Title |
Adherence to Antiretroviral Therapy and Acceptability of Planned Treatment Interruptions in HIV-Infected Children
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Published in |
AIDS and Behavior, May 2012
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DOI | 10.1007/s10461-012-0197-y |
Pubmed ID | |
Authors |
Linda Harrison, Jintanat Ananworanich, Djamel Hamadache, Alexandra Compagnucci, Martina Penazzato, Torsak Bunupuradah, Antonio Mazza, Jose Tomas Ramos, Jacquie Flynn, Osvalda Rampon, Maria Jose Mellado Pena, Daniel Floret, Magdalena Marczynska, Ana Puga, Silvia Forcat, Yoann Riault, Marc Lallemant, Hannah Castro, Diana M. Gibb, Carlo Giaquinto, On Behalf of the Paediatric European Network for Treatment of AIDS (PENTA) 11 Trial Team |
Abstract |
There have been no paediatric randomised trials describing the effect of planned treatment interruptions (PTIs) of antiretroviral therapy (ART) on adherence, or evaluating acceptability of such a strategy. In PENTA 11, HIV-infected children were randomised to CD4-guided PTIs (n = 53) or continuous therapy (CT, n = 56). Carers, and children if appropriate, completed questionnaires on adherence to ART and acceptability of PTIs. There was no difference in reported adherence on ART between CT and PTI groups; non-adherence (reporting missed doses over the last 3 days or marking <100 % adherence since the last clinical visit on a visual analogue scale) was 18 % (20/111) and 14 % (12/83) on carer questionnaires in the CT and PTI groups respectively (odds ratios, OR (95 % CI) = 1.04 (0.20, 5.41), χ(2) (1) = 0.003, p = 0.96). Carers in Europe/USA reported non-adherence more often (31/121, 26 %) than in Thailand (1/73, 1 %; OR (95 % CI) = 54.65 (3.68, 810.55), χ(2) (1) = 8.45, p = 0.004). The majority of families indicated they were happy to have further PTIs (carer: 23/36, 64 %; children: 8/13, 62 %), however many reported more clinic visits during PTI were a problem (carer: 15/36, 42 %; children: 6/12, 50 %). |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 1 | 33% |
Kenya | 1 | 33% |
United States | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Ethiopia | 2 | 2% |
Burkina Faso | 1 | <1% |
India | 1 | <1% |
United Kingdom | 1 | <1% |
Spain | 1 | <1% |
Unknown | 96 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 16% |
Researcher | 15 | 15% |
Student > Doctoral Student | 10 | 10% |
Student > Bachelor | 9 | 9% |
Other | 7 | 7% |
Other | 25 | 25% |
Unknown | 20 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 36 | 35% |
Psychology | 10 | 10% |
Nursing and Health Professions | 8 | 8% |
Social Sciences | 4 | 4% |
Business, Management and Accounting | 3 | 3% |
Other | 16 | 16% |
Unknown | 25 | 25% |