Refining a personalized mHealth intervention to promote medication adherence among HIV+ methamphetamine users.
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Date
2014-10-07
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Abstract
Mobile health mHealth interventions to promote antiretroviral therapy ART adherence have shown promise however among persons living with HIV who abuse methamphetamine MA effective tailoring of content to match the expressed needs of this patient population may be necessary This study aimed 1 to understand patient perspectives of barriers and facilitators of ART adherence among people with HIV who use MA and 2 to obtain feedback on the thematic content of an mHealth intervention in order to tailor the intervention to this subgroup Two separate focus groups each with 10 HIV MA individuals were conducted Transcribed audio recordings were qualitatively analyzed to identify emergent themes Inter rater reliability of themes was high mean Kappa 97 Adherence barriers included MA use misguided beliefs about ART adherence memory and planning difficulties social barriers and perceived stigma and mental heath issues Facilitators of effective ART adherence were cognitive compensatory strategies promotion of well being health care supports adherence education and social support Additionally the focus groups generated content for reminder text messages to be used in the medication adherence intervention This qualitative study demonstrates the feasibility of using focus groups to derive patient centered intervention content to address the health challenge at hand in targeted populations
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Keywords
Drug users, Client, Access to information or data, Supply of services, Quality of care, Continuity of care, Stigma, Loss to follow up, Low adherence to treatments, Effectiveness, HIV/AIDS, Mental health, Chronic care, Social and behavior change communication, Health education or promotion, Treatment adherence, Disease management, SMS, Text