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AIDS and Behavior
Published in: AIDS and Behavior 2/2015

01-06-2015 | Original Paper

Antiretroviral Therapy Adherence and Use of an Electronic Shared Medical Record Among People Living with HIV

Authors: Parya Saberi, Sheryl L. Catz, Wendy A. Leyden, Christine Stewart, James D. Ralston, Michael A. Horberg, Louis Grothaus, Michael J. Silverberg

Published in: AIDS and Behavior | Special Issue 2/2015

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Abstract

Electronic shared medical records (SMR) are emerging healthcare technologies that allow patients to engage in their healthcare by communicating with providers, refilling prescriptions, scheduling appointments, and viewing portions of medical records. We conducted a pre-post cohort study of HIV-positive adults who used and did not use SMR in two integrated healthcare systems. We compared the difference in antiretroviral refill adherence between SMR users and age- and sex-frequency matched non-users from the 12-month period prior to SMR useto the 12-month period starting 6 months after initiation of SMR use. High adherence was maintained among SMR users (change = −0.11 %) but declined among non-users (change = −2.05 %; p = 0.003). Among SMR users, there was a steady improvement in adherence as monthly frequency of SMR use increased (p = 0.009). SMR use, particularly more frequent use, is associated with maintaining high adherence and non-use is associated with declines in adherence over time among patients with access to these online services.
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Metadata
Title
Antiretroviral Therapy Adherence and Use of an Electronic Shared Medical Record Among People Living with HIV
Authors
Parya Saberi
Sheryl L. Catz
Wendy A. Leyden
Christine Stewart
James D. Ralston
Michael A. Horberg
Louis Grothaus
Michael J. Silverberg
Publication date
01-06-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue Special Issue 2/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0982-x

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Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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