Using Real-Time Adherence Feedback to Enhance Communication About Adherence to Antiretroviral Therapy: Patient and Clinician Perspectives.
Lauren M Hill, Carol E Golin, Allison Pack and 8 others
PMID 31033629WHAT IT FOUND
Patients and HIV clinicians expected hair-based ART adherence feedback to make medication discussions more accurate and problem-solving focused, but worried it could feel like mistrust or push some patients away.
Key findings
01Patients and clinicians anticipated objective adherence feedback would help them solve problems, motivate future adherence, and reinforce why ART matters.
02Clinicians expected objective feedback to be useful because patients may not accurately recall or report missed doses.
03Clinicians worried that monitoring results could be seen as distrust and that some patients might avoid appointments.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a formative qualitative study, not a trial of the feedback. Participants were from a specialized academic clinic and may not reflect other settings. Recruited patients may have been more engaged in care than the broader clinic population. Viral loads used for recruitment did not immediately precede interviews, so adherence patterns may have changed. Most patients believed their own adherence was high, and few acknowledged personal adherence problems, so concerns may be underrepresented. The interviews captured expectations and concerns, not measured adherence or communication outcomes.
Declared interests
The authors declared no real or perceived vested interests that could be construed as a conflict of interest.
The easy way to misread this
Do not read these interviews as evidence that hair-based adherence feedback improves adherence or communication. The study only captured what patients and clinicians expected and worried about before the feedback was used in care.