Health Behavior Clinical Trial
Official title:
Changing ART Adherence Behavior: The Lifewindows Project
This study will develop and evaluate the efficacy of an individualized, interactive, computer software program delivered in conjunction with clinical care in increasing and supporting antiretroviral therapy adherence in HIV-infected individuals.
When antiretroviral therapy (ART) is taken correctly, it can dramatically improve the health
and well-being of HIV-infected individuals. However, when the treatment regimen is not
followed carefully, the therapy can be ineffective in managing one's HIV, and also can allow
for the development of strains of HIV that may be resistant to treatment. Effective ART
adherence interventions can help patients to avoid potentially serious individual and public
health consequences of suboptimal adherence, but such interventions are often expensive and
too intensive for clinics to support offering over time to their patients. This study will
develop and evaluate the effectiveness of an individualized, interactive, computer-software
intervention program delivered in clinical care in increasing ART adherence in HIV-infected
individuals. Because the intervention is a software program, clinic resources required for
implementation and sustaining availability over time are minimized.
Participants in this ~18-month study were recruited from one of 5 participating clinics that
provide HIV care and randomly assigned to control (an assessment only version of the
software) or intervention (assessment and tailored intervention software) arm. Participants
completed their assigned task in concert with their regularly scheduled HIV medical care
visits (but no more frequently than once a month). Primary outcomes were measured at each
medical visit. The effect of the adherence intervention was evaluated through comparison of
treatment and control arm adherence reports over time and VL.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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