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The overall self-reported ART adherence level for 1 week was 86.7%.
The higher level is recorded as the patient's adherence level for that assessment and the lower level, if less or equal to 95%, forms the basis for the patient's follow up for adherence support through adherence counselling.
Most patients were very confident that they would use their preferred medication as prescribed (preferred medication: 90.8 %, n = 157/173; nonpreferred medication: 46.2 %, n = 80/173) and indicated a high adherence level for medications free of local irritation effects (83.8 %, n = 145/173; Fig. 3).
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Re-initiation of therapy after discontinuing for more than 60 days did not appear to show a substantial increase in adherence levels for either race group over time.
Adherence levels for the DAMS are calculated based on the amount of medication taken divided by the amount of medication prescribed.
Adherence levels for simvastatin concurred with results from Denmark [ 1], but were lower than those reported in a previous Swedish study [ 2], partly due to different exclusion and inclusion criteria.
While our findings demonstrate persistent racial differences in adherence levels for patients on sulfonylurea or metformin therapies, racial differences in patterns of medication use varied by drug therapy group.
Treatment adherence, level of tolerance for a particular adverse effect, past experiences, and health-related goals can all condition individual preferences and final health outcomes.
An adherence level of 95% was decided for each item: i.e. at least 4/5 for timing, 5/5 for dosing and at least 4/5 for special instructions was required to be classified as adherent.
Finally, we assumed a constant proportion of inpatient-to-outpatient rates of relapse by adherence level; 1.0 for fully adherent; 1.13 for partially adherent; and 1.11 for nonadherent for all antipsychotic medications studied [ 18].
Medication prescribed on a once-a-day dose base was associated with a higher adherence level (97.9% for efavirenz) compared with a twice-a-day regimen (88.4% for Lamivudine/Zidovudine).
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