Reuben N. Robbins|Claude A. Mellins|Cheng Shiun Leu|Jessica Rowe|Patricia Warne|Elaine J. Abrams|Susan S. Witte|Dan J. Stein|Robert H. Remien
Enhancing Lay Counselor Capacity to Improve Patient Outcomes with Multimedia Technology
New York Psychoanalytic Society and Institute|Columbia University|New York Psychoanalytic Society and Institute|Columbia University|New York Psychoanalytic Society and Institute|Columbia University|Columbia University|New York Psychoanalytic Society and Institute|Columbia University|Columbia University|Columbia University|University of Cape Town|New York Psychoanalytic Society and Institute|Columbia University
multimedia technologies offer powerful tools increase capacity health workers deliver standardized effective engaging antiretroviral medication adherence counseling masivukeniis innovative multimediabased computerdriven lay counselordelivered intervention designed help people living hiv resourcelimited settings achieve optimal adherence pilot study examined medication adherence key psychosocial outcomes among 55 nonadherent south african hiv patients antiretroviral therapy art least 6 months randomized receive either masivukeni standard care soc counseling art nonadherence baseline significant differences soc masivukeni groups outcome variables postintervention approximately 56 weeks baseline clinicbased pill count adherence data available 20 participants 10 per intervention arm showed 10 improvement forparticipants decrease 8 soc participants masivukeni participants reported significantly positive attitudes towards disclosure medication social support less social rejection better clinicpatient relationships soc participants masivukeni shows promise promote optimal adherence provides preliminary evidence multimedia computerbased technology help lay counselors offer better adherence counseling standard approaches