A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings
A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings
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DOI：
10.1186/s12889-019-6689-1
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发表时间：
2019-04-11
影响因子：
4.5
通讯作者：
Jimenez, Antonio
中科院分区：
文献类型：
--
作者：
Dworkin, Mark S.;Panchal, Palak;Jimenez, Antonio
背景：在艾滋病毒感染者中，与白人相比，非洲裔美国人的抗逆转录病毒治疗依从性较差，年轻的男男性行为非洲裔美国男性 (AAMSM) 的死亡率不成比例。我们报告了感染 HIV 的年轻 AAMSM 焦点小组的结果，探讨了他们对分类实时错过剂量警报干预措施的可接受性和可行性的看法，以提高治疗依从性。本研究的目的是开发一种理论驱动的分类实时依从性监测干预措施，以促进年轻 AAMSM 的 HIV 药物依从性。方法：我们在技术接受模型的指导下，对芝加哥年轻的 HIV 阳性 AAMSM (n=25) 进行了五个焦点小组和两次个人访谈，并探讨了对治疗依从性的看法。监测概念，包括设备问题和对因持续漏服剂量而引发支持人员参与的担忧。目的是为该人群制定该干预措施提供信息。结果：总体而言，参与者认为所提议的干预措施是可接受且有用的。隐私是参与者主要关心的问题，尤其是因为他们收到的药物相关文本可能会被其他人查看，从而可能会泄露自己的艾滋病毒状况，并可能导致不必要的关注。有人担心该设备可能会与泰瑟枪混淆。大约一半的男性已经有过密切的个人接触，这有助于他们服药。一些参与者承认该通知可能会导致摩擦。结论：用于提高治疗依从性的分类实时警报干预对于年轻的 AAMSM 艾滋病毒感染者来说是可以接受和可行的。
Background: Among persons living with HIV, poorer antiretroviral therapy adherence has been reported in African Americans and disproportionate mortality reported in young African American men who have sex with men (AAMSM) compared to whites. We report the results of focus groups with young AAMSM living with HIV that explore their opinions about the acceptability and feasibility of a triaged real-time missed dose alert intervention to improve treatment adherence.The purpose of this study is to develop a theory-driven triaged real-time adherence monitoring intervention to promote HIV medication adherence in young AAMSM.Methods: We performed five focus groups and two individual interviews among young HIV-positive AAMSM (n=25) in Chicago guided by the Technology Acceptance Model and explored perceptions regarding the monitoring concept including device issues and concerns about inclusion of support persons whose involvement is triggered by sustained missed doses. The purpose was to inform the development of this intervention in this population.Results: Generally, the participants found the proposed intervention acceptable and useful. Privacy was a major concern for participants especially with attention to possible disclosure of their HIV status by receiving a medication-related text that someone else might view and could lead to unwanted attention. There was concern that the device could be confused with a taser. Approximately half of the men already had a close personal contact that helped them with medication taking. Some participants acknowledged that the notification might lead to friction.Conclusions: A triaged real-time alert intervention to improve treatment adherence is acceptable and feasible among young AAMSM living with HIV.