Effects of a Phone Call Intervention to Promote Adherence to Antiretroviral Therapy and Quality of Life of HIV-AIDS Patients in Baoshan, China: A Randomized Controlled TrialReportar como inadecuado




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AIDS Research and TreatmentVolume 2013 2013, Article ID 580974, 9 pages

Research Article

Department of Preventing and Controlling HIV-AIDS, Baoshan Prefecture Center for Disease Control and Prevention, Baoshan, Yunnan 678000, China

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand

Baoshan Prefecture AIDS Working Committee Office, Baoshan Prefecture Health Bureau, Baoshan, Yunnan 678000, China

Received 11 September 2012; Accepted 26 December 2012

Academic Editor: P. K. Nicholas

Copyright © 2013 Dongsheng Huang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Suboptimal adherence to antiretroviral therapy ART is still pervasive. The effect of using a mobile phone call intervention to improve patient adherence is currently not known. Objective. This study aims to investigate the effects of a phone call intervention on adherence to ART and quality of life QOL of treatment-naive and treatment-experienced patients. Methods. A randomized controlled trial was conducted in the three largest public hospitals. Adherence was measured by self-completed questionnaires. QOL was assessed by the WHOQOL-HIV BREF. Outcomes were assessed at day 15, at 1, 2, and 3 months after start of treatment for treatment-naive patients and at 3 months after study enrollment for treatment-experienced patients. Results. A total of 103 treatment-naive and 93 treatment-experienced HIV-AIDS patients were consecutively recruited. Results show that a phone call intervention could maintain high self-reported adherence among both treatment-naive and treatment-experienced patients. After three months, significant QOL improvements were observed in domains of physical health , level of independence , environment , and spirituality-religion-personal beliefs among treatment-naive patients. Conclusion. A mobile phone call intervention to patients could maintain high adherence rates although no statistically significant differences were found. A phone call could improve some domains of QOL among treatment-naive patients.





Autor: Dongsheng Huang, Rassamee Sangthong, Edward McNeil, Virasakdi Chongsuvivatwong, Weibin Zheng, and Xuemei Yang

Fuente: https://www.hindawi.com/



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