Questionnaire On Taking Antiretroviral Medication printable pdf download

Questionnaire On Taking Antiretroviral Medication

QUESTIONNAIRE ON TAKING ANTIRETROVIRAL MEDICATION

A N T I R E T R O V I R A L T R E A T M E N T S

A N D

P E O P L E L I V I N G W I T H H I V

DIRECTIVES FOR ANSWERING THE QUESTIONNAIRE

Like most people, it is likely that you have missed taking one or several pills at some point

in time. In fact, even the most disciplined people may not always take all of their

medication as they would wish to because of forgetfulness, unexpected situations, etc. The

most difficult thing will no doubt be for you to remember the times that you have missed

taking one or several pills. It is thus important for you to make an effort to remember so

that your answers are as precise as possible. Take the time you need to answer.

We ask you to answer the questionnaire with only your ANTIRETROVIRAL medication

in mind.

The word «pill» is used to mean tablets, caplets and capsules.

The expression «miss one or several pills» means NOT taking all your antiretroviral pills

at a certain time.

Answer all the questions by entering a number or by checking one of the suggested

answers.

G.Godin, C.Gagné, H.Naccache (2003).

Validation of a self-reported questionnaire assessing adherence

to antiretroviral

medication. AIDS Patient Care and STDs, (in press)

Questionnaire On Taking Antiretroviral Medication