We now know that people who start A. R. T. and ho suppress the virus to very low levels have a really good chance of living a long and healthy life but you have to be adherent and the heart intervention gives people the tools to do so it activates social support so the people initiate could medication-taking habits it provides problem-solving tools to help people cope with it here and challenges and it encourages patients to become actively involved in their own care. Well experienced providers recognize that medication adherence it’s difficult for their patients the simpler regimens consisting of combination medications and once a day treatment schedules have contributed to increased it here in straights but still have not resulted in the near one hundred percent adherence that is desired. There continue to be real and potential barriers to adherents. Providers continue to look for effective ways to help their patients comply with their medication regimen so they can fully realize the benefits of the treatments available. The heart approach can be easily integrated into practice to leverage the known benefits of social support and provider-patient collaboration in the development of treatment it here it’s the plan. The heart has built-in support for the patient via the support partner.
We know ongoing support is a very important factor in improving it here and it may be crucial for a patient who is struggling with the new HIV or aids diagnosis. As you might expect friends and loved ones remind patients to take their medications and they help to keep a person spirits up. But in the heart intervention they do more they’re actually part of the insurance team. They help to identify with a patient’s daily routine looks like so that we can better tailor the regimen and identify cues that will prompt memory for Pell taking. They help generate strategies to overcome it here it’s barriers having a support partner extends the reach of the adherence counselor from the clinic to the real world of our patients were medication-taking actually happens. In addition, we saw that many people were experiencing multiple life stressors I wanted an approach that could address the different types of problems that pose barriers to adherence. The hard intervention process is designed to help reveal what led to miss does so that a plan to get around that issue can be developed for next time the process for developing the plan is the same for all people but the plan itself is individualized to meet each person’s unique needs and experiences.
It relies on the five-step model of problem-solving identifying a problem generating possible solutions selecting a solution that seems best trying it out and then evaluating how well it worked in order to help people get around it here in superiors. Partners become part of the process and patients take a more active role in their care plan. Patients also learn problem-solving skills that they can apply in the future when new barriers arise. Well the heart strategy is simple and can be implemented by HIV medical care providers are by HIV case managers are counselors were working in close consultation with the patient’s clinical care team. It’s important to be flexible look for ways to integrate heart components and activities into your settings clinical and case management flow.N. A. R. T. experienced person can reap the same benefits as an A. R. T. naive individual from the heart approach. And here insist boosted by the active involvement of the patient in their clinical care. Ongoing support from the partner and anticipation of barriers with the generation of solutions to those barriers. This process may be even more helpful to A. R. T. experience patients by helping them to come up with ways to deal with the obstacles that trip them up on previous regimens.A. R. T. experience patients may be on more complex A. R. T. regiments the newly diagnosed or naive patients. The individual it here it’s plan and barriers and solutions approach may be especially helpful for patients dealing with multiple pills and dosing times during the day.