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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00051805
Other study ID # 1R01AI045403-01A2
Secondary ID 3R01AI045403-02S
Status Completed
Phase N/A
First received January 16, 2003
Last updated September 17, 2007
Start date August 2002
Est. completion date July 2006

Study information

Verified date August 2007
Source National Institute of Allergy and Infectious Diseases (NIAID)
Contact n/a
Is FDA regulated No
Health authority United States: Federal Government
Study type Interventional

Clinical Trial Summary

One of the main causes of treatment failure in HIV infected individuals is lack of adherence to complicated drug regimens. The purpose of this study is to evaluate the effectiveness of a behavioral intervention program designed to improve adherence to anti-HIV drug regimens. Participants in this study will be recruited from the University of Alabama at Birmingham (UAB) Outpatient HIV Clinic.


Description:

Poor adherence to complicated antiretroviral (ARV) drug regimens is one of the most pressing behavioral problems in the clinical management of HIV infected persons. Recent medical advances have made it possible to maintain tighter control of viral replication, allowing people with HIV to live longer, healthier lives. However, the complexity of ARV drug regimens and drug side effects make medication adherence problematic. Deviations from the prescribed regimen may allow the virus to resume rapid replication and develop drug resistant mutations that could render the prescribed drugs useless. This study will evaluate the efficacy of a 6-month, theory-based behavioral intervention to enhance adherence to antiretroviral treatment regimens. HIV-related attitudes, depressive symptoms, coping strategies, and social support will also be assessed to examine theoretical assumptions regarding the causal relationship between psychosocial constructs and medication adherence.

Participants in this study will be recruited from UAB Outpatient HIV Clinic patients who are taking ARV medication. Participants will be randomized to a Standard Adherence Promotion Group or an Enhanced Adherence Promotion Group. The Enhanced Adherence Promotion will systematically address specific psychosocial issues associated with medication adherence. Participants will be followed for 6 months, and adherence will be evaluated at monthly study visits. Pill counts, viral loads, self-reported adherence to ARV medication, CD4 count, and genotypic viral resistance will be assessed.


Other known NCT identifiers
  • NCT00078780

Recruitment information / eligibility

Status Completed
Enrollment 119
Est. completion date July 2006
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 19 Years and older
Eligibility Inclusion Criteria

- HIV infected

- Receiving services at UAB Outpatient HIV Clinic

- Taking antiretroviral medication

- Able to attend monthly assessment meetings at clinic for 6 months

- Passing score on Mini Mental State Examination

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment


Related Conditions & MeSH terms


Intervention

Behavioral:
Promotion of adherence to ARV medications


Locations

Country Name City State
United States University of Alabama at Birmingham Outpatient HIV Clinic Birmingham Alabama

Sponsors (1)

Lead Sponsor Collaborator
National Institute of Allergy and Infectious Diseases (NIAID)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Stewart KE,Greene PG,Ross D,Kratt P, Balentine C, Lee P, Wang Y. Sex, drugs, and viral load: Associations in an HIV+ cohort. In: Society of Behavioral Medicine, 27th Annual Meeting & Scientific Sessions; 2006 Mar 23; San Francisco [CA]: Behavioral Medicine Across the Lifespan. Session Abstracts & Program Information Vol. 31, No. suppl. 1, Pages i-I.

Outcome

Type Measure Description Time frame Safety issue
Primary Pill counts for ARV medications
Secondary Viral load
Secondary disease progression measures (CD4 count, viral resistance)
Secondary self-reported adherence
Secondary self-reported psychosocial measures
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