Development and pilot testing of daily Interactive Voice Response (IVR) calls to support antiretroviral adherence in India: A mixed-methods pilot study
Identifieur interne : 002008 ( Pmc/Corpus ); précédent : 002007; suivant : 002009Development and pilot testing of daily Interactive Voice Response (IVR) calls to support antiretroviral adherence in India: A mixed-methods pilot study
Auteurs : Dallas Swendeman ; Smarajit Jana ; Protim Ray ; Deborah Mindry ; Madhushree Das ; Bhumi BhaktaSource :
- AIDS and behavior [ 1090-7165 ] ; 2015.
Abstract
This two-phase pilot study aimed to design, pilot, and refine an automated Interactive Voice Response (IVR) intervention to support antiretroviral adherence for people living with HIV (PLH), in Kolkata, India. Mixed-methods formative research included a community advisory board (CAB) for IVR message development, one-month pre-post pilot, post-pilot focus groups, and further message development. Two IVR calls are made daily, timed to patients’ dosing schedules, with brief messages (<1-minute) on strategies for self-management of three domains: medical (adherence, symptoms, co-infections), mental health (social support, stress, positive cognitions), and nutrition and hygiene (per PLH preferences). Three ART appointment reminders are also sent each month. One-month pilot results (n=46, 80% women, 60% sex workers) found significant increases in self-reported ART adherence, both within past three days (p=0.05) and time since missed last dose (p=0.015). Depression was common. Messaging content and assessment domains were expanded for testing in a randomized trial is currently underway.
Url:
DOI: 10.1007/s10461-014-0983-9
PubMed: 25638037
PubMed Central: 4498985
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PMC:4498985Le document en format XML
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<series><title level="j">AIDS and behavior</title>
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<front><div type="abstract" xml:lang="en"><p id="P1">This two-phase pilot study aimed to design, pilot, and refine an automated Interactive Voice Response (IVR) intervention to support antiretroviral adherence for people living with HIV (PLH), in Kolkata, India. Mixed-methods formative research included a community advisory board (CAB) for IVR message development, one-month pre-post pilot, post-pilot focus groups, and further message development. Two IVR calls are made daily, timed to patients’ dosing schedules, with brief messages (<1-minute) on strategies for self-management of three domains: medical (adherence, symptoms, co-infections), mental health (social support, stress, positive cognitions), and nutrition and hygiene (per PLH preferences). Three ART appointment reminders are also sent each month. One-month pilot results (n=46, 80% women, 60% sex workers) found significant increases in self-reported ART adherence, both within past three days (p=0.05) and time since missed last dose (p=0.015). Depression was common. Messaging content and assessment domains were expanded for testing in a randomized trial is currently underway.</p>
</div>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21042</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id>
<journal-title-group><journal-title>AIDS and behavior</journal-title>
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<article-id pub-id-type="manuscript">NIHMS660393</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Development and pilot testing of daily Interactive Voice Response (IVR) calls to support antiretroviral adherence in India: A mixed-methods pilot study</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Swendeman</surname>
<given-names>Dallas</given-names>
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<contrib contrib-type="author"><name><surname>Jana</surname>
<given-names>Smarajit</given-names>
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<contrib contrib-type="author"><name><surname>Ray</surname>
<given-names>Protim</given-names>
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<contrib contrib-type="author"><name><surname>Mindry</surname>
<given-names>Deborah</given-names>
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<contrib contrib-type="author"><name><surname>Das</surname>
<given-names>Madhushree</given-names>
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<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Bhakta</surname>
<given-names>Bhumi</given-names>
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<aff id="A1"><label>1</label>
Center for HIV Identification, Prevention, and Treatment Services, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA</aff>
<aff id="A2"><label>2</label>
Sonagachi Research & Training Institute, Durbar Mahila Samanwaya Committee, Kolkata, India</aff>
<author-notes><corresp id="cor1">Corresponding author: Dallas Swendeman, UCLA, 10920 Wilshire Blvd., Suite. 350, Los Angeles, California 90024; <email>dswendeman@mednet.ucla.edu</email>
; Tel: (310) 794-8128; Fax: (310) 794-8297</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>3</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>6</month>
<year>2016</year>
</pub-date>
<volume>19</volume>
<issue>0 2</issue>
<fpage>142</fpage>
<lpage>155</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10461-014-0983-9</pmc-comment>
<abstract><p id="P1">This two-phase pilot study aimed to design, pilot, and refine an automated Interactive Voice Response (IVR) intervention to support antiretroviral adherence for people living with HIV (PLH), in Kolkata, India. Mixed-methods formative research included a community advisory board (CAB) for IVR message development, one-month pre-post pilot, post-pilot focus groups, and further message development. Two IVR calls are made daily, timed to patients’ dosing schedules, with brief messages (<1-minute) on strategies for self-management of three domains: medical (adherence, symptoms, co-infections), mental health (social support, stress, positive cognitions), and nutrition and hygiene (per PLH preferences). Three ART appointment reminders are also sent each month. One-month pilot results (n=46, 80% women, 60% sex workers) found significant increases in self-reported ART adherence, both within past three days (p=0.05) and time since missed last dose (p=0.015). Depression was common. Messaging content and assessment domains were expanded for testing in a randomized trial is currently underway.</p>
</abstract>
<kwd-group><kwd>Antiretroviral adherence</kwd>
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<kwd>interactive voice response</kwd>
<kwd>mobile phone</kwd>
<kwd>India</kwd>
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