scholarly journals Mobile health (mhealth) interventions for treatment adherence and outcomes of care for cardio-metabolic disease among adults living with HIV: A systematic review (Preprint)

2020 ◽  
Author(s):  
Kemi Odukoya ◽  
Maxwell Akanbi ◽  
Linda O'Dwyer ◽  
Chidumga Ohazurike ◽  
Brenda Isikekpei ◽  
...  
Keyword(s):  
Treatment Adherence ◽  
Mobile Health ◽  
Metabolic Diseases ◽  
People Living With Hiv ◽  
Web Based ◽  
Outcomes Of Care ◽  
Patterns Of Use ◽  
Adherence Support ◽  
Telephone Calls ◽  
Living With Hiv

BACKGROUND The success of antiretroviral therapy (ART) has led to an increase in the risk of cardio-metabolic diseases (CMD) among people living with HIV (PLHIV). OBJECTIVE To examine the patterns of use of mobile health (mhealth) interventions to improve treatment adherence or outcomes of care of CMD among PLHIV. METHODS Studies were included if they had at least one component that used a mobile intervention to address treatment adherence and/or one or more of the stated outcomes of care for CMD among PLHIV RESULTS Ten studies were included in the review, four of which had published results. The remaining six were articles that described mhealth interventions for PLHIV. The categories of mhealth interventions ranged from short messaging, telephone calls and wearable devices to smartphone and desktop web-based mobile applications, with short messaging and telephone calls being the most common. Several of the outcomes in this review were only indirectly linked to CMD, with most studies reporting the effectiveness of the interventions CONCLUSIONS Due to the limited number of published studies, no definitive conclusions can be made on the effectiveness of mhealth interventions for adherence support in PLHIV with CMD CLINICALTRIAL The study protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) CRD86940 (http://www.crd.york.ac.uk/prospero).

scholarly journals Patient-Provider Text Messaging and Video Calling Among Case-Managed Patients Living With HIV: Formative Acceptability and Feasibility Study (Preprint)

2020 ◽  
Author(s):  
Virginia A Fonner ◽  
Samuel Kennedy ◽  
Rohan Desai ◽  
Christie Eichberg ◽  
Lisa Martin ◽  
...  
Keyword(s):  
Mobile Health ◽  
Text Messaging ◽  
People Living With Hiv ◽  
Provider Communication ◽  
Provider Perspectives ◽  
Adherence Support ◽  
Patient Provider Communication ◽  
Communication Modalities ◽  
Video Calling ◽  
Living With Hiv

BACKGROUND Patient-provider communication is critical for engaging and retaining people living with HIV in care, especially among medically case-managed patients in need of service coordination and adherence support. Expanding patient-provider communication channels to include mobile health modalities, such as text messaging and video calling, has the potential to facilitate communication and ultimately improve clinical outcomes. However, the implementation of these communication modalities in clinical settings has not been well characterized. OBJECTIVE The purpose of this study is to understand patient and provider perspectives on the acceptability of and preferences for using text messaging and video calling as a means of communication; perceived factors relevant to adoption, appropriateness, and feasibility; and organizational perspectives on implementation within an HIV clinic in South Carolina. METHODS We conducted 26 semistructured in-depth interviews among patients receiving case management services (n=12) and clinic providers (n=14) using interview guides and content analysis informed by the Proctor taxonomy of implementation outcomes and the Consolidated Framework for Implementation Research. Participants were purposefully sampled to obtain maximum variation in terms of age and gender for patients and clinic roles for providers. The data were analyzed using quantitative and qualitative content analyses. RESULTS Most patients (11/12, 92%) and providers (12/14, 86%) agreed that they should have the capacity to text message and/or video call each other. Although consensus was not reached, most preferred using a secure messaging app rather than standard text messaging because of the enhanced security features. Perceived benefits to adoption included the added convenience of text messaging, and potential barriers included the cost and access of smartphone-based technology for patients. From an organizational perspective, some providers were concerned that offering text messaging could lead to unreasonable expectations of instant access and increased workload. CONCLUSIONS Patients and providers perceived text messaging and video calling as acceptable, appropriate, and feasible and felt that these expanded modes of communication could help meet patients’ needs while being safe and not excessively burdensome. Although patients and providers mostly agreed on implementation barriers and facilitators, several differences emerged. Taking both perspectives into account when using implementation frameworks is critical for expanding mobile health–based communication, especially as implementation requires active participation from providers and patients. CLINICALTRIAL

scholarly journals Patient-Provider Text Messaging and Video Calling Among Case-Managed Patients Living With HIV: Formative Acceptability and Feasibility Study

10.2196/22513 ◽  
2021 ◽  
Vol 5 (5) ◽  
pp. e22513
Author(s):  
Virginia A Fonner ◽  
Samuel Kennedy ◽  
Rohan Desai ◽  
Christie Eichberg ◽  
Lisa Martin ◽  
...  
Keyword(s):  
Mobile Health ◽  
Text Messaging ◽  
People Living With Hiv ◽  
Provider Communication ◽  
Provider Perspectives ◽  
Adherence Support ◽  
Patient Provider Communication ◽  
Communication Modalities ◽  
Video Calling ◽  
Living With Hiv

Background Patient-provider communication is critical for engaging and retaining people living with HIV in care, especially among medically case-managed patients in need of service coordination and adherence support. Expanding patient-provider communication channels to include mobile health modalities, such as text messaging and video calling, has the potential to facilitate communication and ultimately improve clinical outcomes. However, the implementation of these communication modalities in clinical settings has not been well characterized. Objective The purpose of this study is to understand patient and provider perspectives on the acceptability of and preferences for using text messaging and video calling as a means of communication; perceived factors relevant to adoption, appropriateness, and feasibility; and organizational perspectives on implementation within an HIV clinic in South Carolina. Methods We conducted 26 semistructured in-depth interviews among patients receiving case management services (n=12) and clinic providers (n=14) using interview guides and content analysis informed by the Proctor taxonomy of implementation outcomes and the Consolidated Framework for Implementation Research. Participants were purposefully sampled to obtain maximum variation in terms of age and gender for patients and clinic roles for providers. The data were analyzed using quantitative and qualitative content analyses. Results Most patients (11/12, 92%) and providers (12/14, 86%) agreed that they should have the capacity to text message and/or video call each other. Although consensus was not reached, most preferred using a secure messaging app rather than standard text messaging because of the enhanced security features. Perceived benefits to adoption included the added convenience of text messaging, and potential barriers included the cost and access of smartphone-based technology for patients. From an organizational perspective, some providers were concerned that offering text messaging could lead to unreasonable expectations of instant access and increased workload. Conclusions Patients and providers perceived text messaging and video calling as acceptable, appropriate, and feasible and felt that these expanded modes of communication could help meet patients’ needs while being safe and not excessively burdensome. Although patients and providers mostly agreed on implementation barriers and facilitators, several differences emerged. Taking both perspectives into account when using implementation frameworks is critical for expanding mobile health–based communication, especially as implementation requires active participation from providers and patients.

scholarly journals HIV/AIDS Competent Households: Interaction between a Health-Enabling Environment and Community-Based Treatment Adherence Support for People Living with HIV/AIDS in South Africa

PLoS ONE ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. e0151379 ◽  
Author(s):  
Caroline Masquillier ◽  
Edwin Wouters ◽  
Dimitri Mortelmans ◽  
Brian van Wyk ◽  
Harry Hausler ◽  
...  
Keyword(s):  
South Africa ◽  
Treatment Adherence ◽  
People Living With Hiv ◽  
Community Based ◽  
Enabling Environment ◽  
Adherence Support ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Quality of life, clinical characteristics and treatment adherence of people living with HIV/AIDS

2014 ◽  
Vol 22 (6) ◽  
pp. 994-1000 ◽  
Author(s):  
Ana Cristina de Oliveira e Silva ◽  
Renata Karina Reis ◽  
Jordana Almeida Nogueira ◽  
Elucir Gir
Keyword(s):  
Quality Of Life ◽  
Treatment Adherence ◽  
Clinical Characteristics ◽  
World Health ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Quality Of Life Scale ◽  
Living With Hiv ◽  
Hiv Aids

OBJECTIVES: to assess the quality of life of people living with HIV/AIDS and verify its association with clinical characteristics and treatment adherence.METHOD: cross-sectional study conducted in a hospital in the state of Paraíba, Brazil. A questionnaire was used to collect socio-demographic and clinical data. The quality of life scale proposed by the World Health Organization and a questionnaire to measure treatment adherence were used.RESULTS: of the 314 interviewees, 190 (60.5%) were male, aged 43 years on average, 121 (38.5%) had attended up to five years of schooling, 108 (34.4%) received up to two times the minimum wage, and 112 (35.7%) were on sick leave. In regard to clinical variables, individuals with an undetectable viral load scored higher in all the domains concerning quality of life, with statistically significant differences in three domains. Regarding treatment adherence, 235 (73.8%) presented poor adherence and those who strictly adhered to treatment obtained better scores in quality of life. The results show that quality of life is better among individuals adherent to ART. Supporting people to adhere to the antiretroviral treatment should be a persistent task of healthcare workers and other people participating in the treatment, such as family members and friends.

scholarly journals Antiretroviral Treatment Adherence Rate and Associated Factors among People Living with HIV in Dubti Hospital, Afar Regional State, East Ethiopia

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Bekele Belayihun ◽  
Rahma Negus
Keyword(s):  
Antiretroviral Therapy ◽  
Treatment Adherence ◽  
Associated Factors ◽  
Antiretroviral Treatment ◽  
Multivariable Analysis ◽  
Adherence Rate ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Antiretroviral Treatment Adherence ◽  
Living With Hiv

Introduction. Antiretroviral Therapy has transformed HIV infection into a chronic manageable disease; it requires near perfect adherence rates (as high as 95%). In this study, we assessed antiretroviral treatment adherence rate and associated factors among people living with HIV in Dubti Hospital. Methods. A retrospective cross-sectional study design was conducted within February 1–30, 2014. All HIV-infected patients above the age of 18 years who took first line Antiretroviral Therapy were eligible for inclusion of the study. Adherence Scale was used for labeling patients as adherent or nonadherent. All HIV-infected patients record data were collected from the medical records, entered, and analyzed using Epi Info 7 and SPSS Version 20. Multivariable analysis was used to identify the relative effect of explanatory variables on low adherence rate. Results. A total of 370 patients aged 18 years and above, who started ART, were included in this study. The self-reported adherence rate of the patient on ART was 81.1%. Independent predictors of adherence were treatment duration. Conclusion. Adherence rate was associated with time to ART. That is, the longer they were on ART, the lesser they adhered.

scholarly journals Effectiveness of a Web-Based Intervention to Support Medication Adherence Among People Living With HIV: Web-Based Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
José Côté ◽  
Geneviève Rouleau ◽  
Maria Pilar Ramirez-Garcia ◽  
Patricia Auger ◽  
Réjean Thomas ◽  
...  
Keyword(s):  
Social Support ◽  
Controlled Trial ◽  
Control Group ◽  
People Living With Hiv ◽  
Art Adherence ◽  
Web Based ◽  
Randomized Controlled ◽  
Living With Hiv ◽  
Experimental Group ◽  
The Web

BACKGROUND Taking antiretroviral therapy (ART) is part of the daily life of people living with HIV. Different electronic health (eHealth) initiatives adjunctive to usual care have been proposed to support optimal medication adherence. A web-based intervention called HIV Treatment, Virtual Nursing Assistance, and Education or VIH-TAVIE (from its French version Virus de l’immunodéficience humaine-Traitement assistance virtuelle infirmière et enseignement) was developed to empower people living with HIV to manage their ART and symptoms optimally. OBJECTIVE We aimed to evaluate the effectiveness of VIH-TAVIE in a web-based randomized controlled trial (RCT). METHODS This RCT was entirely web-based, including recruitment, consent granting, questionnaire completion, and intervention exposure (consultation with VIH-TAVIE [experimental group] or websites [control group]). To be eligible for the study, people living with HIV had to be 18 years or older, be on ART for at least 6 months, have internet access, and have internet literacy. Participants were randomly assigned to either the experimental group (n=45) or control group (n=43). The primary outcome was ART adherence. The secondary outcomes included self-efficacy regarding medication intake, symptom-related discomfort, skills and strategies, and social support. All outcomes were measured with a self-administered web-based questionnaire at the following three time points: baseline and 3 and 6 months later. A generalized linear mixed model was built to assess the evolution of ART adherence over time in both groups. RESULTS The sample included 88 participants, and of these, 73 (83%) were men. The median age of the participants was 42 years. Participants had been diagnosed with HIV a median of 7 years earlier (IQR 3-17) and had been on ART for a median of 5 years (IQR 2-12). The proportion of treatment-adherent participants at baseline was high in both groups (34/41, 83% in the experimental group and 30/39, 77% in the control group). Participants also reported high treatment adherence, high self-efficacy, and high skills; perceived good social support; and experienced low discomfort from symptoms. Analyses revealed no intergroup difference regarding ART adherence (OR 1.9, 95% CI 0.6-6.4). CONCLUSIONS This study highlights the challenges and lessons learned from conducting an entirely web-based RCT among people living with HIV. The challenges were related to the engagement of people living with HIV on the following three levels: starting the web-based study (recruitment), completing the web-based intervention (engagement), and continuing the study (retention). The results contribute to the existing body of knowledge regarding how to conduct web-based evaluation studies of eHealth interventions aimed at developing and strengthening personal skills and abilities. CLINICALTRIAL ClinicalTrials.gov NCT01510340; https://clinicaltrials.gov/ct2/show/NCT01510340

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