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Evaluation of a real-time virtual intervention to empower persons living with HIV to use therapy self-management: study protocol for an online randomized controlled trial

José Côté, Gaston Godin, Yann-Gaël Guéhéneuc, Geneviève Rouleau, Pilar Ramirez-Garcìa, Joanne Otis, Cécile Tremblay and Ghayas Fadel

Article (2012)

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Cite this document: Côté, J., Godin, G., Guéhéneuc, Y.-G., Rouleau, G., Ramirez-Garcìa, P., Otis, J., ... Fadel, G. (2012). Evaluation of a real-time virtual intervention to empower persons living with HIV to use therapy self-management: study protocol for an online randomized controlled trial. Trials, 13. doi:10.1186/1745-6215-13-187
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Abstract

Background: Living with HIV makes considerable demands on a person in terms of self-management, especially as regards adherence to treatment and coping with adverse side-effects. The online HIV Treatment, Virtual Nursing Assistance and Education (Virus de I'immunodeficience Humaine-Traitement Assistance Virtuelle Infirmiere et Enseignement; VIH-TAVIE (TM)) intervention was developed to provide persons living with HIV (PLHIV) with personalized follow-up and real-time support in managing their medication intake on a daily basis. An online randomized controlled trial (RCT) will be conducted to evaluate the efficacy of this intervention primarily in optimizing adherence to combination anti-retroviral therapy (ART) among PLHIV.Methods/design: A convenience sample of 232 PLHIV will be split evenly and randomly between an experimental group that will use the web application, and a control group that will be handed a list of websites of interest. Participants must be aged 18 years or older, have been on ART for at least 6 months, and have internet access. The intervention is composed of four interactive computer sessions of 20 to 30 minutes hosted by a virtual nurse who engages the PLHIV in a skills-learning process aimed at improving self-management of medication intake. Adherence constitutes the principal outcome, and is defined as the intake of at least 95% of the prescribed tablets. The following intermediary measures will be assessed: self-efficacy and attitude towards antiretroviral medication, symptom-related discomfort, and emotional support. There will be three measurement times: baseline (T0), after 3 months (T3) and 6 months (T6) of baseline measurement. The principal analyses will focus on comparing the two groups in terms of treatment adherence at the end of follow-up at T6. An intention-to-treat (ITT) analysis will be carried out to evaluate the true value of the intervention in a real context.Discussion: Carrying out this online RCT poses various challenges in terms of recruitment, ethics, and data collection, including participant follow-up over an extended period. Collaboration between researchers from clinical disciplines (nursing, medicine), and experts in behavioral sciences information technology and media will be crucial to the development of innovative solutions to supplying and delivering health services.

Uncontrolled Keywords

Self-management program; Health Sciences; Internal medicine; People living with HIV; Anti-retroviral therapy; Randomized controlled trial; Adherence; Medicine; Medicine (General); Medicine (General); Specialties of internal medicine; Study Protocol; Cardiovascular; Web-based study; Diseases of the circulatory (Cardiovascular) system; Humans; HIV Infections; Anti-HIV Agents; Treatment Outcome; Drug Therapy; Computer-Assisted; Self Care; Adaptation; Psychological;

Open Access document in PolyPublie
Subjects: 2700 Technologie de l'information > 2700 Technologie de l'information
9000 Sciences médicales > 9000 Sciences médicales
Department: Département de génie informatique et génie logiciel
Research Center: Non applicable
Funders: Fonds de la recherche en santé du Québec (FRSQ), FRSQ - Réseau Sidami
Grant number: FRSQ 2008-2012, FRSQ 2009-2013
Date Deposited: 05 Dec 2018 16:01
Last Modified: 06 Dec 2018 01:20
PolyPublie URL: https://publications.polymtl.ca/3422/
Document issued by the official publisher
Journal Title: Trials (vol. 13)
Publisher: BioMed Central Ltd
Official URL: https://doi.org/10.1186/1745-6215-13-187

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