HIV Infections Clinical Trial
Official title:
Enhancing Communication and HIV Outcomes
The goal of this research is to improve communication between the patients with HIV and their health care providers. The overall purpose of doing so is to reduce disparities in medication self-efficacy, adherence to therapy, and HIV viral load suppression. The investigators will conduct a randomized controlled trial to test the effectiveness of a combined provider and patient communication intervention conducted at two separate visits compared to usual care in improving the quality of patient-provider communication, patients' medication self-efficacy, patient adherence to therapy, and HIV RNA suppression.
The goal of this research is to improve communication between the patients with HIV and
their health care providers. The overall purpose of doing so is to reduce disparities in
medication self-efficacy, adherence to therapy, and HIV viral load suppression. We will
conduct a randomized controlled trial to test the effectiveness of a combined provider and
patient communication intervention conducted at two separate visits compared to usual care
in improving the quality of patient-provider communication, patients' medication
self-efficacy, patient adherence to therapy, and HIV RNA suppression. The following primary
and secondary hypotheses will be addressed.
Primary Hypothesis.
1) There will be more and higher quality patient-provider communication about antiretroviral
medication adherence in the intervention compared to control arm at both visit 1 (V1) and
visit 2 (V2).
Secondary Hypotheses
1. Higher quality patient-provider communication in the intervention arm will be
associated with
- higher patient ratings of communication (overall, HIV-specific,
adherence-specific, and interpersonal style of provider) at V1 and V2;
- increased patient preference for a shared decision-making role at V1 and V2;
- more positive health beliefs at V1 and V2;
- higher patient medication self-efficacy at V1 and V2;
- better adherence to antiretroviral medication (assessed by 3-day recall) at V2;
and
- a greater percentage of patients with HIV-1 RNA suppression at V2.
2. The intervention will reduce disparities in medication self-efficacy, adherence, and
HIV-1 RNA suppression.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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