill counts, is limited by poor understanding of the source and magnitude of error biasing these measures. To address these limitations, research is needed to evaluate methods of combining information from different measures. The goals of this review are to describe the state of the science of adherence measurement, to discuss the advantages and disadvantages of common adherence measurement methods, and to recommend directions for improving antiretroviral adherence measurement in research and clinical care.

Family medicine · Human immunodeficiency virus (HIV) · Intensive care medicine · Medication adherence · MEDLINE · Pill · Psychiatry · Psychological intervention · Computer Science · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medication Adherence and Compliance · Medicine · Pharmacology

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Unique citing works57
Citations per year3,17
Citation span2008 - 2026 (19)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 52

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