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http://ir.mu.ac.ke:8080/jspui/handle/123456789/3229
Title: | Computer-based counseling program (CARE+ Kenya) to promote prevention and HIV health for people living with HIV/AIDS: a randomized controlled trial |
Authors: | Kurth, Ann E. Sidle, John E. Chhun, Nok Mwangi, Ann Keter, Alfred |
Keywords: | Computer-based counseling Viral load |
Issue Date: | 2019 |
Publisher: | AIDS Educ Prev. |
Abstract: | In countries experiencing the dual burden of human immunodeficiency virus (HIV) disease and health care worker shortages, information and communication technology tools offer a potential solution to help support HIV treatment adherence and secondary HIV transmission risk reduction for people living with HIV/AIDS. We conducted a randomized controlled trial (September 1, 2011 – July 12, 2012) with follow-up through April 2013. Participants were recruited from two clinics affiliated with the Academic Model Providing Access to Healthcare program in western Kenya. A total of 236 participants were enrolled, randomly assigned to intervention (n=118) or risk-assessment only control (n=118) and followed up for 9 months; with 95.3% retention. Both arms had > 0.5 log10 reduction in viral load over time (p=0.0007), a clinically relevant finding. A computer-based counseling tool is feasible and acceptable to implement in a high-volume East African HIV setting and provides evidence-based ART adherence and risk reduction support that may extend health workforce deficits. |
URI: | https://guilfordjournals.com/doi/10.1521/aeap.2019.31.5.395 http://ir.mu.ac.ke:8080/jspui/handle/123456789/3229 |
Appears in Collections: | School of Medicine |
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