MAHILA: a protocol for evaluating a nurse-delivered mHealth intervention for women with HIV and psychosocial risk factors in India.
MAHILA: a protocol for evaluating a nurse-delivered mHealth intervention for women with HIV and psychosocial risk factors in India.
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DOI：
10.1186/s12913-016-1605-1
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发表时间：
2016-08-04
影响因子：
2.8
通讯作者：
Chandra PS
中科院分区：
文献类型：
--
作者：
Reynolds NR;Satyanarayana V;Duggal M;Varghese M;Liberti L;Singh P;Ranganathan M;Jeon S;Chandra PS
感染艾滋病毒的妇女容易受到各种心理社会障碍的影响，这些障碍限制了她们获得和坚持治疗。几乎没有证据支持采取干预措施，改善中低收入国家弱势妇女群体获得治疗的机会和坚持治疗的情况。基于移动的健康改善、识字和依从性方法（MAHILA）试验正在评估一种新型、理论指导的移动的健康干预措施的可行性、可接受性和初步疗效，该干预措施由护士提供，以增强印度艾滋病毒感染妇女的自我护理和治疗依从性。将抑郁症状和/或其他心理社会脆弱性筛查阳性的HIV感染妇女（n = 120）随机分配到两个治疗组中的一个：常规治疗加移动的电话干预（实验组）或常规治疗（对照组）。除常规治疗外，实验组在16周内定期通过移动的电话接受护士提供的自我护理咨询。在基线和基线后4、12、24和36周收集结果测量。结果包括抗逆转录病毒治疗依从性、HIV-1 RNA、抑郁症状、疾病认知、内在耻辱感和生活质量。MAHILA试验将提供信息，说明由非专科护士提供的移动的健康咨询干预如何改善护理的可及性，并支持生活在印度等低收入和中等收入国家的艾滋病毒感染妇女的依从性和临床结果。NCT 02319330（首次接收日期：2014年7月30日;最后验证日期：2016年1月）
Women living with HIV are vulnerable to a variety of psychosocial barriers that limit access and adherence to treatment. There is little evidence supporting interventions for improving access and treatment adherence among vulnerable groups of women in low- and middle-income countries. The Mobile Phone-BasedApproach forHealthImprovement,Literacy andAdherence (MAHILA) trial is assessing the feasibility, acceptability and preliminary efficacy of a novel, theory-guided mobile health intervention delivered by nurses for enhancing self-care and treatment adherence among HIV-infected women in India. Women (n = 120) with HIV infection who screen positive for depressive symptoms and/or other psychosocial vulnerabilities are randomly assigned in equal numbers to one of two treatment arms: treatment as usual plus the mobile phone intervention (experimental group) or treatment as usual (control group). In addition to treatment as usual, the experimental group receives nurse-delivered self-care counselling via mobile phone at fixed intervals over 16 weeks. Outcome measures are collected at baseline and at 4, 12, 24 and 36 weeks post-baseline. Outcomes include antiretroviral treatment adherence, HIV-1 RNA, depressive symptoms, illness perceptions, internalized stigma and quality of life. The MAHILA trial will provide information about how a mobile health counselling intervention delivered by non specialist nurses may improve access to care and support the adherence and clinical outcomes of women with HIV infection living in low- and middle-income countries such as India. NCT02319330 (First received: July 30, 2014; Last verified: January 2016)