HAART Adherence Among HIV-infected Persons and the Factors Affecting Treatment Adherence
NCT ID: NCT01369056
Last Updated: 2016-05-26
Study Results
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Basic Information
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COMPLETED
NA
150 participants
INTERVENTIONAL
2010-07-31
2011-12-31
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
NONE
Study Groups
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Advanced Adherence Counseling (AdvAdh)
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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.
Control
Standard of care (including counseling regarding antiretroviral treatment adherence) received by HIV/AIDS patients at the study clinic
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.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* ≥18 years of age;
* speak and read either Estonian or Russian;
* receiving or starting a HAART regimen
Exclusion Criteria
18 Years
ALL
No
Sponsors
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State University of New York - Downstate Medical Center
OTHER
Tibotec Pharmaceutical Limited
INDUSTRY
University of Tartu
OTHER
Responsible Party
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Anneli Uusküla
Principal Investigator (Professor of Epidemiology, Department of Public Health)
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
Countries
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References
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Related Links
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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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