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Computer-Based Counseling Program (CARE+ Kenya) to Promote Prevention and HIV Health for People Living With HIV/AIDS: A Randomized Controlled Trial.
- Source :
-
AIDS education and prevention : official publication of the International Society for AIDS Education [AIDS Educ Prev] 2019 Oct; Vol. 31 (5), pp. 395-406. - Publication Year :
- 2019
-
Abstract
- In countries experiencing the dual burden of HIV disease and health care worker shortages, information and communication technology tools offer the potential to help support HIV treatment adherence and secondary HIV transmission risk reduction for people living with HIV/AIDS. We conducted a randomized controlled trial (September 1, 2011-July 12, 2012) with follow-up through April 2013. Participants were recruited from two clinics affiliated with the Academic Model Providing Access to Healthcare program in western Kenya. A total of 236 participants were enrolled, randomly assigned to intervention ( n = 118) or risk-assessment only control ( n = 118) and followed up for 9 months. Both arms had > 0.5 log10 reduction in viral load over time ( p = .0007), a clinically relevant finding. A computer-based counseling tool is feasible and acceptable in a high-volume East African HIV setting and provides evidence-based ART adherence and risk reduction support that may extend health workforce deficits.
- Subjects :
- Adult
Computers
Female
HIV Infections transmission
Health Knowledge, Attitudes, Practice
Health Personnel
Humans
Kenya
Male
Risk Reduction Behavior
Safe Sex
Sexual Partners
Unsafe Sex
Viral Load
Young Adult
Anti-HIV Agents therapeutic use
Counseling methods
Delivery of Health Care
HIV Infections drug therapy
HIV Infections prevention & control
Medication Adherence
Telemedicine methods
Subjects
Details
- Language :
- English
- ISSN :
- 1943-2755
- Volume :
- 31
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- AIDS education and prevention : official publication of the International Society for AIDS Education
- Publication Type :
- Academic Journal
- Accession number :
- 31550197
- Full Text :
- https://doi.org/10.1521/aeap.2019.31.5.395