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Computer-Assisted Self-Interviewing (CASI) to Improve Provider Assessment of Adherence in Routine Clinical Practice

Bangsberg, David R.; Bronstone, Amy; Chesney, Margaret A.; Hecht, Federick M.
JAIDS Journal of Acquired Immune Deficiency Syndromes: December 15th, 2002
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Summary:Adherence to HIV antiretroviral therapy is closely associated with viral load suppression, progression to AIDS, and death in HIV-infected people. There is, however, no standardized approach to adherence assessment in routine clinical practice, and several studies suggest that providers rarely estimate adherence better than chance. Computer-assisted self-interview technology is an efficient means to identify HIV antiretroviral regimen errors and monitor adherence in order to maximize the benefits of therapy.

Bangsberg received support from The Doris Duke Charitable ??dation, The National Institute of Mental Health (RO-I MH63011-??O-1 MH54907-04) and UCSF Center for AIDS Research.

Address correspondence and reprint requests to David R. Bangsberg. ??miology and Prevention Interventions Center, Bld. 100. Rm. 301, ??rancisco General Hospital. 1001 Potrero Avenue. San Francisco. ??4110, U.S.A.; e-mail: db@epi-center.ucsf.edu

© 2002 Lippincott Williams & Wilkins, Inc.