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Beyond Compliance, Adherence, & Concordance – Supporting The Patient’s Implementation Of Optimal Treatment

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LIFE Program Enhances Adherence

August 7th, 2006 at 5:36 am · Allan Showalter, MD · Enhancements, Research · No Comments

LIFE program gets results, studies say
Roger Brigham Bay Area Reporter 08/03/2006
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Two studies now offer support for the effectiveness of The L.I.F.E. Program®1 in increasing adherence to HIV treatment.

The quote from Jeffrey Leiphart, Ph.D., Director of Shanti’s LIFE Institute, summarizes the studies’ findings about adherence:

The studies showed positive outcomes in all areas, especially in medication adherence, psychological functioning, and reduced substance abuse.

A state Department of Health Services study from 2001-05 declared,

Well-validated measures show increased treatment adherence and quality of life as a result of the LIFE intervention. An overall improved quality of life may be responsible for the significant decrease found for use of drugs to get high. Significant changes were found for general health, cognitive function, mental health, energy, health distress, and quality of life. Effects sizes were moderate, except for general health and energy. Finally, there was a significant decrease in reported use of drugs to get high, pre- versus post-intervention.

A separate national multi-agency study conducted during 2002-05 of LIFE programs operating in California, Florida, Missouri, and Massachusetts showed clients who completed the program reported significantly reduced physical health problems.

The LIFE program offers a multi-faceted approach to help HIV-infected clients obtain proper, ongoing medical care and medication, decrease risk-taking behaviors, and pursue health-building behaviors. The LIFE program began in San Francisco in 1999 and has been used as a prototype for similar programs in other states.

A full-sized diagram of the LIFE “Program Logic Model” is available by clicking on the thumbnail below.

Commentary

While the success of this program is itself heartening, the facts that (1) its effectiveness is being tested – repeatedly and (2) it is being replicated (and tested) elsewhere are even more impressive.

Footnotes

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  1. L.I.F.E. stands for Learning Immune Function Enhancement. The L.I.F.E. Program® is a psycho-educational program for people living with HIV/AIDS. Information and the studies referenced here are available at the Program’s website: LIFE Program

Tags: Enhancements · Research