CASE
STUDY ABSTRACT, OBJECTIVES & DESIGN
CASE
The Center for Adherence Support Evaluation
at the New York Academy of Medicine
Panel Submission Overview Document for 129th Annual Meeting of the American Public Health Association
Statement:
The promises of new leases on life and hope offered by highly active antiretroviral
therapy (HAART) have been tempered by the difficulties of use. People
living with HIV are faced with how to deal with the constraints imposed
by HAART-the multiple drug regimen, frequency and timing of doses, dietary
requirements, and medication storage. Added to the difficulties of medication-taking
behavior are the challenges of helping individuals most in need of adherence
support. Many people living with HIV face adversities related to poverty,
substance use, and mental illness that may make it more difficult to adhere
and require a constellation of concrete support services-drug treatment,
housing, child care-to manage their HIV disease. A national evaluation
of 12 adherence support interventions nationwide sponsored by the Health
Resources and Services Administration, Special Projects of National Significance,
is currently underway. This panel presentation will address the array
of implementation and evaluation issues associated with Highly Active
Antiretroviral Therapy Adherence Support Interventions.
Proposed Panel Title:
The Challenges of Implementing and Evaluating Interventions to Support
Adherence to Highly Active Antiretroviral Therapy
Proposed Discussant:Jeannette Ickovics, PhD, Yale University
First Author: Ruth Finkelstein, ScD
Presenting: Ruth Finkelstein, ScD
Address:
Office of Special Populations
New York Academy of Medicine, 1215 Fifth Avenue
New York City, NY
Phone Number: 212 822-7237
Email: rfinkelstein@nyam.org
Title: The Challenges of Evaluating the Effectiveness
of Highly Active Antiretroviral Therapy Adherence Support Interventions
Abstract ID#: 19379
Password: 748060
Program Selection: HIV/AIDS
Topic Selection: Care, including medical
care and adherence issues, psychosocial and practical support, and Ryan
White programs
Learning Objectives:
- Discuss the core components of predominant intervention models for promoting adherence to highly active antiretroviral therapy;
- Articulate the salient issues in evaluating adherence support services
Presentation Format: Oral Only
Panel Author # 1: Lisa Hirschhorn, MD, MPH
Address:
Dimock Community Health Center
55 Dimock Street
Roxbury, MA 02119
Phone Number: 617 442 8000
Email: Hirschhorn@mediaone.net
Title: HAART to HEART: A multidisciplinary
adherence support and evaluation program in Ryan White-funded community
health centers.
Abstract ID: 20596
Program Selection: HIV/AIDS
Topic Selection: Care, including medical
care and adherence issues, psychosocial and practical support, and Ryan
White programs.
Learning Objectives:
- Describe a multidisciplinary community health center-based adherence program;
- Identify key components of integrated HIV primary care adherence support;
- Apply knowledge to clinical program design for adhernece support
in clinical settings
Presentation Format:
Oral Only
Panel Author # 2: Sharon
Mannheimer, MD
Address:
Harlem Hospital Center
506 Lenox Avenue
New York, NY 10037
Phone: 212 939 2948
Email: Sbm20@columbia.edu
Title: Peer Workers' Role in a 'Stages of
Change' Intervention to Increase Adherence to Antiretroviral Therapy
Abstract ID: 23954
Program Selection: HIV/AIDS
Topic Selection: Care, including medical
care and adherence issues, psychosocial and practical support, and Ryan
White programs
Learning Objectives:
- Discuss a promising intervention model for promoting adherence to highly active antiretroviral therapy;
- Assess the use of peer workers in an adherence support intervention;
- Identify criteria for evaluating the efficacy of peer support to
promote adherence
Presentation Format: Oral Only
Panel Author # 3: Linda Mundy, MD
Address:
Washington University School of Medicine
600 S. Euclid Avenue
St. Louis, MO 63110
Phone: 314 454 8354
Email:
lmundy@imgate.wustl.edu
Title: Readiness for HIV Medication Adherence
Abstract ID: 21203
Program Selection: HIV/AIDS
Topic Selection: Care, including medical
care and adherence issues, psychosocial and practical support, and Ryan
White programs
Learning Objectives:
- Describe the value of readiness assessment and planning in helping people with HIV initiate highly active antiretroviral therapy (HAART);
- Discuss the use of a 'Stages of Change' model in assessing readiness
to initiate HAART
Presentation Format: Oral Only
Last updated: 4/11/02