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J Acquir Immune Defic Syndr. 2011 Jul 1;57 Suppl 1:S40-3. doi: 10.1097/QAI.0b013e318222b5c2.

Adherence to antiretroviral treatment in HIV-positive patients in the Cameroon context: promoting the use of medication reminder methods.

Author information

1
INSERM, U912, SE4S, Marseille, Bouches-du-Rhône, France. perrine.roux@inserm.fr

Abstract

OBJECTIVES:

Antiretroviral treatment (ART) scale-up in sub-Saharan Africa has made it possible to investigate the maintenance of adherence to HIV medications. We describe here adherence to ART and identify its correlates in the Cameroonian context.

DESIGN:

Prospective cohort study in 9 rural district hospitals.

METHODS:

A mixed logistic regression model was used to identify factors associated with adherence to ART in 401 patients with data prospectively collected on adherence.

RESULTS:

Although 73% of patients were adherent after the first month on ART, this proportion decreased to 61% after 24 months. After adjustment for known factors of adherence to ART (such as knowledge, motivation and side-effects), patients who reported willingness to start ART before initiation, those who were satisfied with information provided by their physicians, and those who implemented reminder methods for ART intake {eg, using an alarm clock, mobile phone, or watch [odds ratio (95% confidence interval)] = 2.45 (1.58 to 3.79), but also the help of a relative to remind them or other methods} were more likely to be adherent to ART.

CONCLUSIONS:

Besides highlighting some correlates already known to have an impact on adherence to ART, our findings also underline the need to reinforce the counseling component of follow-up through innovative methods. Accordingly, training and implementation research should encourage the use of medication reminder methods, such as mobile phones, to assure adherence over time and improve long-term response to ART.

PMID:
21857285
DOI:
10.1097/QAI.0b013e318222b5c2
[Indexed for MEDLINE]

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