AIDSImpact.com:: - Santa Fe, USA 2011

Abstract #342 - Computer alert system and psychosocial telephone support to improve antiretroviral therapy adherence
Authors: Presenting Author: Dr Gustavo Kasparas - Helios Salud
Additional Authors: Dr. Gustavo Kasparas, Lic. María del Carmen Iannella, Dr. Gabriela Bugarin, Lic. Hugo Visciglio , Lic. Marcela Belforte, Lic. Roxana Miro, Dr. Rosa Bologna,
Aim: To evaluate the efficacy of strategies of a computer alarm system and psychosocial telephone support increase ART adherence.
Method / Issue: Retrospective intervention cohort study. In 2007 a computer alert system began to identify any delay of ART dispensing. Adherence strategies of psychosocial telephone support were applied. Results for 2007, 2008 and 2009 were compared respect 2006.
Results / Comments: Study population: Baseline: year 2006, 3,319 patients being followed up, mean age (SD) 37.0 (11.5) years, male 67.8%, ART 75.5%. In 2007 3,430 patients 37.3 (11.3) years, male 66.9%, ART 77.5%, in 2008 4,040 patients 37.7(11.2) years, male 67.7%, 76.5% on ART and in 2009 there were 4,584 patients on follow up, 38.4 (11.4) years, male 67.5%, ART 77.2%. Intervention: A computer program designed to alert delay in patient’s medication dispenses. Psychologists and social workers were trained to contact those patients. Results: The rate of medication dispensing showed a statistically significant increase respect baseline in 2007 (81.4%; 95% CI: 80.97-81.88; p = 0.001), 2008 (81.0%; CI: 95%: 80.52 - 81.37; p = 0.004), 2009 (83.2%; CI: 95%: 82.85-83.60, p < 0.001) and 2010 first four-month period (88.9%; CI: 95%: 88.33-89.40, p < 0.0001). The rate of viral load < 50 copies/mL lab results showed a statistically significant increase respect baseline.
Discussion: Conclusions: computer alarm of pharmacy dispensing and psychosocial telephone support improves long-term adherence to ART and clinical outcomes.
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