100% Adherence Study: Educational Workshops vs. Video Sessions to Improve Adherence Among ART-Naïve Patients in Salvador, Brazil

Sampaio-Sa, Marcia; Page, Kimberly; Bangsberg, David R.; Evans, Jennifer L.; Dourado, Maria De Lourdes; Teixeira, Celia; Netto, Eduardo Martins; Brites, Carlos

doi:10.1007/s10461-008-9414-0

Cited by 26 publications

(24 citation statements)

References 30 publications

(30 reference statements)

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“…However, other studies published after this study was underway found that video interventions may be more potent than previously thought. Recent RCTs (Brock and Smith, 2007; Purcell et al, 2007; Sampaio-Sa et al, 2008) and quasi-experimental studies (Brock and Smith, 2007; Wong et al, 2006) have found that informational videos can lead to improvements in HAART knowledge (Brock and Smith 2007; Wong et al, 2006), adherence behavior (Brock and Smith, 2007; Purcell et al, 2007; Sampaio-Sa et al, 2008), and substance use (Gilbert et al, 2008; Purcell et al, 2007). Some studies have found durable effects, with video interventions reducing drug use (Gilbert et al, 2008; Purcell et al, 2007) among HIV+ (Gilbert et al, 2008; Purcell et al, 2007) and mixed serostatus (Chiasson et al, 2009) samples for three to twelve months.…”

Section: Discussionmentioning

confidence: 99%

A pilot randomized clinical trial of two medication adherence and drug use interventions for HIV+ crack cocaine users

Ingersoll

Farrell-Carnahan

Cohen-Filipic

et al. 2011

Drug and Alcohol Dependence

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Background Crack cocaine use undermines adherence to highly active antiretroviral therapy (HAART). This pilot randomized clinical trial tested the feasibility and efficacy of 2 interventions based on the Information-Motivation-Behavioral Skills model to improve HAART adherence and reduce crack cocaine problems. Methods Participants were 54 adults with crack cocaine use and HIV with <90% HAART adherence. Most participants were African-American (82%) heterosexual (59%), and crack cocaine dependent (92%). Average adherence was 58% in the past 2 weeks. Average viral loads (VL) were detectable (log VL 2.97). The interventions included 6 sessions of Motivational Interviewing plus feedback and skills building (MI+), or Video information plus debriefing (Video+) over 8 weeks. Primary outcomes were adherence by 14-day timeline follow-back and Addiction Severity Index (ASI) Drug Composite Scores at 3 and 6 months. Repeated measures ANOVA assessed main effects of the interventions and interactions by condition. Results Significant increases in adherence and reductions in ASI Drug Composite Scores occurred in both conditions by 3 months and were maintained at 6 months, representing medium effect sizes. No between group differences were observed. No VL changes were observed in either group. Treatment credibility, retention, and satisfaction were high and not different by condition. Conclusions A counseling and a video intervention both improved adherence and drug problems durably among people with crack cocaine use and poor adherence in this pilot study. The interventions should be tested further among drug users with poor adherence. Video interventions may be feasible and scalable for people with HIV and drug use.

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Section: Discussionmentioning

confidence: 99%

A pilot randomized clinical trial of two medication adherence and drug use interventions for HIV+ crack cocaine users

Ingersoll

Farrell-Carnahan

Cohen-Filipic

et al. 2011

Drug and Alcohol Dependence

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“…Although some studies have demonstrated significant improvements in ART adherence, HIV-1 RNA, or CD4 cell counts (112–114) and 1 study demonstrated effects in specific subsets of participants (115), other studies showed no significant improvements in adherence (116, 117). Notably, studies targeted diverse patient groups and used a wide range of interventions, so the evidence does not clearly converge to support one particular approach to offering group education and counseling.…”

Section: Guidelinesmentioning

confidence: 99%

Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIV: Evidence-Based Recommendations From an International Association of Physicians in AIDS Care Panel

Thompson¹,

Mugavero²,

Amico³

et al. 2012

Ann Intern Med

Self Cite

543

460

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Description After HIV diagnosis, timely entry into HIV medical care and retention in that care are essential to the provision of effective antiretroviral therapy (ART). ART adherence is among the key determinants of successful HIV treatment outcome and is essential to minimize the emergence of drug resistance. The International Association of Physicians in AIDS Care convened a panel to develop evidence-based recommendations to optimize entry into and retention in care and ART adherence for people with HIV. Methods A systematic literature search was conducted to produce an evidence base restricted to randomized, controlled trials and observational studies with comparators that had at least 1 measured biological or behavioral end point. A total of 325 studies met the criteria. Two reviewers independently extracted and coded data from each study using a standardized data extraction form. Panel members drafted recommendations based on the body of evidence for each method or intervention and then graded the overall quality of the body of evidence and the strength for each recommendation. Recommendations Recommendations are provided for monitoring of entry into and retention in care, interventions to improve entry and retention, and monitoring of and interventions to improve ART adherence. Recommendations cover ART strategies, adherence tools, education and counseling, and health system and service delivery interventions. In addition, they cover specific issues pertaining to pregnant women, incarcerated individuals, homeless and marginally housed individuals, and children and adolescents, as well as substance use and mental health disorders. Recommendations for future research in all areas are also provided.

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“…39 Group counseling and education has also been demonstrated to improve adherence in a variety of settings, including Brazil and India. 40–42 An important factor affecting the impact of counseling on adherence is its quality. Three cohort studies in sub-Saharan Africa that trained counselors to improve their skills found higher levels of adherence at the study’s end than at baseline.…”

Section: Introductionmentioning

confidence: 99%

A Role for Health Communication in the Continuum of HIV Care, Treatment, and Prevention

Tomori

Risher

Limaye

et al. 2014

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Health communication has played a pivotal role in HIV prevention efforts since the beginning of the epidemic. The recent paradigm of combination prevention, which integrates behavioral, biomedical, and structural interventions, offers new opportunities for employing health communication approaches across the entire continuum of care. We describe key areas where health communication can significantly enhance HIV treatment, care, and prevention, presenting evidence from interventions that include health communication components. These interventions rely primarily on interpersonal communication, especially individual and group counseling, both within and beyond clinical settings to enhance the uptake of and continued engagement in care. Many successful interventions mobilize a network of trained community supporters or accompagnateurs, who provide education, counseling, psychosocial support, treatment supervision and other pragmatic assistance across the care continuum. Community treatment supporters reduce the burden on overworked medical providers, engage a wider segment of the community, and offer a more sustainable model for supporting people living with HIV. Additionally, mobile technologies are increasingly seen as promising avenues for ongoing cost-effective communication throughout the treatment cascade. A broader range of communication approaches, traditionally employed in HIV prevention efforts, that address community and sociopolitical levels through mass media, school- or workplace-based education, and entertainment modalities may be useful to interventions seeking to address the full care continuum. Future interventions would benefit from development of a framework that maps appropriate communication theories and approaches onto each step of the care continuum in order to evaluate the efficacy of communication components on treatment outcomes.

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100% Adherence Study: Educational Workshops vs. Video Sessions to Improve Adherence Among ART-Naïve Patients in Salvador, Brazil

Cited by 26 publications

References 30 publications

A pilot randomized clinical trial of two medication adherence and drug use interventions for HIV+ crack cocaine users

A pilot randomized clinical trial of two medication adherence and drug use interventions for HIV+ crack cocaine users

Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIV: Evidence-Based Recommendations From an International Association of Physicians in AIDS Care Panel

A Role for Health Communication in the Continuum of HIV Care, Treatment, and Prevention

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