Community outreach with weekly delivery of anti-retroviral drugs compared to cognitive-behavioural health care team-based approach to improve adherence among indigent women newly starting HAART

Sustained virological suppression requires adherence to >95% of doses of therapy. Overall there is paucity of data on adherence interventions among women and post-intervention outcomes. In this pilot study, we evaluated a novel strategy of weekly delivery of medications (Directly Delivered Therap...

Full description

Saved in:
Bibliographic Details
Published in:AIDS care 2006-05, Vol.18 (4), p.332-338
Main Authors: Visnegarwala, F., Rodriguez-Barradass, M. C., Graviss, E. A., Caprio, M., Nykyforchyn, M., Laufman, L.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adherence
Adult
AIDS
AIDS/HIV
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiretroviral drugs
Antiretroviral Therapy
Antiretroviral Therapy, Highly Active
Antiviral agents
Biological and medical sciences
Clinical outcomes
Cognitive Behaviour Therapy
Cognitive Therapy - methods
Community Health Services
Community treatment. Ambulatory treatment. Home care
Compliance
Drug therapy
Female
Health care
Health services
HIV
HIV Infections - therapy
Human immunodeficiency virus
Humans
Interventions
Low income groups
Medical sciences
Medical treatment
Outreach programmes
Patient Acceptance of Health Care - statistics & numerical data
Patient Compliance
Pharmacology. Drug treatments
Pilot Projects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sexual health
Texas
Treatment Outcome
Treatments
Women
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Sustained virological suppression requires adherence to >95% of doses of therapy. Overall there is paucity of data on adherence interventions among women and post-intervention outcomes. In this pilot study, we evaluated a novel strategy of weekly delivery of medications (Directly Delivered Therapy: DDT) for six months using an outreach worker (ORW), among ARV naïve indigent women starting HAART and compared the 'during intervention' and 'post-intervention' outcomes to the health care team (a nurse educator, a case worker, a pharmacist and social worker/drug addictions counsellor) based approach termed Adherence Coordination Services (ACS) and the Standard of Care (SoC) historical referent group. The baseline characteristics of the three groups were comparable. The proportion of women who achieved sustained virologic suppression in 4-8 month period for DDT; ACS and SoC groups were 86% (18/21); 54% (6/11); and 36% (8/22) (P
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120500162155