A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings
Abstract Background Among persons living with HIV, poorer antiretroviral therapy adherence has been reported in African Americans and disproportionate mortality reported in young African American men who have sex with men (AAMSM) compared to whites. We report the results of focus groups with young A...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2019-04-01
|
Series: | BMC Public Health |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12889-019-6689-1 |
id |
doaj-34c904e984c64821ad25c8c0697a2827 |
---|---|
record_format |
Article |
spelling |
doaj-34c904e984c64821ad25c8c0697a28272020-11-25T02:01:13ZengBMCBMC Public Health1471-24582019-04-0119111110.1186/s12889-019-6689-1A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findingsMark S. Dworkin0Palak Panchal1Wayne Wiebel2Robert Garofalo3Jessica E. Haberer4Antonio Jimenez5Division of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public HealthDivision of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public HealthDivision of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public HealthDepartment of Pediatrics, Northwestern University/Ann & Robert H. Lurie Children’s Hospital of ChicagoMassachusetts General Hospital Center for Global HealthUniversity of Illinois at Chicago School of Public Health, Community Outreach Intervention ProjectsAbstract Background Among persons living with HIV, poorer antiretroviral therapy adherence has been reported in African Americans and disproportionate mortality reported in young African American men who have sex with men (AAMSM) compared to whites. We report the results of focus groups with young AAMSM living with HIV that explore their opinions about the acceptability and feasibility of a triaged real-time missed dose alert intervention to improve treatment adherence. The purpose of this study is to develop a theory-driven triaged real-time adherence monitoring intervention to promote HIV medication adherence in young AAMSM. Methods We performed five focus groups and two individual interviews among young HIV-positive AAMSM (n = 25) in Chicago guided by the Technology Acceptance Model and explored perceptions regarding the monitoring concept including device issues and concerns about inclusion of support persons whose involvement is triggered by sustained missed doses. The purpose was to inform the development of this intervention in this population. Results Generally, the participants found the proposed intervention acceptable and useful. Privacy was a major concern for participants especially with attention to possible disclosure of their HIV status by receiving a medication-related text that someone else might view and could lead to unwanted attention. There was concern that the device could be confused with a taser. Approximately half of the men already had a close personal contact that helped them with medication taking. Some participants acknowledged that the notification might lead to friction. Conclusions A triaged real-time alert intervention to improve treatment adherence is acceptable and feasible among young AAMSM living with HIV.http://link.springer.com/article/10.1186/s12889-019-6689-1Real-timeAdherenceHIVAntiretroviralMen who have sex with menWisepill |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mark S. Dworkin Palak Panchal Wayne Wiebel Robert Garofalo Jessica E. Haberer Antonio Jimenez |
spellingShingle |
Mark S. Dworkin Palak Panchal Wayne Wiebel Robert Garofalo Jessica E. Haberer Antonio Jimenez A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings BMC Public Health Real-time Adherence HIV Antiretroviral Men who have sex with men Wisepill |
author_facet |
Mark S. Dworkin Palak Panchal Wayne Wiebel Robert Garofalo Jessica E. Haberer Antonio Jimenez |
author_sort |
Mark S. Dworkin |
title |
A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings |
title_short |
A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings |
title_full |
A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings |
title_fullStr |
A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings |
title_full_unstemmed |
A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings |
title_sort |
triaged real-time alert intervention to improve antiretroviral therapy adherence among young african american men who have sex with men living with hiv: focus group findings |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2019-04-01 |
description |
Abstract Background Among persons living with HIV, poorer antiretroviral therapy adherence has been reported in African Americans and disproportionate mortality reported in young African American men who have sex with men (AAMSM) compared to whites. We report the results of focus groups with young AAMSM living with HIV that explore their opinions about the acceptability and feasibility of a triaged real-time missed dose alert intervention to improve treatment adherence. The purpose of this study is to develop a theory-driven triaged real-time adherence monitoring intervention to promote HIV medication adherence in young AAMSM. Methods We performed five focus groups and two individual interviews among young HIV-positive AAMSM (n = 25) in Chicago guided by the Technology Acceptance Model and explored perceptions regarding the monitoring concept including device issues and concerns about inclusion of support persons whose involvement is triggered by sustained missed doses. The purpose was to inform the development of this intervention in this population. Results Generally, the participants found the proposed intervention acceptable and useful. Privacy was a major concern for participants especially with attention to possible disclosure of their HIV status by receiving a medication-related text that someone else might view and could lead to unwanted attention. There was concern that the device could be confused with a taser. Approximately half of the men already had a close personal contact that helped them with medication taking. Some participants acknowledged that the notification might lead to friction. Conclusions A triaged real-time alert intervention to improve treatment adherence is acceptable and feasible among young AAMSM living with HIV. |
topic |
Real-time Adherence HIV Antiretroviral Men who have sex with men Wisepill |
url |
http://link.springer.com/article/10.1186/s12889-019-6689-1 |
work_keys_str_mv |
AT marksdworkin atriagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT palakpanchal atriagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT waynewiebel atriagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT robertgarofalo atriagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT jessicaehaberer atriagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT antoniojimenez atriagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT marksdworkin triagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT palakpanchal triagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT waynewiebel triagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT robertgarofalo triagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT jessicaehaberer triagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings AT antoniojimenez triagedrealtimealertinterventiontoimproveantiretroviraltherapyadherenceamongyoungafricanamericanmenwhohavesexwithmenlivingwithhivfocusgroupfindings |
_version_ |
1724957983767527424 |