| Literature DB >> 28110473 |
Petina Musara1, Elizabeth T Montgomery2, Nyaradzo M Mgodi3, Kubashni Woeber4, Carolyne A Akello5, Miriam Hartmann2, Helen Cheng2, Lisa Levy6, Ariana Katz2, Cynthia I Grossman7, Z Mike Chirenje3, Ariane van der Straten2,8, Barbara Mensch9.
Abstract
Accurate estimates of study product use are critical to understanding and addressing adherence challenges in HIV prevention trials. The VOICE trial exposed a significant gap between self-reported adherence and drug detection. The VOICE-D qualitative study was designed to better understand non-adherence during VOICE, and was conducted in 2 stages: before (stage 1) and after (stage 2) drug detection results were provided to participants. Transcripts from 44 women who participated in both stages were analysed to understand the effect of presenting drug detection data on narratives of product use. Thirty-six women reported high adherence in stage 1, yet admitted non-use in stage 2, three reported high adherence in both stages (contrary to their drug detection results) and five had consistent responses across both stages and drug results. Presenting objective measures of use may facilitate more accurate product use reporting and should be evaluated in future prevention trials.Entities:
Keywords: Adherence measures; Drug detection results; HIV prevention; Microbicides; Pre-exposure prophylaxis
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Year: 2018 PMID: 28110473 PMCID: PMC5587392 DOI: 10.1007/s10461-017-1685-x
Source DB: PubMed Journal: AIDS Behav ISSN: 1090-7165