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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 : 002009

Development 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 Bhakta

Source :

RBID : PMC:4498985

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

Links to Exploration step

PMC:4498985

Le document en format XML

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<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>
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Center for HIV Identification, Prevention, and Treatment Services, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA</aff>
<aff id="A2">
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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>
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<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>
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