HIV/AIDS
Conditions
Keywords
Complementary Therapies
Brief summary
The purpose of this study is to conduct a randomized control trial of a behavioral intervention delivered by counselors via telephone to determine if this is an efficacious method for improving medication adherence and health-related quality of life for persons who are 50 and older and living with HIV/AIDS and other chronic conditions.
Detailed description
450 adult HIV+ patients aged 50 or older will be randomized to one of three arms. 150 will be assigned to receive a series of ten 30-minute phone calls every two weeks from a counselor. 150 will be assigned to an attention-matched comparison arm, and will receive 10 sessions in a didactic telephone group. 150 will be assigned to a information-matched control arm and will receive the book Living Well with HIV & AIDS. Letters will be sent by AIDS Service Organizations inviting interested clients to call the study's 800 number to learn more about the study and to be screened for enrollment. Posters and brochures will also be posted in public areas of the ASOs. The individualized intervention combines problem-solving, with motivation and self-management. This trial will allow us to evaluate the effectiveness of a multi-component intervention on both specific HIV behavioral outcomes and non-disease-specific outcomes.
Interventions
BEHAVIORALIndividual Telephone Counseling Intervention
10-session, 5-month HIV adherence and chronic disease self-management individual telephone counseling intervention.
OTHERGroup Arm
10-session didactic telephone group
OTHERBook Arm
Book only.
Sponsors
Kaiser Permanente
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age 50 years or older * HIV-positive serostatus * currently prescribed antiretroviral medication * antiretroviral nonadherence reported in past 30 days * provision of oral informed consent
Exclusion criteria
* hearing problems that preclude participation in a telephone study * presence of probable dementia or acute psychosis detectable by screening interview
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| antiretroviral (ART) adherence | Pre-treatment Screening and Baseline, 6, 9, and 12 months f/u. |
| health-related quality of life (physical, mental health, and social function) | Baseline, 6, 9, 12 mo f/u |
Secondary
| Measure | Time frame |
|---|---|
| chronic disease treatment adherence | baseline, 6, 9 and 12 months f/u |
| Self-efficacy and readiness to change | baseline, 6, 9, 12 months f/u |
| perceived stress and depression | baseline, 6, 9, and 12 months f/u |
Countries
United States
Outcome results
None listed