VITAL Start: Video-Based Intervention to Inspire Treatment Adherence for Life-Pilot of a Novel Video-Based Approach to HIV Counseling for Pregnant Women Living with HIV.
Maria H KimSaeed AhmedTapiwa TemboRachael SabelliRobert FlickXiaoying YuAlick MazengaHolly Le BlondKatie SimonMiriam HartigElizabeth WetzelRose NyirendaPeter N KazembeMtisunge MphandeAngella MkandawireMike J ChitaniElaine J AbramsPublished in: AIDS and behavior (2020)
We developed and piloted a video-based intervention targeting HIV-positive pregnant women to optimize antiretroviral therapy (ART) retention and adherence by providing a VITAL Start (Video-intervention to Inspire Treatment Adherence for Life) before ART. VITAL Start (VS) was grounded in behavior-determinant models and developed through an iterative multi-stakeholder process. Of 306 pregnant women eligible for ART, 160 were randomized to standard of care (SOC), 146 to VS and followed for one-month. Of those assigned to VS, 100% completed video-viewing; 96.5% reported they would recommend VS. Of 11 health workers interviewed, 82% preferred VS over SOC; 91% found VS more time-efficient. Compared to SOC, VS group had greater change in HIV/ART knowledge (p < 0.01), trend towards being more likely to start ART (p = 0.07), and better self-reported adherence (p = 0.02). There were no significant group differences in 1-month retention and pharmacy pill count. VITAL Start was highly acceptable, feasible, with promising benefits to ART adherence.
Keyphrases
- antiretroviral therapy
- hiv positive
- hiv infected
- pregnant women
- human immunodeficiency virus
- hiv aids
- hiv infected patients
- randomized controlled trial
- healthcare
- men who have sex with men
- glycemic control
- public health
- south africa
- type diabetes
- hiv testing
- palliative care
- computed tomography
- magnetic resonance imaging
- clinical trial
- quality improvement
- drug delivery
- study protocol
- placebo controlled
- mental health
- social media
- weight loss
- image quality
- risk assessment
- human health