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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
P. Tyler French, MPH1, Sherry Chorost, MS2, James Tesoriero, PhD1, and Joseph Losowski2. (1) Office of Program Evaluation and Research, New York State Department of Health AIDS Institute, 150 Broadway, Menands, NY 12204, (518) 402-6814, ptf01@health.state.ny.us, (2) New York State Department of Health AIDS Institute, Office of Chronic Care, Corning Tower, Empire State Plaza, Albany, NY 12237
New York State’s Adult Day Care programs provide a variety of services to persons with the Acquired Immune Deficiency Syndrome (AIDS), including medical care, mental health services, case management, and health education. In 1998, expanded eligibility criteria allowed HIV-positive, asymptomatic individuals to be cared for in Adult Day Care settings, provided they receive antiretroviral therapy and have specific adherence-related needs. The Adult Day Care Adherence Study was implemented to assess levels of adherence among clients attending these programs, and to investigate the association between adherence and client and program characteristics. Standardized interviews include information on clients' antiretroviral regimen, clinical indicators, barriers to adherence, service utilization, and social and demographic characteristics, as well as a 3-day self-report of adherence. A random sample of 299 clients on HAART from 10 day care programs were enrolled in the study at baseline, of which 237 (79.3%) completed quarter 1 interviews. Mean self-reported adherence was 90.8% at baseline and 93.0% at quarter 1. Bivariate correlates of nonadherence included cocaine, crack, or heroin use, recently having unprotected sex, and frequent alcohol use (p<.01). Clients exhibited significant increases in CD4 cell count and significant decreases in log10 viral load after enrollment in these programs (p<.001). These findings indicate that clients enrolled in Adult Day Care programs in New York State maintained high levels of adherence and experienced significant improvements in clinical indicators over time.
Learning Objectives:
Keywords: Adherence, HIV Interventions
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.