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Terms and Conditions ACCEPT

Purpose:	To identify factors that may reduce an HIV-infected patient's adherence to a therapeutic regimen.
Specialty:	Infectious Disease
Objective:	compliance/adherence
ICD-10:	B24


Are you evaluating the drug adherence of an HIV-infected patient?	Yes No

Gender of the patient	Male Female

Age of the patient		years

Number of times required to take medications during the day
Does/Is the patient?

• abuse drugs or alcohol?	Yes No

• depressed?	Yes No

• anxious?	Yes No

• in pain?	Yes No

• poorly educated?	Yes No

• from a minority ethnic group?	Yes No

• seen no change in physical health ?	Yes No

• have a high pill burden?	Yes No

• have problems with a specific drug?	Yes No

• find it difficult to take medications when away from home?	Yes No

• have difficulties with the food requirements and restrictions?	Yes No

• experiencing adverse effects from the therapy?	Yes No

• dissatisfied with past experience of the health care system?	Yes No

• have a poor relationship with his health care provider?	Yes No
Evaluating...

Data complete?
Evaluation appropriate?
Number of factors that may contribute to poor adherence

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Method for Improving Adherence in HIV-Infected Patients

Purpose:

Specialty:

Objective:

ICD-10:

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