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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pharmacists’ perspectives on promoting medication adherence among patients with HIV</title><author><name sortKey="Kibicho, Jennifer W" sort="Kibicho, Jennifer W" uniqKey="Kibicho J" first="Jennifer W." last="Kibicho">Jennifer W. Kibicho</name></author><author><name sortKey="Owczarzak, Jill" sort="Owczarzak, Jill" uniqKey="Owczarzak J" first="Jill" last="Owczarzak">Jill Owczarzak</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22068197</idno><idno type="pmc">4371784</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371784</idno><idno type="RBID">PMC:4371784</idno><idno type="doi">10.1331/JAPhA.2011.10190</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001A01</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001A01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pharmacists’ perspectives on promoting medication adherence among patients with HIV</title><author><name sortKey="Kibicho, Jennifer W" sort="Kibicho, Jennifer W" uniqKey="Kibicho J" first="Jennifer W." last="Kibicho">Jennifer W. Kibicho</name></author><author><name sortKey="Owczarzak, Jill" sort="Owczarzak, Jill" uniqKey="Owczarzak J" first="Jill" last="Owczarzak">Jill Owczarzak</name></author></analytic><series><title level="j">Journal of the American Pharmacists Association : JAPhA</title><idno type="ISSN">1544-3191</idno><idno type="eISSN">1544-3450</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">To provide pharmacists’ perspectives on medication adherence barriers for patients with human immunodeficiency virus (HIV) and to describe pharmacists’ strategies for promoting adherence to antiretroviral medications.</p></sec><sec id="S2"><title>Design</title><p id="P2">Multisite, qualitative, descriptive study.</p></sec><sec id="S3"><title>Setting</title><p id="P3">Four midwestern U.S. states, from August through October 2009.</p></sec><sec id="S4"><title>Participants</title><p id="P4">19 pharmacists at 10 pharmacies providing services to patients with HIV.</p></sec><sec id="S5"><title>Intervention</title><p id="P5">Pharmacists were interviewed using a semistructured interview guide.</p></sec><sec id="S6"><title>Main outcome measures</title><p id="P6">Barriers to medication adherence, pharmacist interventions, challenges to promoting adherence.</p></sec><sec id="S7"><title>Results</title><p id="P7">Pharmacists reported a range of adherence barriers that were patient specific (e.g., cognitive factors, lack of social support), therapy related (e.g., adverse effects, intolerable medications), and structural level (e.g., strained provider relationships). They used a combination of individually tailored, patient-specific interventions that identified and resolved adherence barriers and actively anticipated and addressed potential adherence barriers. Pharmacist interventions included medication-specific education to enhance patient self-efficacy, follow-up calls to monitor adherence, practical and social support to motivate adherence, and patient referrals to other health care providers. However, the pharmacists faced internal (e.g., lack of time, lack of trained personnel) and external (e.g., insurance policies that disallowed patient enrollment in automatic prescription refill program) challenges.</p></sec><sec id="S8"><title>Conclusion</title><p id="P8">Pharmacists in community settings went beyond prescription drug counseling mandated by law to provide additional pharmacy services that were tailored to the needs of patients with HIV. Given that many individuals with HIV are living longer, more research is needed on the effectiveness and cost effectiveness of pharmacists’ interventions in clinical practice, in order to inform insurance reimbursement policies.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101176252</journal-id><journal-id journal-id-type="pubmed-jr-id">30394</journal-id><journal-id journal-id-type="nlm-ta">J Am Pharm Assoc (2003)</journal-id><journal-id journal-id-type="iso-abbrev">J Am Pharm Assoc (2003)</journal-id><journal-title-group><journal-title>Journal of the American Pharmacists Association : JAPhA</journal-title></journal-title-group><issn pub-type="ppub">1544-3191</issn><issn pub-type="epub">1544-3450</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22068197</article-id><article-id pub-id-type="pmc">4371784</article-id><article-id pub-id-type="doi">10.1331/JAPhA.2011.10190</article-id><article-id pub-id-type="manuscript">NIHMS671366</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Pharmacists’ perspectives on promoting medication adherence among patients with HIV</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kibicho</surname><given-names>Jennifer W.</given-names></name><degrees>PhD</degrees><role>Assistant Professor of Psychiatry and Behavioral Medicine</role></contrib><contrib contrib-type="author"><name><surname>Owczarzak</surname><given-names>Jill</given-names></name><degrees>PhD</degrees><role>Assistant Professor of Psychiatry and Behavioral Medicine</role></contrib><aff id="A1">Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee</aff></contrib-group><author-notes><corresp id="FN1">Correspondence: Jennifer Kibicho, Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Ave., Milwaukee, WI 53202. Fax: 414-287-4209. <email>jkibicho@mcw.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="ppub"><season>Nov-Dec</season><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>24</day><month>3</month><year>2015</year></pub-date><volume>51</volume><issue>6</issue><fpage>746</fpage><lpage>755</lpage><pmc-comment>elocation-id from pubmed: 10.1331/JAPhA.2011.10190</pmc-comment>
<abstract><sec id="S1"><title>Objectives</title><p id="P1">To provide pharmacists’ perspectives on medication adherence barriers for patients with human immunodeficiency virus (HIV) and to describe pharmacists’ strategies for promoting adherence to antiretroviral medications.</p></sec><sec id="S2"><title>Design</title><p id="P2">Multisite, qualitative, descriptive study.</p></sec><sec id="S3"><title>Setting</title><p id="P3">Four midwestern U.S. states, from August through October 2009.</p></sec><sec id="S4"><title>Participants</title><p id="P4">19 pharmacists at 10 pharmacies providing services to patients with HIV.</p></sec><sec id="S5"><title>Intervention</title><p id="P5">Pharmacists were interviewed using a semistructured interview guide.</p></sec><sec id="S6"><title>Main outcome measures</title><p id="P6">Barriers to medication adherence, pharmacist interventions, challenges to promoting adherence.</p></sec><sec id="S7"><title>Results</title><p id="P7">Pharmacists reported a range of adherence barriers that were patient specific (e.g., cognitive factors, lack of social support), therapy related (e.g., adverse effects, intolerable medications), and structural level (e.g., strained provider relationships). They used a combination of individually tailored, patient-specific interventions that identified and resolved adherence barriers and actively anticipated and addressed potential adherence barriers. Pharmacist interventions included medication-specific education to enhance patient self-efficacy, follow-up calls to monitor adherence, practical and social support to motivate adherence, and patient referrals to other health care providers. However, the pharmacists faced internal (e.g., lack of time, lack of trained personnel) and external (e.g., insurance policies that disallowed patient enrollment in automatic prescription refill program) challenges.</p></sec><sec id="S8"><title>Conclusion</title><p id="P8">Pharmacists in community settings went beyond prescription drug counseling mandated by law to provide additional pharmacy services that were tailored to the needs of patients with HIV. Given that many individuals with HIV are living longer, more research is needed on the effectiveness and cost effectiveness of pharmacists’ interventions in clinical practice, in order to inform insurance reimbursement policies.</p></sec></abstract><kwd-group><kwd>Clinical interventions</kwd><kwd>pharmacists</kwd><kwd>patient-centered care</kwd><kwd>barriers</kwd><kwd>medication adherence</kwd><kwd>health promotion</kwd><kwd>human immunodeficiency virus</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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