Video-Based Intervention for Improving Maternal Retention and Adherence to HIV Treatment: Patient Perspectives and Experiences.
Video-Based Intervention for Improving Maternal Retention and Adherence to HIV Treatment: Patient Perspectives and Experiences.
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DOI：
10.3390/ijerph18041737
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发表时间：
2021-02-10
影响因子：
--
通讯作者：
Kim M
中科院分区：
文献类型：
--
作者：
Masiano S;Machine E;Mphande M;Markham C;Tembo T;Chitani M;Mkandawire A;Mazenga A;Ahmed S;Kim M
VITAL Start是一项基于视频的干预措施，旨在改善马拉维孕产妇对艾滋病毒护理和抗逆转录病毒治疗（ART）的依从性。我们探讨了尚未接受抗逆转录病毒治疗的HIV孕妇（PWLHIV）在开始抗逆转录病毒治疗前接受VITAL Start治疗的经历，以评估干预措施的可接受性、可行性、分娩保真度和感知影响。在2019年2月至9月期间，我们在接受VITAL Start后的一个月内对34名PWLHIV进行了半结构化访谈。与会者报告说，VITAL Start是可接受的和可行的，并且具有良好的交付保真度。他们还报告说，该视频对他们的生活产生了积极影响，鼓励他们向性伴侣透露自己的艾滋病毒状况，而性伴侣反过来又支持他们坚持抗逆转录病毒治疗。参与者建议采用类似的干预措施，向长期患病的人提供与健康相关的教育/咨询。我们的研究结果表明，基于视频的干预可能是一种可接受的、可行的方法，可以优化艾滋病毒感染者抗逆转录病毒治疗的保留和依从性，并且可以高保真地提供。有必要进一步探索低成本、可扩展、基于视频的干预措施的效用，以解决撒哈拉以南非洲的健康咨询差距。
VITAL Start is a video-based intervention aimed to improve maternal retention in HIV care and adherence to antiretroviral therapy (ART) in Malawi. We explored the experiences of pregnant women living with HIV (PWLHIV) not yet on ART who received VITAL Start before ART initiation to assess the intervention’s acceptability, feasibility, fidelity of delivery, and perceived impact. Between February and September 2019, we conducted semi-structured interviews with a convenience sample of 34 PWLHIV within one month of receiving VITAL Start. The participants reported that VITAL Start was acceptable and feasible and had good fidelity of delivery. They also reported that the video had a positive impact on their lives, encouraging them to disclose their HIV status to their sexual partners who, in turn, supported them to adhere to ART. The participants suggested using a similar intervention to provide health-related education/counseling to people with long term conditions. Our findings suggest that video-based interventions may be an acceptable, feasible approach to optimizing ART retention and adherence amongst PWLHIV, and they can be delivered with high fidelity. Further exploration of the utility of low cost, scalable, video-based interventions to address health counseling gaps in sub-Saharan Africa is warranted.
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DOI：
10.1097/qai.0000000000000553
发表时间：
2015-05-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Fox MP;Rosen S
通讯作者：
Rosen S
影响因子：
1.9
作者：
Besera GT;Cox S;Malotte CK;Rietmeijer CA;Klausner JD;O'Donnell L;Margolis AD;Warner L
通讯作者：
Warner L
影响因子：
3.7
作者：
Colvin CJ;Konopka S;Chalker JC;Jonas E;Albertini J;Amzel A;Fogg K
通讯作者：
Fogg K
影响因子：
4.1
作者：
BAHRICK, HP
通讯作者：
BAHRICK, HP
影响因子：
2.5
作者：
Kim, Maria H.;Tembo, Tapiwa A.;Abrams, Elaine J.
通讯作者：
Abrams, Elaine J.