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Effect of format on comprehension of adherence data in chronic disease: A cross-sectional study in HIV.

Abstract：

OBJECTIVE:To determine which formats communicate medication adherence effectively to patients. METHODS:HIV-infected adults on antiretrovirals viewed examples of refill data in 5 formats: (1) percentage of doses, (2) number of days late to refill ("days late"), (3) calendar of days with/without medications, (4) pie chart of days with/without medications, and (5) letter grade. Five scenarios (>95%, 90-95%, <90%, <80% and <70% adherence) were presented in each format. Participants rated scenarios on adherence improvement needed. "Good understanding" was ≥ 4 of 5 scenarios correct. We calculated odds ratios for "good understanding" using logistic regression with percentage as the referent format. RESULTS:124 participants were median age 48.5 years, 65% Black, 71% male. Understanding of all formats differed by education (all interaction p values<0.02). For ≤ 12 years education, odds ratios (OR) of understanding (95% CI) compared to percentage were: days late 3.3 (2.3-4.7), calendar 3.1 (2.2-4.3) pie chart 2.0 (1.4-2.7), and letter grade 1.8 (1.3-2.5). For >12 years education, ORs were: days late 1.3 (0.9-2.0), calendar 2.4 (1.5-3.8), pie chart 2.9 (1.8-4.6), and letter grade 1.7 (1.1-2.6). Calendar plot was most preferred. CONCLUSIONS:Adherence percentage was the least understood format regardless of education. PRACTICE IMPLICATIONS:Calendars should be used to convey adherence information.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Lyons A,Bilker WB,Hines J,Gross R

doi

10.1016/j.pec.2015.08.002

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

154-9

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(15)30040-9

journal_volume

99

pub_type

杂志文章

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