Refining a personalized mHealth intervention to promote medication adherence among HIV+ methamphetamine users
| Autor: | Montoya, Jessica L, Georges, Shereen, Poquette, Amelia, Depp, Colin A, Atkinson, J Hampton, Moore, David J, Translational Methamphetamine AIDS Research Center (TMARC) Group |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male antiretroviral treatment Anti-HIV Agents Social Stigma HIV Infections California Methamphetamine Medication Adherence Drug Users 7.1 Individual care needs Risk Factors Clinical Research short message service HIV Seropositivity Behavioral and Social Science Humans Psychology adherence Prevention Focus Groups Telemedicine Good Health and Well Being Infectious Diseases mHealth Translational Methamphetamine AIDS Research Center (TMARC) Group Public Health and Health Services Feasibility Studies HIV/AIDS Central Nervous System Stimulants Female Management of diseases and conditions Public Health |
| Zdroj: | AIDS care, vol 26, iss 12 |
| Popis: | Mobile health (mHealth) interventions to promote antiretroviral therapy (ART) adherence have shown promise; however, among persons living with HIV who abuse methamphetamine (MA), effective tailoring of content to match the expressed needs of this patient population may be necessary. This study aimed (1) to understand patient perspectives of barriers and facilitators of ART adherence among people with HIV who use MA, and (2) to obtain feedback on the thematic content of an mHealth intervention in order to tailor the intervention to this subgroup. Two separate focus groups, each with 10 HIV+/MA+ individuals, were conducted. Transcribed audio recordings were qualitatively analyzed to identify emergent themes. Inter-rater reliability of themes was high (mean Kappa = .97). Adherence barriers included MA use, misguided beliefs about ART adherence, memory and planning difficulties, social barriers and perceived stigma, and mental heath issues. Facilitators of effective ART adherence were cognitive compensatory strategies, promotion of well-being, health-care supports, adherence education, and social support. Additionally, the focus groups generated content for reminder text messages to be used in the medication adherence intervention. This qualitative study demonstrates the feasibility of using focus groups to derive patient-centered intervention content to address the health challenge at hand in targeted populations. |
| Databáze: | OpenAIRE |
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