Compliance with Pediatric HIV/AIDS Medications

We have been asked to research opinions towards people's perceptions regarding pediatric compliance with antiretrovirals. Please take this anonymous survey and share your views. Your response to this anonymous survey are completely confidential and will help children around the world take their ARVs.

Thank you for your participation.

1. I am a:

I am a: Parent of a child with HIV/AIDS

Nurse

Doctor

Pharmacist

Resident

Researcher

Government official

NGO employee

Pharmaceutical employee

Other (please specify)

2. I believe taste is a key component in getting a child to take a medication properly

I believe taste is a key component in getting a child to take a medication properly True

False

3. I have experience in administering ARV’s to children

I have experience in administering ARV’s to children Yes

4. I work with a child (children) in the following age group(s):

I work with a child (children) in the following age group(s): 0- 11 months

1-5 years

6- 12 years

13+ years

5. The liquid ARV’s we use most are:

The liquid ARV’s we use most are: AZT (Zidivudine)

3TC (Lamivudir)

NVP (Nevirapine)

Keletra (Retonivir and Lamivudir)

Other (please specify)

6. On the following scale for each drug that I have experience with, I would rate the palatability as:

	Impossible to take	Horrendous taste but could swallow	Bad	Indifferent	Good	Very Good
AZT (Zidivudine)	On the following scale for each drug that I have experience with, I would rate the palatability as: AZT (Zidivudine) Impossible to take	Horrendous taste but could swallow	Bad	Indifferent	Good	Very Good
3TC (Lamivudir)	3TC (Lamivudir) Impossible to take	Horrendous taste but could swallow	Bad	Indifferent	Good	Very Good
NVP (Nevirapine)	NVP (Nevirapine) Impossible to take	Horrendous taste but could swallow	Bad	Indifferent	Good	Very Good
Keletra (Retonivir and Lamivudir)	Keletra (Retonivir and Lamivudir) Impossible to take	Horrendous taste but could swallow	Bad	Indifferent	Good	Very Good
Other (from previous question)	Other (from previous question) Impossible to take	Horrendous taste but could swallow	Bad	Indifferent	Good	Very Good

7. Have you tried to mask the taste of any ARV’s?

Have you tried to mask the taste of any ARV’s? Yes

8. Were you aware that there was a save and effective solution to masking the taste of these bitter ARVs?

Were you aware that there was a save and effective solution to masking the taste of these bitter ARVs? Yes

9. Would you be a proponent of an affordable liquid additive that would not alter the medicine yet would safely mask the taste of ARV’s and make them more palatable?

Would you be a proponent of an affordable liquid additive that would not alter the medicine yet would safely mask the taste of ARV’s and make them more palatable? Yes

To help us understand your answers better, we’d like to know a bit more about you. This survey is anonymous and your answers are completely confidential.

10. What is your gender?

What is your gender? Male

Female

11. What is your age range?

What is your age range? 17 or under

18-25 years

26-41 years

42-59 years

60 or over

12. How many people are in your household?

How many people are in your household? 1

3-4

5-6

7 or more

13. In which region do you live?

In which region do you live? Northeast (CT,MA,ME,NH,RI,VT)

Mid-Atlantic (NJ,NY,PA)

South Atlantic (DC,DE,FL,GA,MD,NC,SC,VA,WV)

South Central (AL,AR,KY,LA,MS,OK,TN,TX)

Midwest (IA,IL,IN,KA,MI,MN,MO,ND,NE,OH,SD,WI)

Mountain (AZ,CO,ID,MT,NM,NV,UT,WY)

Pacific (AK,CA,HI,OR,WA)

I do not live in the U.S.

14. What is the highest degree or level of education that you have completed?

What is the highest degree or level of education that you have completed? Less than high school

High school

Associate degree (for example: AA, AS)

Bachelor’s degree

Master’s degree

Doctorate or professional degree (MD, DDS, etc.)

15. For survey results, please confirm your email below.

Note: We respect your privacy as much as your opinion. This survey is anonymous and your email address will not be saved with your answers. Your email address will never be sold or shared with a third party.

For survey results, please confirm your email below. Note: We respect your privacy as much as your opinion. This survey is anonymous and your email address will not be saved with your answers. Your email address will never be sold or shared with a third party.

16. I live outside the United States. I live in the following country.

I live outside the United States. I live in the following country.