TY - JOUR
T1 - Feasibility and Acceptability of Real-Time Antiretroviral Adherence Monitoring among Depressed Women Living with HIV in the Deep South of the US
AU - Stringer, Kristi Lynn
AU - Azuero, Andres
AU - Ott, Corilyn
AU - Psaros, Christina
AU - Jagielski, Christina H.
AU - Safren, Steven A.
AU - Haberer, Jessica E.
AU - Kempf, Mirjam Colette
N1 - Funding Information:
ing to charge the EAM device was a challenge for some participants. This assertion was supported by the interruption in real-time data transmission.
PY - 2019/5/15
Y1 - 2019/5/15
N2 - This study presents feasibility and acceptability data on the use of a real-time wireless electronic adherence monitor (EAM), among African American women living with HIV with co-occurring depression, residing in remote areas of the Southeastern United States. EAM and self-report ART adherence was monitored over an average of 14.8 weeks among 25 participants who were recruited at four HIV clinics in Alabama. Intra-class correlation showed a low degree of concordance between EAM and self-report (ICC = 0.33, 95% bootstrap CI 0.13, 0.59). 83% of data collected via EAM was transmitted in real-time. Due to technological failures, 11.4% were not transmitted in real-time, but were later recovered, and 5.7% were lost entirely. Acceptability was examined through surveys and qualitative interviews. Results suggest that EAM monitoring is acceptable and feasible in a rural US setting; however, technological difficulties, such as loss of connectivity may impede the device’s usefulness for just-in-time adherence interventions.
AB - This study presents feasibility and acceptability data on the use of a real-time wireless electronic adherence monitor (EAM), among African American women living with HIV with co-occurring depression, residing in remote areas of the Southeastern United States. EAM and self-report ART adherence was monitored over an average of 14.8 weeks among 25 participants who were recruited at four HIV clinics in Alabama. Intra-class correlation showed a low degree of concordance between EAM and self-report (ICC = 0.33, 95% bootstrap CI 0.13, 0.59). 83% of data collected via EAM was transmitted in real-time. Due to technological failures, 11.4% were not transmitted in real-time, but were later recovered, and 5.7% were lost entirely. Acceptability was examined through surveys and qualitative interviews. Results suggest that EAM monitoring is acceptable and feasible in a rural US setting; however, technological difficulties, such as loss of connectivity may impede the device’s usefulness for just-in-time adherence interventions.
KW - Antiretroviral therapy
KW - Deep South
KW - Depression
KW - Real-time adherence monitoring
KW - Women living With HIV
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U2 - 10.1007/s10461-018-2322-z
DO - 10.1007/s10461-018-2322-z
M3 - Article
C2 - 30377982
AN - SCOPUS:85056000381
VL - 23
SP - 1306
EP - 1314
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 5
ER -