Club Medbox: An Evaluation of a Pharmacist Run Adherence Group Focused on Improving Medication Therapy Adherence and Disease State Management in HIV Positive Patients

Class of 2009 AbstractOBJECTIVES: To evaluate Club Medbox, a pharmacist-run intervention in which a pharmacist addresses barriers to treatment that arise in patients with HIV via a weekly educational group session. METHODS: A retrospective chart review and patient interview were utilized to evaluate Club Medbox member characteristics and changes in clinical HIV markers over the course of membership; and survey instruments were used to assess patient-perceived impacts of Club Medbox on overcoming barriers to antiretroviral therapy adherence, general health, social support, and disease- state comprehension. RESULTS: A total of 28 patients met inclusion criteria and were included in this study. HIV-ASES scores were significantly increased (p <0.001). SF-12 scores showed significant improvement for the physical health domain (p <0.001) with minimal changes to the mental health domain (p=0.949). CD 4 counts, CD 4%, and undetectable viral load values were all observed with an upward trend from baseline until after intervention with Club Medbox. Social and educational participant influence were shown to improve based on interview responses (p