100% Adherence study: Educational workshops vs. video sessions to improve adherence among ART-naïve patients in Salvador, Brazil

Marcia Sampaio-Sa, Kimberly Page-Shafer, David Bangsberg, Jennifer Evans, Maria De Lourdes Dourado, Celia Teixeira, Eduardo M. Netto, Carlos Brites

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

We conducted a randomized trial to test an intervention aimed at increasing adherence to antiretroviral therapy (ART) among HIV-positive, ART-naïve patients in Salvador, Brazil. Participants (N = 107) were randomized to either educational workshops based on the information-motivation-behavioral skills model (n = 52) or a control video session (n = 55). Changes in self-reported ART adherence, viral load, CD4 cell counts and ART pharmacy records were measured periodically over 12 months. After 3-6 months, ART adherence (≥95%) was 77.8% in the workshop group and 85.7% in video group (as treated) and 53.8% and 65.5%, respectively, using intention-to-treat (ITT) analysis (both P > 0.05) At 9-12 months, ART adherence decreased to 73.7% in the workshop group and 79.1% in the video group (as treated) and 53.8% and 61.8% using ITT, respectively. No differences were found in self-reported adherence, viral load or pharmacy records between groups. We found that the educational workshop intervention does not increase adherence to ART.

Original languageEnglish (US)
JournalAIDS and Behavior
Volume12
Issue numberSUPPL. 1
DOIs
StatePublished - Jul 2008
Externally publishedYes

Fingerprint

Brazil
Education
Viral Load
Therapeutics
Intention to Treat Analysis
CD4 Lymphocyte Count
Motivation
HIV

Keywords

  • Adherence
  • AIDS
  • ART
  • Brazil
  • Highly active antiretroviral therapy (HAART)
  • HIV infection

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

100% Adherence study : Educational workshops vs. video sessions to improve adherence among ART-naïve patients in Salvador, Brazil. / Sampaio-Sa, Marcia; Page-Shafer, Kimberly; Bangsberg, David; Evans, Jennifer; Dourado, Maria De Lourdes; Teixeira, Celia; Netto, Eduardo M.; Brites, Carlos.

In: AIDS and Behavior, Vol. 12, No. SUPPL. 1, 07.2008.

Research output: Contribution to journalArticle

Sampaio-Sa, Marcia ; Page-Shafer, Kimberly ; Bangsberg, David ; Evans, Jennifer ; Dourado, Maria De Lourdes ; Teixeira, Celia ; Netto, Eduardo M. ; Brites, Carlos. / 100% Adherence study : Educational workshops vs. video sessions to improve adherence among ART-naïve patients in Salvador, Brazil. In: AIDS and Behavior. 2008 ; Vol. 12, No. SUPPL. 1.
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