How to investigate levels of Adherence to antiretroviral ... - INRUD

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Chapter 5 Data collection tools and how to modify, print and fill them in Column N 1. For labelling and packaging of the non-ARV medicine, first look at each of the dispensed drugs. Look to see if each non-ARV medicine was dispensed in a separate container or envelope? Does each container or envelope contain the drug name, dose per time, number of times per day? If all comply, write Yes; if not, write No. The next part of the interview is the most important part. It is essential to put the patient as much at ease as possible. Say in the local language, "Some patients find it difficult to take all the medicines every day in exactly the way they are supposed to." O P Q R Name of first ARV in patient regimen # times per day Patient knows # times per day Y/N # Doses missed in last 3 days Column O 2. Take the first antiretroviral and write the name (in agreed abbreviation). Column P 3. Write the correct number of times per day this medicine should be taken (if you don’t know, look at the packet). Column Q How many times a day do you take this medicine? 4. Does the patient know the correct number of times they are meant to take the medicine each day? Write Yes or No. Column R In the last three days have you missed any doses? If so, in the last three days how many times have you missed? 5. Write the number of missed doses (0, 1, 2, etc.) Do the same for each separate ARV. Columns S–V 6. If there are a total of two ARVs, write in columns S–V. 57
How to Investigate Adherence to Antiretroviral Treatment: An Indicator-Based Approach Columns W–Z 7. If there are three ARVs, also write in columns W–Z. AF Reason for missing doses (Code 1-15) AG If "Other," then specify reason for missing doses Column AF 8. If they have missed any doses you can ask the reason and classify it according to the code in column AH (last column). Table 10. Codes to explain missing doses (column AH) 1 = Toxicity-side effect 9 = Travel problems 2 = Shared with others 10 = Inability to pay 3 = Forgot 11 = Alcohol 4 = Felt better 12 = Depression 5 = Too ill 13 = Took holy waters 6 = Stigma 14 = Fasting 7 = Drug out of stock 15 = Changed regimen 8 = Patient ran out of pills or lost pills 16 = Other (specify in column AG) Column AG 9. If the reason is ‚other‛ (code 16), specify the reason in column AG. End the interview by thanking the patient and wishing him or her good luck and a nice day. 58
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WHO/EMP/MIE/2011.1 How to Investiga
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How to Investigate Adherence to Ant
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CONTENTS Acknowledgements .........
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A.3 APPENDIX 3 --- Training slides
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A.4 APPENDIX 4 --- Report template
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How to investigate levels of Adherence to antiretroviral ... - INRUD

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