“+CLICK”: pilot of a web-based training program to enhance ART adherence among HIV-positive youth.
Youth account for almost half of all new HIV infections in the United States. Adherence to antiretroviral treatment (ART) is critical for successful management, yet reported adherence rates for youth are often low. This study pilot-tested “+CLICK,” an innovative, web-based, adherence intervention fo...
| Publicado en: | AIDS Care Vol. 24; no. 3; pp. 310 - 319 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=71882034&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 71882034 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09540121 AAE jtl: AIDS Care issn: 09540121 maglogo: N pubinfo: dt: Mar2012 vid: 24 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 71882034 104522134 104522134 10.1080/09540121.2011.608788 71882034 ppf: 310 ppct: 9 formats: fmt: @attributes: type: P tig: atl: “+CLICK”: pilot of a web-based training program to enhance ART adherence among HIV-positive youth. aug: au: Shegog, Ross Markham, ChristineM. Leonard, AmyD. Bui, ThanhC. Paul, MaryE. affil: Center for Health Promotion & Prevention Research, University of Texas Health Science Center at Houston, Houston, TX, USA sug: subj: HIV Seropositivity Drug Therapy Computer-Assisted Instruction Evaluation Antiviral Agents Therapeutic Use Medication Compliance In Adolescence Human CD4 Lymphocyte Count P-Value Pilot Studies Descriptive Statistics Pretest-Posttest Design Questionnaires Male Female Self-Efficacy Adolescence Funding Source Adolescent: 13-18 years Male Female ab: Youth account for almost half of all new HIV infections in the United States. Adherence to antiretroviral treatment (ART) is critical for successful management, yet reported adherence rates for youth are often low. This study pilot-tested “+CLICK,” an innovative, web-based, adherence intervention for HIV-positive youth as an adjunct to traditional clinic-based, self-management education. The theory-based application, developed for HIV-infected youth, 13–24 years of age, provides tailored activities addressing attitudes, knowledge, skills, and self-efficacy related to ART adherence. HIV-positive youth (N=10) pilot-tested “+CLICK” to assess usability (ease of use, credibility, understandability, acceptability, motivation) and short-term psychosocial outcomes (importance and self-efficacy related to ART adherence) using a single-group, pre-/post-test study design in a hospital-based pediatric clinic (n=8) and home (n=2) location. Youth were mostly female (80%) and Black (80%). Mean age was 17.8 years (SD=2.65, range 14–22). All were infected perinatally and had been living with HIV all their lives. Most learned their HIV status by age 10 years. Sixty percent reported an undetectable viral load, whilst 10% reported a viral load of over 50,000. Half (50%) reported a normal CD4 count, whilst 20% reported having low CD4 (<200). Usability ratings indicated “+CLICK” was very easy to use (70%), trustworthy, and understandable (both>90%). Most (70%) indicated they would use “+CLICK” again. Short-term psychosocial outcomes indicate significant increase in medication adherence self-efficacy (p<0.05), perceived importance of taking antiretroviral medicine close to the right time every day (p<0.05), and knowledge about HIV and adherence (p<0.01). Other psychosocial variables and behavioral intentions were not significantly impacted. Results suggest that “+CLICK” has the potential to affect psychological antecedents to ART adherence. Further research on long-term and behavioral effects is indicated prior to broader dissemination into clinical practice. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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