Evaluation of a Phone-Based Program to Increase Adherence to Antiretrovirals Among PLWH: A Pilot Study.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sri Yona, Rita Ismail, Elly Nurachmah, Syamilatul Khariroh, Untung Sujianto, Windu Santoso, Sulistyo Asmoro Bangun, Joachim G Voss
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Abstract

Adherence to antiretroviral therapy (ART) is a major challenge for people living with HIV (PLWH). The purpose of this pilot study was to evaluate the six criteria for a phone-based intervention program for PLWH in Indonesia using a mixed methods feasibility study design. PLWH were included who took ART for at least 3 months, who had a cell phone, access to the internet, and the WhatsApp application. Thirty eligible respondents completed demographic information and shared their daily ART frequency during the enrolment visit. Motivational and health promotion messages were sent in the form of text message, images, and video links 30 min before their scheduled medication time for 3 months (October-December 2020). All respondents were retained until the end of the program. Necessity: Identified a need to be reminded when their ARTs were due. Feasibility: The participants were used to WhatsApp in their daily lives. Acceptability: The respondents responded well to the messages. Safety: None of the respondents experienced a mental distress due to involuntary HIV disclosure or stigma. Fidelity: The program delivered 79 to 91% of the messages. Challenges of the phone-based program centred around technical issues, human error user error, and environmental problems. Cost: The program could be delivered for less than $3 a day. The program met the six criteria for a useful intervention and can be applied to promote adherence to ART in remote regions of Indonesia.

一项基于电话的计划的评估,以增加PLWH对抗逆转录病毒药物的依从性:一项试点研究。
坚持抗逆转录病毒治疗(ART)是艾滋病毒感染者面临的一项重大挑战。本初步研究的目的是利用混合方法可行性研究设计,评估印度尼西亚PLWH电话干预计划的六个标准。包括接受抗逆转录病毒治疗至少3个月,有手机,可以上网和使用WhatsApp应用程序的PLWH。30名符合条件的受访者在登记访问期间填写了人口统计信息,并分享了他们的每日ART频率。在3个月(2020年10月至12月)的预定用药时间前30分钟,以短信、图像和视频链接的形式发送激励和健康促进信息。所有的受访者都被保留到项目结束。必要性:确定需要在art到期时被提醒。可行性:参与者在日常生活中已经习惯了WhatsApp。可接受性:受访者对信息的反应很好。安全性:没有受访者经历过精神痛苦,由于非自愿的艾滋病毒披露或耻辱。保真度:该程序传递了79%至91%的信息。基于电话的程序的挑战集中在技术问题、人为错误、用户错误和环境问题上。成本:该项目每天的配送费用不到3美元。该规划符合有效干预措施的六项标准,可用于促进印度尼西亚偏远地区坚持抗逆转录病毒药物治疗。
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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