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临床试验/NCT01058694
NCT01058694已完成不适用

Adherence to ARV Treatment and Its Effects on Medium Run Socio-Economic Outcomes: Evidence From Western Kenya

Georgetown University1 个研究点 分布在 1 个国家目标入组 720 人开始时间: 2007年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
720
试验地点
1
主要终点
MEMS Adherence

研究概览

简要总结

The purpose of proposed research is to implement a randomized study that will allow us to understand and address a number of key barriers to patient adherence as well as study the effects of better adherence on health and socio-economic outcomes.

详细描述

Several studies have shown that proper adherence to treatment regimens is essential for the effectiveness of ARV therapy (e.g Wools-Kaloustian et al. 2006). There is also evidence in that in some treatment programs in Africa, adherence rates are not always high (Gill et al. 2005). Even in settings where adherence levels are found to be high, numerous factors have been identified as being relevant, although the causal effects are unknown (Castro, 2006). As ARV treatment programs are scaled up in Africa, it is essential to understand the socio-economic determinants of adherence to ARV treatment, as well as the impact of interventions to support high levels of adherence. A secondary objective of this study is to understand the socio-economic impacts of higher adherence.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Factorial
主要目的
Supportive Care
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Patients who had been on ARV therapy at the Chulaimbo Rural Health Center for a maximum of three months and providing consent to participate in the study.

排除标准

  • •Patients who had been on ARV therapy for more than 3 months.

研究组 & 干预措施

Weekly SMS, brief message

Experimental

Weekly SMS received on Monday at 12 noon

干预措施: Short Message Services to Support ARV therapy adherence (Behavioral)

Control Group

Active Comparator

Receives a phone, but no messages.

干预措施: Short Message Services to Support ARV therapy adherence (Behavioral)

Daily SMS, Brief message

Experimental

Receive daily brief message at 12 noon: "This is your reminder"

干预措施: Short Message Services to Support ARV therapy adherence (Behavioral)

Daily SMS, Long Message

Experimental

Receive a daily long message at 12 noon: "This is your reminder + encouragement"

干预措施: Short Message Services to Support ARV therapy adherence (Behavioral)

Weekly SMS, Long Message

Experimental

Weekly message sent at 12 noon on Mondays: "This is your reminder + encouragement"

干预措施: Short Message Services to Support ARV therapy adherence (Behavioral)

结局指标

主要结局

MEMS Adherence

时间窗: 12 months follow up

次要结局

  • Frequency/incidence of ARV treatment interruptions(12 months follow up)

研究者

申办方类型
Other

研究点 (1)

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