HAART Adherence Among HIV-infected Persons and the Factors Affecting Treatment Adherence

NCT ID: NCT01369056

Last Updated: 2016-05-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2011-12-31

Brief Summary

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The general objective of this study is to evaluate HAART adherence in Estonia and the factors affecting adherence; and the impact of an individual adherence enhancement counselling and treatment monitoring model (Advanced Adherence, AdvAdh), compared to the regular counselling received by HAART patients.

Detailed Description

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Specific HIV treatment - HAART (Highly Active Antiretroviral Therapy) can suppress HIV replication and consequently preserve the functioning of immune system. HAART therapy is a lifelong treatment with several different concomitantly administered oral medications. According to studies, low adherence to treatment is directly related to patient's knowledge and beliefs about HAART.

Studies have shown the success of different interventions increasing adherence to HAART, but additional studies need to be carried out in order to determine the most effective components of the interventions and the methods most suitable considering the local context, that could be used in everyday work and with limited resources.

The first places to implement the activities directed at improving treatment adherence are medical institutions, i.e. the departments of infectious diseases where HIV-positive individuals receive HAART treatment.

The aims of the study are:

* to determine the rate of adherence to HAART and its associated factors;
* to conduct a small-scale intervention (randomised controlled) study implementing a brief adherence counseling targeting persons receiving HAART.

Conditions

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Acute HIV Infection Acquired Immunodeficiency Syndrome Medication Adherence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Advanced Adherence Counseling (AdvAdh)

Please see the Intervention Description section

Group Type EXPERIMENTAL

Advanced Adherence Counseling (AdvAdh)

Intervention Type BEHAVIORAL

AdvAdh consists of 3 individual sessions (study months 0, 3, 6) -- patient-centered, non-judgmental, Motivational Interviewing- and theory-based, semi-structured, brief, candid conversations with a trained clinical care nurse using Next Step Counseling (NSC) approach. The intervention targets: 1) accurate information about antiretroviral treatment (ART) (mechanisms of HIV and antiretrovirals) and the development of mental imagery around it; 2) promotion of perceived sense of ease and efficacy in working ART regimen into the context of one's daily life and present life circumstances that may challenge drug use persistence; 3) identification, refinement of skills promoting ease of adhering to one's ART regimen across the diverse and challenges contexts.

Control

Standard of care (including counseling regarding antiretroviral treatment adherence) received by HIV/AIDS patients at the study clinic

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Advanced Adherence Counseling (AdvAdh)

AdvAdh consists of 3 individual sessions (study months 0, 3, 6) -- patient-centered, non-judgmental, Motivational Interviewing- and theory-based, semi-structured, brief, candid conversations with a trained clinical care nurse using Next Step Counseling (NSC) approach. The intervention targets: 1) accurate information about antiretroviral treatment (ART) (mechanisms of HIV and antiretrovirals) and the development of mental imagery around it; 2) promotion of perceived sense of ease and efficacy in working ART regimen into the context of one's daily life and present life circumstances that may challenge drug use persistence; 3) identification, refinement of skills promoting ease of adhering to one's ART regimen across the diverse and challenges contexts.

Intervention Type BEHAVIORAL

Other Intervention Names

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Situated Optimal Adherence Estonia (sOAI Estonia)

Eligibility Criteria

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Inclusion Criteria

* HIV infected;
* ≥18 years of age;
* speak and read either Estonian or Russian;
* receiving or starting a HAART regimen

Exclusion Criteria

\- triple class antiretroviral drug resistance, as determined from a prior resistance test performed in clinical practice, defined according to International Antiviral Society - USA (IAS-USA) interpretive guidelines for genotypic resistance mutations
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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State University of New York - Downstate Medical Center

OTHER

Sponsor Role collaborator

Tibotec Pharmaceutical Limited

INDUSTRY

Sponsor Role collaborator

University of Tartu

OTHER

Sponsor Role lead

Responsible Party

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Anneli Uusküla

Principal Investigator (Professor of Epidemiology, Department of Public Health)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anjali Sharma, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

State University of of New York Downstate Medical Center

Anneli Uusküla, MD, MSc, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Tartu Department of Public Health

Locations

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Ida-Viru Central Hospital

Kohtla-Järve, Ida-Virumaa, Estonia

Site Status

Countries

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Estonia

References

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Related Links

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http://www.terviseamet.ee/

Estonian Health Board. Database of infectious diseases statistics. Tallinn, Estonian Health Board, 2010. http://www.terviseamet.ee/nakkushaigused/nakkushaigustesse-haigestumine/hiv-ja-aids.html

Other Identifiers

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MARTH07237

Identifier Type: -

Identifier Source: org_study_id

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