HIV Infections
Conditions
Keywords
communication, HIV/AIDS, Treatment Experienced
Brief summary
The goal of this research is to improve communication between the patients with HIV and their health care providers. The overall purpose of doing so is to reduce disparities in medication self-efficacy, adherence to therapy, and HIV viral load suppression. The investigators will conduct a randomized controlled trial to test the effectiveness of a combined provider and patient communication intervention conducted at two separate visits compared to usual care in improving the quality of patient-provider communication, patients' medication self-efficacy, patient adherence to therapy, and HIV RNA suppression.
Detailed description
The goal of this research is to improve communication between the patients with HIV and their health care providers. The overall purpose of doing so is to reduce disparities in medication self-efficacy, adherence to therapy, and HIV viral load suppression. We will conduct a randomized controlled trial to test the effectiveness of a combined provider and patient communication intervention conducted at two separate visits compared to usual care in improving the quality of patient-provider communication, patients' medication self-efficacy, patient adherence to therapy, and HIV RNA suppression. The following primary and secondary hypotheses will be addressed. Primary Hypothesis. 1\) There will be more and higher quality patient-provider communication about antiretroviral medication adherence in the intervention compared to control arm at both visit 1 (V1) and visit 2 (V2). Secondary Hypotheses 1. Higher quality patient-provider communication in the intervention arm will be associated with * higher patient ratings of communication (overall, HIV-specific, adherence-specific, and interpersonal style of provider) at V1 and V2; * increased patient preference for a shared decision-making role at V1 and V2; * more positive health beliefs at V1 and V2; * higher patient medication self-efficacy at V1 and V2; * better adherence to antiretroviral medication (assessed by 3-day recall) at V2; and * a greater percentage of patients with HIV-1 RNA suppression at V2. 2. The intervention will reduce disparities in medication self-efficacy, adherence, and HIV-1 RNA suppression.
Interventions
BEHAVIORALcommunication training
providers are trained to communicate with patients about adherence and patients are coached to discuss adherence with providers
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(Providers): 1. Currently providing primary care to at least 10 HIV-infected patients in the clinic 2. Physician, Nurse-Practitioner, or Physician-Assistant 3. Agree to give written informed consent. Inclusion Criteria (Patients): 1. HIV-infected patient of one of the participating providers 2. Has had at least one prior visit with that provider 3. Currently taking antiretroviral therapy 4. Capable of understanding and giving written informed consent 5. Age \> 20 years old 6. English-speaking 7. African-American (or people of African descent living in the United States), Hispanic, or non-Hispanic White race/ethnicity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| patient-provider communication | 1 day- 3 months |
Countries
United States
Outcome results
None listed