The initial feasibility of a computer-based motivational intervention for adherence for youth newly recommended to start antiretroviral treatment.

TitleThe initial feasibility of a computer-based motivational intervention for adherence for youth newly recommended to start antiretroviral treatment.
Publication TypePublication
Year of Publication2014
AuthorsOutlaw AY, Naar-King S, Tanney M, Belzer ME, Aagenes A, Parsons JT, Merlo LJ
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalAIDS Care
Volume26
Issue1
Pagination130-5
Date Published2014 Jan
ISSN1360-0451
KeywordsAdolescent, Anti-Retroviral Agents, Computers, Feasibility Studies, Female, Florida, HIV Infections, Humans, Male, Medication Adherence, Motivation, Motivational Interviewing, Pilot Projects, Program Development, Surveys and Questionnaires, Tennessee, Treatment Outcome, Young Adult
Abstract

<p>Young people represent the largest number of new HIV infections, thus youth living with HIV (YLH) are likely to be the largest group to initiate antiretroviral treatment (ART). Adherence patterns for behaviorally infected YLH are not adequate to effectively manage the disease; therefore, novel interventions are needed to improve medication adherence. The purpose of the current study, which will precede a randomized controlled trial, was to assess the initial feasibility of an individually tailored computer-based two-session interactive motivational interviewing (MI) intervention for YLH newly recommended to start ART. Intervention development occurred in collaboration with three youth advisory groups. Ten youth (ages 18-24) were recruited to participate in this study. Participants completed the intervention online. Intervention components focused on medication adherence (rating perceived importance and confidence, and goal setting). Retention was 100% for both intervention sessions. All participants (n=10) felt medication adherence was important, but 80% felt confident they could manage their adherence to HIV medications. Ninety percent of participants set the goal of taking their HIV medications exactly as prescribed and reported success achieving this goal at follow-up. Additionally, participants were satisfied with the quality of the sessions and the amount of assistance they received for managing their adherence to HIV medications (90% participants for Session 1; 89% for Session 2). Per exit interview responses, participants felt that the intervention made them think more about their health and was a motivator for them to take better care of their health. In conclusion, the intervention was feasible for YLH enrolled in the study. </p>

DOI10.1080/09540121.2013.813624
Alternate JournalAIDS Care
PubMed ID23869650
PubMed Central IDPMC3872202
Grant ListU01 HD 040533 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD 040474 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040481 / HD / NICHD NIH HHS / United States