Published in:
01-11-2013 | Original Paper
Test of a Web-Based Program to Improve Adherence to HIV Medications
Authors:
Rebekah K. Hersch, Royer F. Cook, Douglas W. Billings, Seth Kaplan, David Murray, Steven Safren, Justin Goforth, Joy Spencer
Published in:
AIDS and Behavior
|
Issue 9/2013
Login to get access
Abstract
We evaluated the effectiveness of a web-based version of the Life-Steps intervention combined with modules for stress reduction and mood management, designed to improve medication adherence among HIV infected individuals. 168 HIV+ adults were randomized into either the Life-Steps program or a waitlist control condition. All participants completed a baseline assessment and provided a 2-week electronic pill (MEMS) cap baseline reading. Follow up data collection was conducted at 3, 6 and 9 months. Patients in the web-based Life-Steps condition had significantly higher antiretroviral medication adherence rates than patients in the control group over the nine-month period as measured by the MEMS cap. In addition, analysis of viral load data indicated that the program also resulted in a significant decrease in viral load. These findings indicate that a web-based Life-Steps program can be a useful and implementable tool for helping patients living with HIV maintain medication adherence.