GHDonline is please to host an online panel this week on using wireless technologies to monitor and improve patient adherence to HIV therapies.
Our panelists, Dr. Jessica Haberer, and Rowena Luk, a senior engineer, will off some initial thoughts this morning and then we look forward to a robust discussion.
The panel will occur simultaneously in the A&R and Health IT communities.
What ways can technology improve adherence monitoring and/or intervention?
What are limitations of technological approaches?
Is real-time adherence monitoring and intervention feasible outside the research setting?
What opportunities remain under-explored?
Link leads to: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2865631/
Summary: Effective antiretroviral therapy (ART) requires excellent adherence. Little is known about how to improve ART adherence in many HIV/AIDS-affected countries, including China. We therefore assessed an adherence intervention among HIV-positive patients in southwestern China. Eighty subjects were enrolled and monitored for 6 months. Sixty-eight remaining subjects were randomized to intervention/control arms. In months 7–12, intervention subjects were counseled using EDM feedback; controls continued with standard of care. Among randomized subjects, mean adherence and CD4 count were 86.8 vs. 83.8% and 297 vs. 357 cells/μl in intervention vs. control subjects, respectively. At month 12, among 64 subjects who completed the trial, mean adherence had risen significantly among intervention subjects to 96.5% but remained unchanged in controls. Mean CD4 count rose by 90 cells/μl and declined by 9 cells/μl among intervention and control subjects, respectively. EDM feedback as a counseling tool appears promising for management of HIV and other chronic diseases.
Full text available - see link.
Source: AIDS and Behavior
Publication Date: September 22, 2009
Keywords: Monitoring & Measurement