Effect of a clinic-wide social marketing campaign to improve adherence to antiretroviral therapy for HIV infection.

Effect of a clinic-wide social marketing campaign to improve adherence to antiretroviral therapy for HIV infection.
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DOI:
10.1007/s10461-012-0295-x
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发表时间:
2013-01
期刊:
影响因子:
4.4
通讯作者:
Ross, Michael
Ross, Michael
中科院分区:
医学2区
文献类型:
--
作者:
Giordano, Thomas P.;Rodriguez, Sonia;Zhang, Hong;Kallen, Michael A.;Jibaja-Weiss, Maria;Buscher, April L.;Arya, Monisha;Suarez-Almazor, Maria E.;Ross, Michael

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这项示范研究测试了为期5个月的全诊所社会营销活动对提高抗逆转录病毒治疗(ART)依从性的影响。干预措施包括一段视频、海报、笔、马克杯和衣领上的纽扣,上面写着“活出解决方案:每天服药”的竞选口号。参与者自我报告在4周的时间间隔内的依从性,这是主要结果,用视觉模拟量表。141名参与者完成了干预前和干预后的调查。依从性没有随时间变化(绝对平均变化- 2.02%,配对t检验p=0.39)。在干预后调查中正确识别活动口号的39.7%的参与者中,依从性增加了3.3%,而其他参与者的依从性下降了5.5%(配对t检验p=0.07)。这项广受欢迎的活动并没有增加对抗逆转录病毒治疗的短期依从性,但在更积极参与干预的参与者中,依从性倾向于增加。未来的干预措施应该让患者更全面地参与进来,并对依从性产生更有力的影响。
This demonstration study tested the impact of a 5-month clinic-wide social marketing campaign at improving adherence to antiretroviral therapy (ART). The intervention included a video, posters, pens, mugs, and lapel buttons with the campaign slogan “Live the Solution: Take Your Pills Every Day.” Participants self-reported adherence over a 4-week interval, the primary outcome, with a visual analogue scale. Pre- and post-intervention surveys were completed by 141 participants. Adherence did not change over time (absolute mean change −2.02%, paired t-test p=0.39). Among the 39.7% of participants who correctly identified the campaign slogan on the post-intervention survey, adherence increased by 3.3%, while it decreased in the other participants by 5.5% (paired t-test p=0.07). The well-received campaign did not increase short-term adherence to ART, but adherence tended to increase in participants who were more engaged with the intervention. Future interventions should engage patients more completely and have a more potent effect on adherence.
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