BACKGROUND Financial incentives have been shown to improve antiretroviral (ARV) adherence for people living with HIV, but scholars argued that this commodifies treatment and debated the ethics of doing so. This article summarizes research on ethical processes factors involved in an intervention successfully improved ARV among socially vulnerable HIV. METHODS Thirty qualitative interviews were c...

background: despite the effectiveness of drug therapy in diabetes management high rates of poor adherence persist. the purpose of this study was to determine the factors influencing the medication adherence and dietary regiment in type2 diabetic patients. methods: this cross sectional study was conducted on 300 type2 diabetic patients referred to general internal medicine clinic, yazd shohdaye ...

PURPOSE Clinical decision support systems are intended to improve patients' care and outcomes, particularly when such systems are present at the point of care. Protocol Watch was developed as a bedside clinical decision support system to improve clinicians' adherence to the Surviving Sepsis Campaign guidelines. This pre/post-intervention pilot study was done to evaluate the effect of Protocol W...

BACKGROUND End-tidal carbon dioxide (ETCO2) monitoring is an important part of patient care. Understanding and interpreting ETCO2 wavelengths can be a challenge. This pilot study explored the efficacy of a novel approach to educating clinicians on ETCO2 monitoring via game theory. METHOD A video game application for ETCO2 monitoring was developed. Clinicians were encouraged to play the game o...

Application of positive airway pressure is frequently indicated in pediatric patients with a diagnosis of obstructive sleep apnea. Adherence to equipment use is often less than optimal and can be more challenging when working with children with special needs. An in-patient protocol was designed utilizing various techniques and strategies from the medical adherence literature and applied to 2 c...

OBJECTIVE To assess the adherence of physiotherapists to the study protocol and the occurrence of contamination bias during the course of a randomized controlled trial with a recruitment period of 2 years and a 1-year follow-up (COPE-II study). STUDY DESIGN AND SETTING In the COPE-II study, intervention patients received a standardized physiotherapeutic reactivation intervention (COPE-active)...

The double-blind, prospective, National Surgical Adjuvant Breast and Bowel Project (NSABP) Breast Cancer Prevention Trial (BCPT) showed a 50% reduction in the risk of breast cancer for tamoxifen versus placebo, yet many women at risk of breast cancer do not adhere to the 5-year course. This first report of the rich BCPT drug adherence data examines predictors of adherence. Between June, 1992 an...

BACKGROUND Non-adherence to HIV-treatment can have a negative impact on patients treatment success rates, quality of life, infectiousness, and life expectancy. Few adherence interventions have shown positive effects on adherence and/or virologic outcomes. The theory- and evidence-based Adherence Improving self-Management Strategy (AIMS) is an intervention that has been demonstrated to improve a...

Objectives: To review trial-based economic evaluations, identifying: 1) the proportion reporting adherence; 2) methods for assigning intervention costs according to adherence; 3) which participants were included in the economic analysis; and 4) statistical methods to estimate cost-effectiveness in those who adhered. We provide recommendations on handling non-adherence in economic evaluations. M...

OBJECTIVES To determine the diagnostic yield of computed tomography scanning of the pulmonary arteries (CTPA) in our centre and factors associated with it. Differences between specialties as well as adherence to protocol were investigated. METHODS All patients receiving a first CTPA for pulmonary embolism (PE) in 2010 were included. Data about relevant clinical information and the requesting ...