Document 2170
 DOCN  M94A2170
 TI    Patient adherence issues: an educational and support program for
       research nurses.
 DT    9412
 AU    Child C; Charlebois E; Cheeney M; Camp B; Mitchell T; Abrams DI; Univ.
       of CA, Community Consortium.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):365 (abstract no. PD0066). Unique
       Identifier : AIDSLINE ICA10/94370405
 AB    OBJECTIVE: To implement an adherence teaching curriculum for HIV
       research nurses and other frontline clinical research staff. Ten
       educational objectives were developed and focused on providing
       participants with: (1) valid and useful information about the effects of
       patient non-adherence on clinical trials, (2) strategies to enable
       patients to be more compliant, (3) practical skill in interpersonal
       communications to facilitate research staff's adherence discussions with
       study participants, and (4) to compare participant's baseline and
       post-intervention levels of knowledge, skills and attitudes about
       adherence counseling. METHODS: Eighteen individuals participated in a
       3-hour educational in-service intervention designed by the researchers.
       The research design for this study was a one group non-random
       pre-test/post-test design. Changes in participants' baseline knowledge,
       attitudes and behavior were assessed by use of a 37 question measurement
       instrument developed by the use of a modified Delphi panel process.
       RESULTS: Comparison of pre-test and post-test scores showed significant
       (p < 0.005) gains in knowledge for all participants. Seventy-two percent
       of the clinicians evaluated (n = 13) met the overall educational
       objective of the in-service by achieving a mean post-test score of at
       least 80 percent. Nine (90%) of the ten educational objectives were met
       by the group achieving a mean score at least an 80% correct for the
       various sets of questions under each area of knowledge covered.
       CONCLUSIONS: Exposure to the educational intervention of this study
       significantly influenced the short-term knowledge, skill and attitudes
       of research clinicians related to their adherence counseling of HIV
       positive research participants. Further longitudinal research using a
       randomized controlled design with a larger study population is necessary
       to test the long-term usefulness of this educational intervention in a
       more diverse population.
 DE    *Clinical Trials  Human  *HIV Infections  Knowledge, Attitudes, Practice
       *Nursing Research  *Patient Compliance  *Patient Education  MEETING
       ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).