Feasibility, acceptability and preliminary efficacy of an online peer-to-peer social support ART adherence intervention.

Feasibility, acceptability and preliminary efficacy of an online peer-to-peer social support ART adherence intervention.
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DOI:
10.1007/s10461-013-0469-1
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发表时间:
2013-07
期刊:
影响因子:
4.4
通讯作者:
Simoni, Jane
Simoni, Jane
中科院分区:
医学2区
文献类型:
--
作者:
Horvath, Keith J.;Oakes, J. Michael;Rosser, B. R. Simon;Danilenko, Gene;Vezina, Heather;Amico, K. Rivet;Williams, Mark L.;Simoni, Jane

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这项研究描述了一项名为“与我一起茁壮成长”(TWM)的在线社会支持干预的结果,以提高抗逆转录病毒治疗(ART)的依从性。在过去的一个月里,HIV阳性的男同性恋或双性恋男性自我报告不完美的ART依从性被随机分配接受常规护理(n=57)或为期八周的TWM干预(n=67)。在基线、干预后和1个月随访时收集自我报告的ART结局指标(过去一个月为0-100%)。随访评估完成率为90%。参与者在信息和系统质量以及总体满意度方面对干预措施进行了评分(1-7级)(平均值≥5.0)。干预对整个样本的影响不大。然而,在目前使用药物的参与者中,TWM(与对照组相比)组报告了显着更高的总体ART依从性(随访时90.1% v. 57.5%;差异=31.1,p=.02)和ART与食物一起正确服用(随访时81.6% v. 55.7%;差异=47.9,p=.01)。TWM干预似乎是可行的,可以接受的用户,并表现出最大的好处,目前的吸毒者。
This study describes the results of an online social support intervention, called “Thrive With Me” (TWM), to improve antiretroviral therapy (ART) adherence. HIV-positive gay or bisexually-identified men self-reporting imperfect ART adherence in the past month were randomized to receive usual care (n=57) or the eight-week TWM intervention (n=67). Self-reported ART outcome measures (0–100% in the past month) were collected at baseline, post-intervention, and 1-month follow-up. Follow-up assessment completion rate was 90%. Participants rated (1–7 scale) the intervention high in information and system quality and overall satisfaction (Means≥5.0). The intervention showed modest effects for the overall sample. However, among current drug-using participants, the TWM (v. Control) group reported significantly higher overall ART adherence (90.1% v. 57.5% at follow-up; difference=31.1, p=.02) and ART taken correctly with food (81.6% v. 55.7% at follow-up; difference=47.9, p=.01). The TWM intervention appeared feasible to implement, acceptable to users, and demonstrated greatest benefits for current drug users.
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发表时间: 1983-01-01
影响因子: 5
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发表时间: 2003-03-01
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