title: Development and Pilot Testing of Daily Interactive Voice Response (IVR) Calls to Support Antiretroviral Adherence in India: A Mixed-Methods Pilot Study.
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 for IVR message development, 1-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-min) 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 currently underway.
authors: Center for HIV Identification, Prevention, and Treatment Services, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA), 10920 Wilshire Blvd., Suite. 350, Los Angeles, CA, 90024, USA, DSwendeman@mednet.ucla.edu.
authors: Dallas
authors: D
authors: Swendeman
authors: Smarajit
authors: S
authors: Jana
authors: Protim
authors: P
authors: Ray
authors: Deborah
authors: D
authors: Mindry
authors: Madhushree
authors: M
authors: Das
authors: Bhumi
authors: B
authors: Bhakta
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D040421:Cell Phone; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D007194:India; D055118:Medication Adherence; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D036301:Qualitative Research; D017010:Reminder Systems; D012648:Self Care; D012944:Social Support
chemical_list: D019380:Anti-HIV Agents
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