Prevalence and Predictors of Deterioration of a Trustful Patient-Provider Relationship Among HIV-Infected Persons Treated With Antiretroviral Therapy
Bruno Spire
(1)
,
Catherine Leport
(2, 3)
,
Virginie Villes
(4)
,
Christian Michelet
(5)
,
Fideline Collin
(6)
,
Maria-Patrizia Carrieri
(1)
,
Jean-Marie Ragnaud
(7)
,
Audrey Taieb
(8)
,
Francois Raffi
(9)
1
SESSTIM - U912 INSERM - Aix Marseille Univ - IRD -
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
2 IAME (UMR_S_1137 / U1137) - Infection, Anti-microbiens, Modélisation, Evolution
3 UPD7 - Université Paris Diderot - Paris 7
4 SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants
5 Service des maladies infectieuses et réanimation médicale [Rennes] = Infectious Disease and Intensive Care [Rennes]
6 Epidémiologie et Biostatistique [Bordeaux]
7 Hôpital Pellegrin
8 IEP Rennes - Sciences Po Rennes - Institut d'études politiques de Rennes
9 Service des maladies infectieuses et tropicales [CHU Nantes]
2 IAME (UMR_S_1137 / U1137) - Infection, Anti-microbiens, Modélisation, Evolution
3 UPD7 - Université Paris Diderot - Paris 7
4 SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants
5 Service des maladies infectieuses et réanimation médicale [Rennes] = Infectious Disease and Intensive Care [Rennes]
6 Epidémiologie et Biostatistique [Bordeaux]
7 Hôpital Pellegrin
8 IEP Rennes - Sciences Po Rennes - Institut d'études politiques de Rennes
9 Service des maladies infectieuses et tropicales [CHU Nantes]
Bruno Spire
- Fonction : Auteur
- PersonId : 21429
- IdHAL : cheick-haiballa-kounta
- ORCID : 0000-0001-6800-0742
Maria-Patrizia Carrieri
- Fonction : Auteur
- PersonId : 21176
- IdHAL : patrizia-carrieri
- ORCID : 0000-0002-6794-4837
- IdRef : 144323036
Résumé
the ANRS CO-8 APROCO Study Group Objectives: We studied the evolution of the patient-provider relationship (PPR) in HIV-infected patients who reported trustful relationships at highly active antiretroviral therapy (HAART) treatment initiation. Methods: Psychosocial and clinical data were obtained from the French ANRS CO-8 cohort. Break of trust was defined using the question ''How much do you trust the provider who usually treats you at this clinic?'' Predictors of a possible break of trust during the 5 years after initiating treatment for those patients reporting a trustful PPR at month 0 were identified using a Cox model. Results: During a total follow-up of 3044 person-years, 68 (7%) patients reported having at least 1 break of trust in their PPR. Break of trust is independently associated with younger age, dissatisfaction with medical staff's explanations, cigarette smoking, and self-reported side effects and is independently inversely associated with severe HIV-related events and changes of treatment. Conclusions: A patient's break of trust in his provider is relatively infrequent. Accounting for the influence of immunologic status and psychosocial factors, self-reported side effects are shown to be detrimental to the PPR. Interestingly, clinical events and changes of treatment prevent a possible break of trust by reinforcing the pro-vider's role. These results underline the importance of recognizing a patient's perceived secondary effects and developing appropriate care.
Domaines
PsychologieFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Prevalence and Predictors of Deterioration of a Trustful Patient-Provider Relationship Among HIV-Infected Persons Treated With Antiretroviral Therapy
|
Résumé |
en
the ANRS CO-8 APROCO Study Group Objectives: We studied the evolution of the patient-provider relationship (PPR) in HIV-infected patients who reported trustful relationships at highly active antiretroviral therapy (HAART) treatment initiation. Methods: Psychosocial and clinical data were obtained from the French ANRS CO-8 cohort. Break of trust was defined using the question ''How much do you trust the provider who usually treats you at this clinic?'' Predictors of a possible break of trust during the 5 years after initiating treatment for those patients reporting a trustful PPR at month 0 were identified using a Cox model. Results: During a total follow-up of 3044 person-years, 68 (7%) patients reported having at least 1 break of trust in their PPR. Break of trust is independently associated with younger age, dissatisfaction with medical staff's explanations, cigarette smoking, and self-reported side effects and is independently inversely associated with severe HIV-related events and changes of treatment. Conclusions: A patient's break of trust in his provider is relatively infrequent. Accounting for the influence of immunologic status and psychosocial factors, self-reported side effects are shown to be detrimental to the PPR. Interestingly, clinical events and changes of treatment prevent a possible break of trust by reinforcing the pro-vider's role. These results underline the importance of recognizing a patient's perceived secondary effects and developing appropriate care.
|
Auteur(s) |
Bruno Spire
1
, Catherine Leport
2, 3
, Virginie Villes
4
, Christian Michelet
5
, Fideline Collin
6
, Maria-Patrizia Carrieri
1
, Jean-Marie Ragnaud
7
, Audrey Taieb
8
, Francois Raffi
9
1
SESSTIM - U912 INSERM - Aix Marseille Univ - IRD -
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
( 540465 )
- Faculté de Médecine - Site Timone - 27 Bd Jean Moulin 13385 – Marseille Cedex 05
- France
2
IAME (UMR_S_1137 / U1137) -
Infection, Anti-microbiens, Modélisation, Evolution
( 247341 )
- Faculté de médecine Paris Diderot Paris 7 - site Bichat - 16 rue Henri Huchard 75890 Paris Cedex 18
- France
3
UPD7 -
Université Paris Diderot - Paris 7
( 300301 )
- 5 rue Thomas-Mann - 75205 Paris cedex 13
- France
4
SPMC -
Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants
( 233198 )
- Laboratoire de Santé Publique - 27 bd Jean Moulin 13385 Marseille 05
- France
5
Service des maladies infectieuses et réanimation médicale [Rennes] = Infectious Disease and Intensive Care [Rennes]
( 17929 )
- CHU Rennes, 2 rue Henri Le Guilloux 35033 RENNES cedex 9
- France
6
Epidémiologie et Biostatistique [Bordeaux]
( 55677 )
- 146, rue Léo-Saignat 33076 Bordeaux
- France
7
Hôpital Pellegrin
( 29316 )
- Bordeaux
- France
8
IEP Rennes -
Sciences Po Rennes - Institut d'études politiques de Rennes
( 45379 )
- 104, boulevard de la Duchesse Anne - 35700 Rennes
- France
9
Service des maladies infectieuses et tropicales [CHU Nantes]
( 204727 )
- CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France
- France
|
Langue du document |
Anglais
|
Nom de la revue |
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Date de publication |
2008
|
Volume |
47
|
Page/Identifiant |
467 - 471
|
Domaine(s) |
|
Mots-clés |
en
highly active antiretroviral therapy, patient-provider, relationship, self-reported side effects, trust
|
DOI | 10.1097/QAI.0b013e31815f3bdc |
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