| Literature DB >> 31758349 |
Parya Saberi1, Deepalika Chakravarty2, Kristin Ming2, Dominique Legnitto2, Monica Gandhi2, Mallory O Johnson2, Torsten B Neilands2.
Abstract
There is no gold standard for estimating antiretroviral therapy (ART) adherence. Feasible, acceptable, and objective measures that are cost- and time-effective are needed. US adults (N = 93) on ART for ≥ 3 months, having access to a mobile phone and internet, and willing to mail in self-collected hair samples, were recruited into a pilot study of remote adherence data collection methods. We examined the correlation of self-reported adherence and three objective remotely collected adherence measures: text-messaged photographs of pharmacy refill dates for pharmacy-refill-based adherence, text-messaged photographs of pills for pill-count-based adherence, and assays of home-collected hair samples for pharmacologic-based adherence. All measures were positively correlated. The strongest correlation was between pill-count- and pharmacy-refill-based adherence (r = 0.68; p < 0.001), and the weakest correlation was between self-reported adherence and hair drug concentrations (r = 0.14, p = 0.34). The three measures provide objective adherence data, are easy to collect, and are viable candidates for future HIV treatment and prevention research.Entities:
Keywords: Adherence; HIV treatment; Hair drug concentrations; Pharmacy refill date; Pill count; Text message
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Year: 2020 PMID: 31758349 PMCID: PMC6996539 DOI: 10.1007/s10461-019-02744-w
Source DB: PubMed Journal: AIDS Behav ISSN: 1090-7165