Refining a personalized mHealth intervention to promote medication adherence among HIV+ methamphetamine users.
Refining a personalized mHealth intervention to promote medication adherence among HIV+ methamphetamine users.
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DOI：
10.1080/09540121.2014.924213
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Translational Methamphetamine AIDS Research Center (TMARC) Group
中科院分区：
文献类型：
--
作者：
Montoya JL;Georges S;Poquette A;Depp CA;Atkinson JH;Moore DJ;Translational Methamphetamine AIDS Research Center (TMARC) Group
促进抗逆转录病毒治疗（ART）依从性的移动的健康（mHealth）干预措施已显示出希望;然而，在滥用甲基苯丙胺（MA）的艾滋病毒感染者中，可能有必要有效地定制内容以满足该患者群体表达的需求。本研究旨在：1）了解患者对使用MA的艾滋病毒感染者坚持ART的障碍和促进因素的看法，以及2）获得有关移动健康干预措施主题内容的反馈，以便为该亚组量身定制干预措施。进行了两个单独的重点小组，每个小组有10名HIV+/MA+个体。转录的录音进行了定性分析，以确定新兴的主题。评价者间的主题信度较高（平均Kappa= 0.97）。依从性障碍包括MA使用、对ART依从性的误导信念、记忆和计划困难、社会障碍和感知耻辱以及心理健康问题。有效的ART坚持的促进因素是认知补偿策略，促进福祉，医疗保健支持，坚持教育和社会支持。此外，焦点小组生成用于药物依从性干预的提醒文本消息的内容。这项定性研究证明了使用焦点小组来获得以患者为中心的干预内容，以解决目标人群面临的健康挑战的可行性。临床试验编号NCT 01317277
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 ten HIV+/MA+ individuals, were conducted. Transcribed audio recordings were qualitatively analyzed to identify emergent themes. Interrater 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 feasibility of using focus groups to derive patient-centered intervention content to address the health challenge at hand in targeted populations. Clinical Trial # NCT01317277
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影响因子：
1.7
作者：
Moore DJ;Blackstone K;Woods SP;Ellis RJ;Atkinson JH;Heaton RK;Grant I;Hnrc Group And The Tmarc Group
通讯作者：
Hnrc Group And The Tmarc Group
DOI：
10.1017/s1355617704101021
发表时间：
2004-01-01
影响因子：
2.6
作者：
Rippeth, JD;Heaton, RK;Grant, I
通讯作者：
Grant, I
影响因子：
4.9
作者：
Waldrop-Valverde, D;Valverde, E
通讯作者：
Valverde, E
DOI：
10.1080/09540121.2011.608421
发表时间：
2012-01-01
影响因子：
1.7
作者：
Coomes, Curtis M.;Lewis, Megan A.;Bann, Carla M.
通讯作者：
Bann, Carla M.
DOI：
10.1080/09540120310001618621
发表时间：
2003-12-01
影响因子：
1.7
作者：
Reback, CJ;Larkins, S;Shoptaw, S
通讯作者：
Shoptaw, S