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 R. Bangsberg; Jennifer Evans; Maria De Lourdes Dourado; Celia Teixeira; Eduardo M. Netto; Carlos Brites

doi:10.1007/s10461-008-9414-0

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 R. Bangsberg, Jennifer Evans, Maria De Lourdes Dourado, Celia Teixeira, Eduardo M. Netto, Carlos Brites

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

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 language	English (US)
Pages (from-to)	S54-S62
Journal	AIDS and Behavior
Volume	12
Issue number	SUPPL. 1
DOIs	https://doi.org/10.1007/s10461-008-9414-0
State	Published - Jul 2008
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-008-9414-0

Cite this

@article{26ef02faa3a247848f117bf12f1cfc11,

title = "100% Adherence study: Educational workshops vs. video sessions to improve adherence among ART-na{\"i}ve patients in Salvador, Brazil",

abstract = "We conducted a randomized trial to test an intervention aimed at increasing adherence to antiretroviral therapy (ART) among HIV-positive, ART-na{\"i}ve 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.",

keywords = "AIDS, ART, Adherence, Brazil, HIV infection, Highly active antiretroviral therapy (HAART)",

author = "Marcia Sampaio-Sa and Kimberly Page-Shafer and Bangsberg, {David R.} and Jennifer Evans and Dourado, {Maria De Lourdes} and Celia Teixeira and Netto, {Eduardo M.} and Carlos Brites",

note = "Funding Information: Acknowledgements We wish to thank all the respondents who gave their valuable time to participate in this study. We also are indebted to the research team and staff from the Reference Center for AIDS Treatment (CREAIDS) in Salvador-Brazil for logistic support. This research was supported by a grant from the Brazilian National AIDS Program, Ministry of Health. We also would like to thank the University of California, San Francisco, Center for AIDS Prevention Studies (NIMH-P30 MH062246), the International Clinical, Operational and Health Services Research Training Award (ICOHRTA), Brazil Scientists Program, Fogarty International Center (D43TW005799) and the Starr Foundation AIDS International Scholarship Fund for their technical assistance and support during the writing of this paper. Dr. Bangsberg was supported by K24 AA015287.",

year = "2008",

month = jul,

doi = "10.1007/s10461-008-9414-0",

language = "English (US)",

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T2 - Educational workshops vs. video sessions to improve adherence among ART-naïve patients in Salvador, Brazil

AU - Sampaio-Sa, Marcia

AU - Page-Shafer, Kimberly

AU - Bangsberg, David R.

AU - Evans, Jennifer

AU - Dourado, Maria De Lourdes

AU - Teixeira, Celia

AU - Netto, Eduardo M.

AU - Brites, Carlos

N1 - Funding Information: Acknowledgements We wish to thank all the respondents who gave their valuable time to participate in this study. We also are indebted to the research team and staff from the Reference Center for AIDS Treatment (CREAIDS) in Salvador-Brazil for logistic support. This research was supported by a grant from the Brazilian National AIDS Program, Ministry of Health. We also would like to thank the University of California, San Francisco, Center for AIDS Prevention Studies (NIMH-P30 MH062246), the International Clinical, Operational and Health Services Research Training Award (ICOHRTA), Brazil Scientists Program, Fogarty International Center (D43TW005799) and the Starr Foundation AIDS International Scholarship Fund for their technical assistance and support during the writing of this paper. Dr. Bangsberg was supported by K24 AA015287.

PY - 2008/7

Y1 - 2008/7

N2 - 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.

AB - 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.

KW - AIDS

KW - ART

KW - Adherence

KW - Brazil

KW - HIV infection

KW - Highly active antiretroviral therapy (HAART)

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U2 - 10.1007/s10461-008-9414-0

DO - 10.1007/s10461-008-9414-0

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AN - SCOPUS:46149099099

SN - 1090-7165

VL - 12

SP - S54-S62

JO - AIDS and Behavior

JF - AIDS and Behavior

IS - SUPPL. 1

ER -

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

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Keywords

ASJC Scopus subject areas

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