"Payment by Results"-Financial Incentives and Motivational Interviewing, Adherence Interventions in Young Adults with Perinatally Acquired HIV-1 Infection: A Pilot Program
"Payment by Results"-Financial Incentives and Motivational Interviewing, Adherence Interventions in Young Adults with Perinatally Acquired HIV-1 Infection: A Pilot Program
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DOI：
10.1089/apc.2013.0262
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发表时间：
2014-01-01
影响因子：
4.9
通讯作者：
Fidler, Sarah
中科院分区：
文献类型：
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作者：
Foster, Caroline;McDonald, Susan;Fidler, Sarah
新出现的证据表明，经济激励(FI)提高了部分人群的用药依从性。一小部分患有围产期艾滋病毒(PaHIV)的青少年转而接受成人服务，但依从性差，病情严重。我们描述了一种结合FIS和动机访谈(MI)的单中心坚持干预。符合条件的患者(PaHIV，16-25岁，CD4计数200，尽管多次尝试仍未接受ART)接受了MI和FI，依赖于病毒载量(VL)的减少，为期1年。结果测量比较了FI/MI停止后1年和12个月基线的CD4增加。11名年轻人入选；中位年龄19岁，女性8人。基线CD_4中位数30个/L(IQR10-160)，VL 12,870c/mL。12个月的结果：9/11曾经实现过VL
Emerging evidence suggests financial incentives (FIs) improve medication adherence in select populations. A small proportion of adolescents with perinatal HIV (PaHIV) transfer to adult services with established poor adherence and advanced disease. We describe a single center adherence intervention combining FIs with motivational interviewing (MI). Eligible patients (PaHIV,16-25 years, CD4 count 200, off ART despite multiple attempts) received MI, and FI dependent on viral load (VL) reduction for 1 year. Outcome measures compared CD4 gain from baseline at 1 year and 12 months post cessation of FI/MI. Eleven young people enrolled; median age 19 years, 8 female. Baseline median CD4 count 30 cells/L (IQR 10-160), VL 12,870c/mL. Outcomes at 12 months: 9/11 ever achieved VL