The use of cell phone support for non-adherent HIV-infected youth and young adults: an initial randomized and controlled intervention trial.

TitleThe use of cell phone support for non-adherent HIV-infected youth and young adults: an initial randomized and controlled intervention trial.
Publication TypePublication
Year of Publication2014
AuthorsBelzer ME, Naar-King S, Olson J, Sarr M, Thornton S, Kahana SY, Gaur AH, Clark LF
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalAIDS Behav
Volume18
Issue4
Pagination686-96
Date Published2014 Apr
ISSN1573-3254
KeywordsAdolescent, Anti-HIV Agents, Cell Phone, Female, Health Knowledge, Attitudes, Practice, Health Promotion, HIV Infections, Humans, Longitudinal Studies, Male, Medication Adherence, Patient Compliance, Pilot Projects, Reminder Systems, Sexual Behavior, Text Messaging, United States, Viral Load, Young Adult
Abstract

<p>This randomized behavioral trial examined whether youth living with HIV (YLH) receiving cell-phone support with study funded phone plans, demonstrated improved adherence and viral control during the 24 week intervention and 24 weeks post-intervention compared to controls. Monday through Friday phone calls confirmed medications were taken, provided problem-solving support, and referred to services to address adherence barriers. Of 37 participants (ages 15-24), 62 % were male and 70 % were African American. Self-reported adherence was significantly higher in the intervention group compared to the control at 24 and 48 weeks for the past month (P = 0.007) and log 10 HIV VL was significantly lower at both 24 weeks (2.82 versus 4.52 P = 0.002) and 48 weeks (3.23 versus 4.23 P = 0.043). Adherence and viral load showed medium to large effect sizes across the 48 week study. This is the first study to demonstrate sustained clinically significant reductions in HIV VL using youth friendly technology. </p>

DOI10.1007/s10461-013-0661-3
Alternate JournalAIDS Behav
PubMed ID24271347
PubMed Central IDPMC3962719
Grant ListU01 HD040463 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5U01-HD 40533 / HD / NICHD NIH HHS / United States
M01 RR005096 / RR / NCRR NIH HHS / United States
5 UO1 HD 40474 / HD / NICHD NIH HHS / United States
U01 HD040470 / HD / NICHD NIH HHS / United States