Title |
Which Clinician Questions Elicit Accurate Disclosure of Antiretroviral Non-adherence When Talking to Patients?
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Published in |
AIDS and Behavior, October 2015
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DOI | 10.1007/s10461-015-1231-7 |
Pubmed ID | |
Authors |
Wynne Callon, Somnath Saha, P. Todd Korthuis, Ira B. Wilson, Richard D. Moore, Jonathan Cohn, Mary Catherine Beach |
Abstract |
This study evaluated how clinicians assess antiretroviral (ARV) adherence in clinical encounters, and which questions elicit accurate responses. We conducted conversation analysis of audio-recorded encounters between 34 providers and 58 patients reporting ARV non-adherence in post-encounter interviews. Among 42 visits where adherence status was unknown by providers, 4 providers did not discuss ARVs (10 %), 6 discussed ARVs but did not elicit non-adherence disclosure (14 %), and 32 discussed ARVs which prompted disclosure (76 %). Questions were classified as: (1) clarification of medication ("Are you still taking the Combivir?"); (2) broad ("How's it going with your meds?"); (3) positively-framed ("Are you taking your medications regularly?"); (4) negatively-framed ("Have you missed any doses?"). Clinicians asked 75 ARV-related questions: 23 clarification, 12 broad, 17 positively-framed, and 23 negatively-framed. Negatively-framed questions were 3.8 times more likely to elicit accurate disclosure than all other question types (p < 0.0001). Providers can improve disclosure probability by asking directly about missed doses. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 36 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 9 | 25% |
Student > Ph. D. Student | 4 | 11% |
Student > Bachelor | 4 | 11% |
Professor > Associate Professor | 3 | 8% |
Student > Doctoral Student | 2 | 6% |
Other | 8 | 22% |
Unknown | 6 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 19% |
Nursing and Health Professions | 7 | 19% |
Social Sciences | 5 | 14% |
Psychology | 4 | 11% |
Economics, Econometrics and Finance | 2 | 6% |
Other | 6 | 17% |
Unknown | 5 | 14% |