Raymond L. Ownby|Waldrop-Valverde|Joshua Caballero|Robin J. Jacobs
Baseline medication adherence and response to an electronically delivered health literacy intervention targeting adherence
Nova Southeastern University|Emory University|Nova Southeastern University|Nova Southeastern University
medication adherence persons treated human immunodeficiency virus hiv continues important focus intervention high levels adherence required good clinical outcomes research shows many patients achieve levels despite multiple interventions improve adherence require multiple sessions delivered trained clinicians cost lack trained personnel limit availability interventions alternatives cliniciandelivered interventions interventions provided via electronic devices eg personaltablet computers smartphones modern technology allows devices provide tailoring content patient characteristics learning needs excellent platforms deliver multimedia teaching content intervention reported drew research health literacy persons hiv relation health literacy medication adherence persons treated hiv develop electronically delivered application using informationmotivationbehavioral skills model conceptual framework understanding patients information needs computerdelivered intervention developed usability acceptability assessed medication adherence 118 patients 1 month completed intervention evaluated changes participant adherence evaluated sequential models progressively lower levels baseline medication adherence results show although changes adherence entire sample approached statistical significance individuals adherence less 95 showed significant increases adherence time participants selfreported knowledge behavioral skills increased course study change information predicted postintervention adherence suggesting link interventions effects outcomes computerdelivered intervention targeting hivrelated health literacy may thus useful strategy improving patient adherence