Back to Search
Start Over
Doctor-patient concordance during HIV treatment switching decision-making.
- Source :
- HIV Medicine; Feb2011, Vol. 12 Issue 2, p87-96, 10p, 4 Charts, 2 Graphs
- Publication Year :
- 2011
-
Abstract
- Objectives The aim of the study was to explore levels of doctor-patient concordance during the making of decisions regarding HIV treatment switching and stopping in relation to patient health-related outcomes. Methods Adult patients attending five HIV clinics in the United Kingdom were requested to complete the study questionnaire, which included a Concordance Scale, and measures of symptoms [Memorial Symptom Assessment Short Form (MSAS) index], quality of life (EuroQol), satisfaction, adherence and sexual risk behaviour. Clinical health measures (HIV viral load and CD4 cell count) were also obtained. A total of 779 patients completed the questionnaire, giving a response rate of 86%; of these 779 patients, 430 had switched or stopped their HIV treatment and were thus eligible for inclusion. Of these patients, 217 (50.5%) fully completed the Concordance Scale. Results Concordance levels were high (88% scored between 30 and 40 on the scale; score range 10-40). Higher concordance was related to several patient outcomes, including: better quality of life (P=0.003), less severe and burdensome symptom experience (lower MSAS-physical score, P=0.001; lower MSAS-psychological score, P=0.008; lower MSAS-global distress index score, P=0.011; fewer symptoms reported, P=0.007), higher CD4 cell count (at baseline, P=0.019, and 6-12 months later, P=0.043) and greater adherence (P=0.029). Conclusions High levels of doctor-patient concordance in HIV treatment decision-making are associated with greater adherence and better physical and psychological functioning. More research is needed to establish a causal relationship between concordance and these outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infections
THERAPEUTICS
ASIANS
BLACK people
BLOOD cell count
DECISION making
HEALTH status indicators
LONGITUDINAL method
NONPARAMETRIC statistics
PATIENT satisfaction
LEGAL status of patients
PHYSICIAN-patient relations
QUALITY of life
REGRESSION analysis
RESEARCH funding
STATISTICAL sampling
SCALE analysis (Psychology)
STATISTICS
T cells
U-statistics
WHITE people
DECISION making in clinical medicine
LOGISTIC regression analysis
DATA analysis
VIRAL load
QUANTITATIVE research
PATIENT-centered care
Subjects
Details
- Language :
- English
- ISSN :
- 14642662
- Volume :
- 12
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- HIV Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 60026399
- Full Text :
- https://doi.org/10.1111/j.1468-1293.2010.00851.x