Optimizing Care for Challenging People Living With HIV

Launched by KAOHSIUNG MEDICAL UNIVERSITY CHUNG-HO MEMORIAL HOSPITAL · Dec 14, 2023

Keywords

ClinConnect Summary

This is an intervention strategy for HIV-infected individuals based on their viral load measurements and medication adherence rates, measured by the proportion of days covered (PDC) for the past 365 days. A specific PDC threshold identifies individuals with less than 90% viral suppression at under 200 copies/mL. An intervention approach integrating social and behavioral models with electronic health (eHealth) technology is implemented for cases with a PDC below this threshold. The intervention aims to enhance the patient's adherence to their medication regimen. The effectiveness of this int...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. PLWH with adherence below the specific proportion of days covered (PDC), which is defined as the specific level that corresponds to 90% at viral suppression (\< 200 copies/mL).
• Exclusion Criteria:
• • 1. Under 18 years of age.
• • 2. Illiterate.
• • 3. Non-consenting individuals.
• • 4. Less than 365 days from the initial use of antiretroviral drugs to the assessment for inclusion in the study.
• • 5. Inability to obtain complete medication records for the 365 days prior to inclusion.
• • 6. Lack of a smart phone.
• • 7. No willingness to return for follow-up at the participating hospital.