Use of Videophone Technology to Address Medication Adherence Issues in Persons with HIV.
Use of Videophone Technology to Address Medication Adherence Issues in Persons with HIV.
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DOI：
10.2147/hiv.s6325
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发表时间：
2009-11-01
期刊：
影响因子：
--
通讯作者：
Frentiu C
中科院分区：
文献类型：
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作者：
Skrajner MJ;Camp CJ;Haberman JL;Heckman TG;Kochman A;Frentiu C
坚持高效抗逆转录病毒治疗 (HAART) 药物治疗方案对于维持对人类免疫缺陷病毒 (HIV) 的抑制至关重要，但 HIV 感染者在持续遵守 HIV 药物治疗方案方面面临许多挑战。对于生活在地理偏僻地区或认知能力严重受损的人来说尤其如此。针对药物依从性的 Reynolds HAART CARE (HC) 电话干预的基于可视电话的版本在居住在城市和非城市社区的 23 名艾滋病毒感染者中进行了试点测试。该试点研究的目的是评估通过可视电话进行依从性改善干预措施的可行性和接受度。此外，还评估了通过可视电话进行艾滋病毒药物计数的可行性和可接受性。 HC 的视频电话版本显着提高了自我报告的药物依从率，并且普遍受到干预人员和参与者的好评。通过视频电话进行的药丸计数也受到参与者的广泛接受。自我报告的依从性水平高于基于可视电话的药丸计数依从性水平。使用可视电话的挑战包括只能使用模拟固定电话、视频和音频传输质量差以及设备成本高。讨论了克服这些挑战的方法。
Adherence to highly active antiretroviral therapy (HAART) medication regimens is vital to maintaining suppression of human immunodeficiency virus (HIV), but persons with HIV face many challenges to adhering consistently to HIV medication regimens. This is particularly true for persons who live in geographically-isolated areas or who have significant levels of cognitive compromise. A videophone-based version of Reynolds’ HAART CARE (HC) telephone intervention for medication adherence was pilot-tested with 23 persons living with HIV residing in both urban and non-urban communities. The purpose of the pilot study was to evaluate the feasibility and acceptance of an adherence improvement intervention administered via videophones. Furthermore, the feasibility and acceptability of conducting HIV pill counts through videophones were assessed. The videophone version of HC produced significant increases in self-reported rates of medication adherence and was generally well-received by interventionists and participants. Pill counts conducted via videophone were also well-accepted by participants. Self-reported adherence levels were higher than videophone-based pill count adherence levels. Challenges to the use of videophones included the requirement that only analog landlines be used, poor quality of video and audio transmissions, and high cost for equipment. Methods to overcome these challenges are discussed.