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Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China

We collected data on feasibility and acceptability of a real-time web-linked adherence monitoring container among HIV-positive injection drug users (IDU) in China. “Wisepill” uses wireless technology to track on-time medication dosing. Ten patients on antiretroviral therapy (ART) at the Guangxi CDC...

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Autores principales: Bachman DeSilva, Mary, Gifford, Allen L., Keyi, Xu, Li, Zhong, Feng, Cheng, Brooks, Mohamad, Harrold, Mark, Yueying, Hu, Gill, Christopher J., Wubin, Xie, Vian, Taryn, Haberer, Jessica, Bangsberg, David, Sabin, Lora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3730150/
https://www.ncbi.nlm.nih.gov/pubmed/23956851
http://dx.doi.org/10.1155/2013/957862
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author Bachman DeSilva, Mary
Gifford, Allen L.
Keyi, Xu
Li, Zhong
Feng, Cheng
Brooks, Mohamad
Harrold, Mark
Yueying, Hu
Gill, Christopher J.
Wubin, Xie
Vian, Taryn
Haberer, Jessica
Bangsberg, David
Sabin, Lora
author_facet Bachman DeSilva, Mary
Gifford, Allen L.
Keyi, Xu
Li, Zhong
Feng, Cheng
Brooks, Mohamad
Harrold, Mark
Yueying, Hu
Gill, Christopher J.
Wubin, Xie
Vian, Taryn
Haberer, Jessica
Bangsberg, David
Sabin, Lora
author_sort Bachman DeSilva, Mary
collection PubMed
description We collected data on feasibility and acceptability of a real-time web-linked adherence monitoring container among HIV-positive injection drug users (IDU) in China. “Wisepill” uses wireless technology to track on-time medication dosing. Ten patients on antiretroviral therapy (ART) at the Guangxi CDC HIV clinic in Nanning, China, used Wisepill for one ART medication for one month. We monitored device use and adherence and explored acceptability of the device among patients. Mean adherence was 89.2% (SD 10.6%). Half of the subjects reported a positive overall experience with Wisepill. Seven said that it was inconvenient, supported by comments that it was large and conspicuous. Five worried about disclosure of HIV status due to the device; no disclosures were reported. Twelve signal lapses occurred (5.4% of prescribed doses), of which one was due to technical reasons, nine to behavioral reasons (both intentional and unintentional), and two to unclear reasons. Although the technical components must be monitored carefully, and acceptability to patients presents challenges which warrant further exploration, the Wisepill device has potential for adherence interventions that deliver rapid adherence-support behavioral feedback directly to patients, including IDU. The use of wireless technology appears uniquely promising for providing time-sensitive communication on patient behavior that can be harnessed to maximize the benefits of HIV treatment.
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spelling pubmed-37301502013-08-16 Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China Bachman DeSilva, Mary Gifford, Allen L. Keyi, Xu Li, Zhong Feng, Cheng Brooks, Mohamad Harrold, Mark Yueying, Hu Gill, Christopher J. Wubin, Xie Vian, Taryn Haberer, Jessica Bangsberg, David Sabin, Lora AIDS Res Treat Research Article We collected data on feasibility and acceptability of a real-time web-linked adherence monitoring container among HIV-positive injection drug users (IDU) in China. “Wisepill” uses wireless technology to track on-time medication dosing. Ten patients on antiretroviral therapy (ART) at the Guangxi CDC HIV clinic in Nanning, China, used Wisepill for one ART medication for one month. We monitored device use and adherence and explored acceptability of the device among patients. Mean adherence was 89.2% (SD 10.6%). Half of the subjects reported a positive overall experience with Wisepill. Seven said that it was inconvenient, supported by comments that it was large and conspicuous. Five worried about disclosure of HIV status due to the device; no disclosures were reported. Twelve signal lapses occurred (5.4% of prescribed doses), of which one was due to technical reasons, nine to behavioral reasons (both intentional and unintentional), and two to unclear reasons. Although the technical components must be monitored carefully, and acceptability to patients presents challenges which warrant further exploration, the Wisepill device has potential for adherence interventions that deliver rapid adherence-support behavioral feedback directly to patients, including IDU. The use of wireless technology appears uniquely promising for providing time-sensitive communication on patient behavior that can be harnessed to maximize the benefits of HIV treatment. Hindawi Publishing Corporation 2013 2013-07-16 /pmc/articles/PMC3730150/ /pubmed/23956851 http://dx.doi.org/10.1155/2013/957862 Text en Copyright © 2013 Mary Bachman DeSilva et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bachman DeSilva, Mary
Gifford, Allen L.
Keyi, Xu
Li, Zhong
Feng, Cheng
Brooks, Mohamad
Harrold, Mark
Yueying, Hu
Gill, Christopher J.
Wubin, Xie
Vian, Taryn
Haberer, Jessica
Bangsberg, David
Sabin, Lora
Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China
title Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China
title_full Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China
title_fullStr Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China
title_full_unstemmed Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China
title_short Feasibility and Acceptability of a Real-Time Adherence Device among HIV-Positive IDU Patients in China
title_sort feasibility and acceptability of a real-time adherence device among hiv-positive idu patients in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3730150/
https://www.ncbi.nlm.nih.gov/pubmed/23956851
http://dx.doi.org/10.1155/2013/957862
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