Feasibility, Acceptability and Preliminary Efficacy of an Online Peer-to-Peer Social Support ART Adherence Intervention
- 4 April 2013
- journal article
- research article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 17 (6), 2031-2044
- https://doi.org/10.1007/s10461-013-0469-1
Abstract
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 (vs. Control) group reported significantly higher overall ART adherence (90.1 vs. 57.5 % at follow-up; difference = 31.1, p = 0.02) and ART taken correctly with food (81.6 vs. 55.7 % at follow-up; difference = 47.9, p = 0.01). The TWM intervention appeared feasible to implement, acceptable to users, and demonstrated greatest benefits for current drug users.Keywords
This publication has 37 references indexed in Scilit:
- A Cost Analysis of an Internet-Based Medication Adherence Intervention for People Living With HIVJAIDS Journal of Acquired Immune Deficiency Syndromes, 2012
- Technology Use and Reasons to Participate in Social Networking Health Websites among People Living with HIV in the USAIDS and Behavior, 2012
- Prevention of HIV-1 Infection with Early Antiretroviral TherapyNew England Journal of Medicine, 2011
- Reducing HIV risk behavior of men who have sex with men through persuasive computing: results of the Men's INTernet Study-IIAIDS, 2010
- Efficacy of computer technology-based HIV prevention interventions: a meta-analysisAIDS, 2009
- Life expectancy of individuals on combination antiretroviral therapy in high-income countries: a collaborative analysis of 14 cohort studiesThe Lancet, 2008
- Computer-delivered interventions for health promotion and behavioral risk reduction: A meta-analysis of 75 randomized controlled trials, 1988–2007Preventive Medicine, 2008
- The Association Between Life Chaos, Health Care Use, and Health Status Among HIV-Infected PersonsJournal of General Internal Medicine, 2007
- Self-Report Measures of Antiretroviral Therapy Adherence: A Review with Recommendations for HIV Research and Clinical ManagementAIDS and Behavior, 2006
- The CES-D ScaleApplied Psychological Measurement, 1977