HIV patients with viral suppression as HIV RNA less than 50 copies/mL HIV, Telemedicine, Antiretroviral Therapy (ART), Viral Suppression, Randomized Controlled Trial
Conditions
Interventions
Participants allocated to the telemedicine group will receive ART follow-up through a web-based or mobile platform designed for clinically stable people living with HIV. The service will include authe
Telemedicine-based ART delivery,Conventional-hospital based care
Sponsors
Maharat Nakhon Ratchasima Hospital Institutional Review Board
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age 18 years or older. 2. Confirmed HIV infection and receipt of the same ART regimen through the outpatient HIV clinic of Maharat Nakhon Ratchasima Hospital for at least 6 months. 3. Most recent HIV viral load within 3-6 months before enrollment showing HIV RNA < 50 copies/mL. 4. Clinically stable, without acute illness or a condition requiring routine in-person hospital-based physician assessment as judged by the treating physician. 5. Access to a smartphone or other device and internet connection sufficient for study system use. 6. Able to communicate in Thai and read/respond to messages or use the telemedicine/web-based system independently or with regular assistance from a home caregiver.
Exclusion criteria
Exclusion criteria: 1. Clinically unstable condition, including current opportunistic infection, ongoing assessment or treatment of a major comorbidity, or physician judgment that close in-person follow-up is required. 2. Required pre-visit laboratory results are unavailable according to protocol. 3. Unable to use the telemedicine system sufficiently in practice despite instruction. 4. Unable to provide informed consent personally. 5. Pregnant or breastfeeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Viral suppression 12 months Proportion of randomised participants with HIV RNA less than 50 copies/mL | — |
Secondary
| Measure | Time frame |
|---|---|
| Retention in care 6 and 12 months Proportion of participants remaining in care and receiving ART ,Missed visits 12 months Number or rate of scheduled visits/protocol service,Participant satisfaction 6 and 12 months Likert-scale questionnaire,Health-care personnel satisfaction 6 and 12 months Likert-scale questionnaire | — |
Countries
Thailand
Contacts
Public ContactRattagan Kajeekul
Maharat Nakhon Ratchasima Hospital
Outcome results
None listed