All this may contribute to the slightly more comprehensive adherence discussions and more consciously developed communication strategies observed in San Francisco than in Copenhagen.
Personalized Adherence Discussions (PAD): GPs were trained to utilize brief motivational interviewing and collaborative goal-setting techniques to discuss each patient's personal medication/disease beliefs and concerns.
A unique aspect of open-label use of effective PrEP is the potential to combine PrEP adherence discussions with other non-PrEP HIV prevention strategies.
The main communication patterns were similar in San Francisco and Copenhagen, although a question style implying poor adherence was mainly observed in San Francisco and the adherence discussions in San Francisco were slightly more comprehensive than in Copenhagen.
Adherence discussions were slightly more comprehensive in San Francisco, where a question style implying that the patient had missed some doses of medication was mainly observed, whereas a question style implying good adherence was mainly observed in Copenhagen (described in more detail later).
In summary, GPs were randomly allocated in a 2×2 factorial design to active or control group for each of two interventions, giving four intervention groups: (1) Active Usual Care (UC); (2) Inhaler Reminders and Adherence Feedback (IRF); (3) Personalized Adherence Discussions (PAD); or (4) IRF + PAD.
People and prospective partners frequently exchange information about HIV test results, HIV treatment outcomes, and adherence, whereas discussion of other STIs is left for the morning after or after the appearance of symptoms of infection.
These were: 'To enquire for each patient before starting the treatment into the possible factors influencing adherence' and ' Regular discussion of the details of circumstances that lead to forgetting medication can reveal aspects that need attention to improve adherence e.g. capacity to organise life and activities, and to anticipate risky situations'.
Focus group moderators received identical, in-depth training from Mapi Values, and all focus groups were videotaped to ensure adherence to the discussion guide.
If adherence counselling includes discussion on what to do in case of being unable to access drugs, then it should be possible to avoid some of the inappropriate coping strategies (such as sharing drugs or reducing drug doses) reported in Zimbabwe.
