<i>Letter to the Editor:</i> Modified Directly Observed Therapy: Sustained Self-Reported Adherence and HIV Health Status

Mitty, Jennifer A.; Huang, Danhong; Loewenthal, Helen; MacLeod, Cynthia; Thompson, Lara; Bazerman, Lauri

doi:10.1089/apc.2007.0066

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…Studies examining retention, attendance, and participant satisfaction have found mDOT programs to be acceptable and feasible across diverse settings and among various populations: substance users [39,40], persons with a history of poor adherence [41], ART-naive individuals or those changing regimens [42], children and adolescents [43], and others [44–46], In a review of 10 federally funded mDOT research projects, Goggin et al [47•] concluded that mDOT for ART is feasible and easily adapted to many settings and target populations. Contrary to concerns that daily visits would be intrusive or burdensome, many patients reported that they appreciated the mDOT contacts.…”

Section: Research Literature On Art Adherence Interventionsmentioning

confidence: 99%

Strategies for promoting adherence to antiretroviral therapy: A review of the literature

Simoni

Amico²,

Pearson³

et al. 2008

Curr Infect Dis Rep

177

136

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The success of antiretroviral therapy (ART) for HIV infection, though widespread and resounding, has been limited by inadequate adherence to its unforgiving regimens, especially over the long term. This article summarizes the literature on behavioral interventions to promote ART adherence and highlights some of the most recent and innovative research on patient education and case management, modified directly observed therapy, contingency management, interventions emphasizing social support, and novel technologies to promote awareness. Research in the area of adherence in pediatric HIV infection and in resource-constrained international settings also is considered. Although adherence interventions have been successful in experimental trials, they may not be feasible or adaptable given the constraints of real-world clinics arid community-based settings. Implementation and dissemination of adherence interventions needs increased attention as ART adherence research moves beyond its first decade. We conclude with suggestions for incorporating research findings into clinical practice.

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Section: Research Literature On Art Adherence Interventionsmentioning

confidence: 99%

Strategies for promoting adherence to antiretroviral therapy: A review of the literature

Simoni

Amico²,

Pearson³

et al. 2008

Curr Infect Dis Rep

177

136

View full text Add to dashboard Cite

show abstract

“…Although much of the data described above strongly support the on-treatment benefits of DAART, to date, only one small study exists on the persistence of the effects of DAART 26. That study analyzed 9 patients in a 15-patient cohort on follow-up of biological outcomes several months after treatment.…”

Section: Introductionmentioning

confidence: 99%

Persistence of Virological Benefits Following Directly Administered Antiretroviral Therapy Among Drug Users: Results From a Randomized Controlled Trial

Maru

Bruce²,

Walton³

et al. 2009

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…In the literature, peer roles are often defined by the specific intervention being studied, such as modified directly observed therapy [17–20, 25, 32–34], social support [25, 35] or prevention for positives [9, 12, 14, 15, 33]. In this sample of peers working in eight states it appears that HIV positive peers conduct a wide range of activities in natural (non-study) settings that encompass the roles described above, as well as helping clients find HIV and social support services, coaching clients in communications with their providers, helping clients make choices about disclosure, and helping clients understand confidentiality and boundaries.…”

Section: Discussionmentioning

confidence: 99%

Peer Knowledge and Roles in Supporting Access to Care and Treatment

et al. 2010

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People living with HIV (PLWHIV) have been involved in the continuum of HIV care since the early days of the epidemic providing education and prevention services. There is a growing interest in utilizing HIV positive peers to support access to care and treatment, but little is known about the range of roles these peers perform and what they need to know to do this work. This study of 186 HIV-positive peers currently providing community health services in eight states found that peers perform a wide range of roles, including assistance with care and treatment, emotional support, and service referrals. Over 80% discussed medications with clients. On average, experienced peers provided correct responses to 73% of questions about HIV and AIDS, and 65% of questions about the appropriate role of a peer. Peers living with HIV for more than 5 years, in paid employment with more than a high school education had higher HIV knowledge scores than volunteers. Higher education, length of time living with HIV, age and speaking English as the primary language were associated with higher peer knowledge scores. This study suggests that we cannot assume that peers already working in the field are fully knowledgeable about HIV care and treatment or peer roles. It is important to address gaps in knowledge through continuing education and to create common standards for the training and skills that peers who work in community health settings need to have.

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Letter to the Editor: Modified Directly Observed Therapy: Sustained Self-Reported Adherence and HIV Health Status

Cited by 8 publications

References 13 publications

Strategies for promoting adherence to antiretroviral therapy: A review of the literature

Strategies for promoting adherence to antiretroviral therapy: A review of the literature

Persistence of Virological Benefits Following Directly Administered Antiretroviral Therapy Among Drug Users: Results From a Randomized Controlled Trial

Peer Knowledge and Roles in Supporting Access to Care and Treatment

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