Test of a Web-Based Program to Improve Adherence to HIV Medications
| Autor: | Rebekah K. Hersch, Joy Spencer, Royer F. Cook, David M. Murray, Justin Goforth, Douglas W. Billings, Seth A. Kaplan, Steven A. Safren |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Urban Population Anti-HIV Agents HIV Infections Self Administration Health Promotion Article Medication Adherence Intervention (counseling) medicine Web application Humans Mood management theory Aged Internet Evidence-Based Medicine business.industry Public health Public Health Environmental and Occupational Health Evidence-based medicine Middle Aged Viral Load United States Test (assessment) Affect Infectious Diseases Treatment Outcome Pill Physical therapy Female business Viral load Stress Psychological Follow-Up Studies |
| Popis: | We evaluated the effectiveness of a web-based version of the Life-Steps intervention combined with modules for stress reduction and mood management, designed to improve medication adherence among HIV infected individuals. 168 HIV+ adults were randomized into either the Life-Steps program or a waitlist control condition. All participants completed a baseline assessment and provided a 2-week electronic pill (MEMS) cap baseline reading. Follow up data collection was conducted at 3, 6 and 9 months. Patients in the web-based Life-Steps condition had significantly higher antiretroviral medication adherence rates than patients in the control group over the nine-month period as measured by the MEMS cap. In addition, analysis of viral load data indicated that the program also resulted in a significant decrease in viral load. These findings indicate that a web-based Life-Steps program can be a useful and implementable tool for helping patients living with HIV maintain medication adherence. |
| Databáze: | OpenAIRE |
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