Exploring the feasibility, acceptability and preliminary effects of a nurse delivered mhealth intervention for women living with HIV in South India: a pilot randomized controlled trial

Purpose We evaluated the feasibility, acceptability and preliminary efficacy of a standardized nurse delivered mobile phone intervention to improve adherence to antiretroviral treatment and clinical outcomes. Methods Feasibility and acceptability of the phone intervention was assessed with rates of...

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Published in:Archives of women's mental health 2024-10, Vol.27 (5), p.751-763
Main Authors: Satyanarayana, Veena A., Duggal, Mona, Jeon, Sangchoon, Singh, Pushpendra, Desai, Anita, Chandra, Prabha S., Reynolds, Nancy R.
Format: Article
Language:English
Subjects:
Antiretroviral therapy
Cellular telephones
Clinical outcomes
Clinical trials
HIV
Human immunodeficiency virus
Medicine
Medicine & Public Health
Mental disorders
Original Article
Psychiatry
Psychotherapy
Quality of life
Risk factors
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Summary:Purpose We evaluated the feasibility, acceptability and preliminary efficacy of a standardized nurse delivered mobile phone intervention to improve adherence to antiretroviral treatment and clinical outcomes. Methods Feasibility and acceptability of the phone intervention was assessed with rates of eligibility, completed visits, and attritions. Intervention fidelity was assessed by checking recorded calls and feedback. Efficacy was assessed using a randomized controlled trial in which 120 women living with HIV and psychosocial vulnerabilities, were randomized to Treatment as Usual (TAU = 60) or TAU plus the mobile phone intervention ( N  = 60). Trained basic nurses delivered the theory-guided, standardized mobile phone intervention for mental health issues and psychosocial risk factors to improve antiretroviral treatment (ART) adherence and retention in care and improve clinical outcomes. Blind raters performed the assessments at 6, 12 and 24 weeks post-randomization. Results Adherence diminished over time in the TAU only group, while it was sustained in the TAU Plus group, only dropping at 24 weeks after the intervention had been discontinued. Among participants with depressive symptoms (CESD ≥ 16), the intervention had significant improvement in adherence rates ( p  
ISSN:1434-1816
1435-1102
1435-1102
DOI:10.1007/s00737-024-01462-0