Feasibility and Acceptability of Real-Time Antiretroviral Adherence Monitoring among Depressed Women Living with HIV in the Deep South of the US

Kristi Lynn Stringer, Andres Azuero, Corilyn Ott, Christina Psaros, Christina H. Jagielski, Steven A. Safren, Jessica E. Haberer, Mirjam Colette Kempf

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1306-1314
Number of pages9
JournalAIDS and Behavior
Volume23
Issue number5
DOIs
StatePublished - May 15 2019

Keywords

  • Antiretroviral therapy
  • Deep South
  • Depression
  • Real-time adherence monitoring
  • Women living With HIV

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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