Development and Field Testing of an HIV Medication Touch Screen Computer Patient Adherence Tool with Telephone-Based, Targeted Adherence Counseling. (November 2013)

• Record Type: Journal Article
• Authors: McInnes, D. Keith; Hardy, Hélène; Goetz, Matthew B.; Skolnik, Paul R.; Brewster, Amanda L.; Hofmann, Roger H.; Gifford, Allen L.
• Is Part Of: Journal of the International Association of Providers of AIDS Care. Volume 12:Number 6(2013)
• Page Start: 397
• Page End: 406
• Publication Date: 2013-11
• Subjects: HIV -- medication adherence -- patient adherence -- medication reconciliation -- computers; AIDS (Disease) -- Periodicals; 616.9792
• DOI: 10.1177/1545109712454333
• Languages: English
• ISSNs: 2325-9574

Abstract

Background: HIV medication nonadherence is a major problem, yet many providers lack the time and training to carefully ask patients about their adherence. Objective: To design and pilot a technology-assisted intervention, for use in clinical settings, to identify nonadherent patients. Methods: The intervention uses audio computer-assisted self-interview (ACASI) to improve the assessment of adherence and medication-related problems. Patients completed a touch screen computer ACASI which generated graphic clinician and patient reports for discussion during the clinical encounter. Results: 72 patients and 11 providers participated in this study. The patients easily completed the ACASI. Adherence was 63% (3-day) and 47% (30-day). Using the ACASI, 22% of patients identified themselves as nonadherent, when their providers perceived them as adherent. Conclusions: This ACASI-based intervention is easy to use and helps identify nonadherence. The pilot test engendered enhancements including the addition of phone-based adherence counseling. A larger trial is underway to evaluate whether the intervention leads to improved HIV-related outcomes.