The Client Adherence Profiling-Intervention Tailoring (CAP-IT) Intervention for Enhancing Adherence to HIV/AIDS Medications: A Pilot Study

Abstract

This article describes the Client Adherence Profiling-Intervention Tailoring (CAP-IT) intervention designed to enhance adherence to HIV/AIDS medications and reports the results of a pilot study aimed at assessing the feasibility of CAP-IT. Initially, CAP-IT was designed to be implemented by nurse case managers during regularly scheduled home visits; it is currently under revision for use in an outpatient, ambulatory care setting. CAP-IT is an innovative, structured nursing assessment and care-planning activity that allows a standardized assessment of client needs and tailored highly active antiretroviral therapy adherence intervention strategies. CAP-IT is significantly different from the current standard nursing case management practice. Pilot study results in a sample of 10 home care patients suggests that clients have knowledge and skill deficits related to adherence and in the management of the side effects of medications. In addition, the pilot study supported the acceptability of the protocol to clients and the feasibility of integrating CAP-IT into nurse case manager practice. The pilot study results also provided evidence for the efficacy of CAP-IT. The next steps include testing CAP-IT in a randomized clinical trial to determine its effectiveness.

Exploring the Contribution of General Self-Efficacy to the Use of Self-Care Symptom Management Strategies by People Living with HIV Infection

“…HIV/AIDS Targeted Quality of Life Instrument (HATQoL) is a 34 item HIV-specific quality of life measurement assessing nine dimensions including overall function, life satisfaction, health worries, financial worries, medication worries, HIV mastery, disclosure, provider trust, and sexual function. [29][30][31] All dimensions are scored so that the final dimension score is transformed to a linear 0-100 scale where 0 is the worst possible score and 100, the best possible score.…”

A Randomized Study of Serial Telephone Call Support to Increase Adherence and Thereby Improve Virologic Outcome in Persons Initiating Antiretroviral Therapy

“…Pilot studies have suggested that watch alarms, medication-taking skills development, motivational interviewing, other behavioral in terventions, peer support, personalized cues with financial compensation, case management, and directly observed therapy may increase adherence [19][20][21][22][23][24][25][26][27]. Randomized studies have shown that some interventions increase adherence, but improvement in virologic outcome has been rare [28][29][30][31].…”

Reconciling Incompatibilities: A Grounded Theory of HIV Medication Adherence and Symptom Management

“…Although ARV adherence intervention models are being tested (Holzemer, Henry, Portillo, & Miramontes, 2000;Osborne, van Praag, & Jackson, 1997), none of these interventions has proposed the level of intensity of treatment that might be required if a recovery model were to be adopted. Stone (2001) recently discussed strategies for optimizing adherence to ARV medications.…”