HIV Infections Clinical Trial
Official title:
A Pilot Study Using Cell Phone Interactions to Improve Medication Adherence in Adolescents Who Have Previously Failed Antiretroviral Therapy Due to Non-Adherence
This study will use a longitudinal, experimental design. Participants will be randomized to
either the intervention or the control group.
The intervention will involve cell phone support, including reminders, assessment of
barriers to adherence, problem solving and referrals conducted by an Adherence Facilitator.
Control group participants will participate in all on-study evaluations, except the
intervention exit interviews.
Forty participants, non-adherent to HAART at study start, will be randomly assigned to
either a 1) "Cell Phone Adherence Facilitator" group (intervention group) or a 2) control
group. In the intervention group, a Cell Phone Adherence Facilitator will initiate a short
(typically five minutes or less) contact Monday through Friday (excluding major holidays)
with each participant to enhance their adherence to HAART. Occasionally, calls may be longer
if crises arise that can be addressed by the Adherence Facilitator. Calls from the Adherence
Facilitator will occur once or twice a day (depending on dosing schedule) and go on for 24
weeks in the intervention group. Calls will occur at a time soon after the prescribed dose
is supposed to be taken, but also one convenient to the participant and the Adherence
Facilitator.
All participants regardless of condition will be followed for 48 weeks. This intervention
will be examined as a tool to address participant-specific, healthcare systems and
participant-provider relationship barriers to ARV adherence.
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