2019
DOI: 10.2196/11416
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Triggered Escalating Real-Time Adherence Intervention to Promote Rapid HIV Viral Suppression Among Youth Living With HIV Failing Antiretroviral Therapy: Protocol for a Triggered Escalating Real-Time Adherence Intervention

Abstract: Background Youth living with HIV (YLWH) are confronted with many self-care challenges that can be experienced as overwhelming in the context of normal developmental processes that characterize adolescence and young adulthood. A sizable minority of YLWH have unsuppressed viral loads in the United States attributable to antiretroviral therapy (ART) nonadherence. Interventions to promote sustained viral suppression in YLWH are needed. Objective The aim of this study is to … Show more

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Cited by 13 publications
(11 citation statements)
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References 66 publications
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“… ICT/Game ICT/Game Ongoing studies Agwu & Trent (2020) [ 57 ] Tech2Check - technology-enhanced community health nursing intervention Individual Field visits by a Community Health Nurse trained in disease intervention protocols, including clinical assessment, case management, counseling, and a behavioural intervention coupled with text messaging support for medication and self-care reminders. Not stated Face-to-face/text messaging HCW Amico et al (2019) [ 58 ] TERA (Triggered Escalating Real-Time Adherence) Individual Remote ‘face-to-face’ coaching with the assigned adherence coach; 1-way, discrete SMS text message; 2-way interactive outreach SMS from the coach if the electronic dose monitoring (EDM) bottle remains unopened after 1.5 h post dose time; incorporation of dosing data collected via the electronic dose monitoring into follow-up visits to facilitate problem-solving. Coaching baseline, week 4 and week 12; continuous EDM with SMS outreach (12-week intervention) Face-to-face/ ICT Trained counsellors (TERA coaches) Belzer et al (2018) [ 59 ] Text message/Cell Phone support (SMART)/Scale-it-Up Programme Individual Adherence facilitators that assess if the participant has taken their ART for the day, encourage adherence and engage the participant in brief problem-solving around identified barriers.…”
Section: Resultsmentioning
confidence: 99%
“… ICT/Game ICT/Game Ongoing studies Agwu & Trent (2020) [ 57 ] Tech2Check - technology-enhanced community health nursing intervention Individual Field visits by a Community Health Nurse trained in disease intervention protocols, including clinical assessment, case management, counseling, and a behavioural intervention coupled with text messaging support for medication and self-care reminders. Not stated Face-to-face/text messaging HCW Amico et al (2019) [ 58 ] TERA (Triggered Escalating Real-Time Adherence) Individual Remote ‘face-to-face’ coaching with the assigned adherence coach; 1-way, discrete SMS text message; 2-way interactive outreach SMS from the coach if the electronic dose monitoring (EDM) bottle remains unopened after 1.5 h post dose time; incorporation of dosing data collected via the electronic dose monitoring into follow-up visits to facilitate problem-solving. Coaching baseline, week 4 and week 12; continuous EDM with SMS outreach (12-week intervention) Face-to-face/ ICT Trained counsellors (TERA coaches) Belzer et al (2018) [ 59 ] Text message/Cell Phone support (SMART)/Scale-it-Up Programme Individual Adherence facilitators that assess if the participant has taken their ART for the day, encourage adherence and engage the participant in brief problem-solving around identified barriers.…”
Section: Resultsmentioning
confidence: 99%
“…[17][18][19][20] Several additional studies investigating novel approaches for ALHIV engagement in care are ongoing. [21][22][23][24] These interventions should be studied in pregnancy as well.…”
Section: Discussionmentioning
confidence: 99%
“…Our search strategy identified studies using keywords and MeSH terms related to stigma, and may have missed interventions that conceptualized stigma as part of the theoretical model, but not as a main outcome. The authors are aware of at least three such interventions (52,67,68). We also restricted our review to studies conducted in the US.…”
Section: Discussionmentioning
confidence: 99%
“…We identified three articles that were focused on promoting biomedical prevention services, including PrEP (49-51) and post-exposure prophylaxis (PEP) (52). The first was a onearm pilot, by Refugio et al that explored the feasibility and acceptability of PrEPTECH, a telehealth-based initiation program for PrEP targeting young MSM of color (ages 18-25 years) in the San Francisco Bay Area (49).…”
Section: Promoting Biomedical Prevention (Eg Prep and Pep)mentioning
confidence: 99%