Use of an on-line pager system to increase adherence to antiretroviral medications

Steven Safren, E. S. Hendriksen, N. Desousa, S. L. Boswell, K. H. Mayer

Research output: Contribution to journalArticle

85 Citations (Scopus)

Abstract

Adherence to antiretroviral therapy is critical for treatment success. Antiretroviral therapy typically requires multiple pills at multiple dosing times. To address this, we tested the feasibility, utility, and efficacy of a customizable reminder system using pagers, which were programmed using web-based technology, to increase and maintain proper adherence in patients with pre-existing adherence problems. After a two-week monitoring period with an electronic pill-cap, participants with less than 90% adherence were randomized to continue monitoring or to receive a pager. The group who received the pagers had greater improvements in adherence from baseline to Week 2 and Week 12 than those who monitored their medications only. However, adherence in both groups at the outcome assessments points was still poor. While the provision of a reminder system helped improve adherence, it is likely that more intensive interventions are required for patients with pre-existing problems.

Original languageEnglish (US)
Pages (from-to)787-793
Number of pages7
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume15
Issue number6
DOIs
StatePublished - Dec 2003
Externally publishedYes

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Online Systems
Reminder Systems
medication
monitoring
Group
electronics
Patient Compliance
Therapeutics
Outcome Assessment (Health Care)
Technology
time

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)
  • Social Sciences (miscellaneous)

Cite this

Use of an on-line pager system to increase adherence to antiretroviral medications. / Safren, Steven; Hendriksen, E. S.; Desousa, N.; Boswell, S. L.; Mayer, K. H.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 15, No. 6, 12.2003, p. 787-793.

Research output: Contribution to journalArticle

Safren, Steven ; Hendriksen, E. S. ; Desousa, N. ; Boswell, S. L. ; Mayer, K. H. / Use of an on-line pager system to increase adherence to antiretroviral medications. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2003 ; Vol. 15, No. 6. pp. 787-793.
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