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本文引用的文献

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Readiness, trust, and adherence: a clinical perspective.准备就绪、信任与依从性:临床视角
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Antiretroviral treatment of adult HIV infection: 2012 recommendations of the International Antiviral Society-USA panel.成人 HIV 感染的抗逆转录病毒治疗:美国国际抗病毒学会 2012 年推荐意见。
JAMA. 2012 Jul 25;308(4):387-402. doi: 10.1001/jama.2012.7961.
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Prevention of HIV-1 infection with early antiretroviral therapy.早期抗逆转录病毒疗法预防 HIV-1 感染。
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Importance of dose timing to achieving undetectable viral loads.剂量时机对于实现病毒载量不可检测的重要性。
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7
Adherence-resistance relationships for protease and non-nucleoside reverse transcriptase inhibitors explained by virological fitness.病毒适应性解释的蛋白酶和非核苷类逆转录酶抑制剂的依从性-耐药性关系。
AIDS. 2006 Jan 9;20(2):223-31. doi: 10.1097/01.aids.0000199825.34241.49.
8
The PHQ-9: validity of a brief depression severity measure.PHQ-9:一种简短抑郁严重程度测量工具的效度
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Non-adherence to highly active antiretroviral therapy predicts progression to AIDS.不坚持高效抗逆转录病毒疗法会增加发展为艾滋病的风险。
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10
Provider assessment of adherence to HIV antiretroviral therapy.医疗服务提供者对艾滋病病毒抗逆转录病毒治疗依从性的评估。
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《依从准备度计划的初步试验:评估和维持 HIV 抗逆转录病毒治疗依从性准备度的干预措施》

Pilot controlled trial of the adherence readiness program: an intervention to assess and sustain HIV antiretroviral adherence readiness.

机构信息

RAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA,

出版信息

AIDS Behav. 2013 Nov;17(9):3059-65. doi: 10.1007/s10461-013-0550-9.

DOI:10.1007/s10461-013-0550-9
PMID:23904145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3812249/
Abstract

To pilot the adherence readiness program, 60 patients planning to start HIV antiretrovirals were assigned to usual care (n = 31) or the intervention (n = 29), of whom 54 started antiretrovirals and were followed for up to 24 weeks. At week 24, the intervention had a large effect (50.0 % vs. 16.7 %, d = 0.75) on optimal dose-timing (85+ % doses taken on time) and small effect (54.2 % vs. 43.3 %, d = 0.22) on optimal dose-taking (85+ % doses taken) electronically monitored adherence, and medium effect on undetectable viral load (62 % 0.5 % vs. 43.4 %, d = 0.41), compared to usual care. These intervention benefits on adherence and viral suppression warrant further investigation.

摘要

为了试行依从性准备计划,将 60 名计划开始接受 HIV 抗逆转录病毒治疗的患者分配至常规护理组(n = 31)或干预组(n = 29),其中 54 名开始接受抗逆转录病毒治疗,并随访了最多 24 周。在第 24 周时,与常规护理相比,干预措施对最佳剂量时间(85+%的剂量按时服用,d = 0.75)和最佳剂量服用(85+%的剂量服用,d = 0.22)的电子监测依从性有较大影响(50.0% vs. 16.7%),对不可检测的病毒载量有中等影响(62% vs. 43.4%,d = 0.41)。与常规护理相比,这些干预措施在依从性和病毒抑制方面的益处值得进一步研究。