Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users

The feasibility, use, and acceptability of text messages to track methamphetamine use and promote antiretroviral treatment (ART) adherence among HIV-infected methamphetamine users was examined. From an ongoing randomized controlled trial, 30-day text response rates of participants assigned to the in...

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Main Authors: David J. Moore, Jessica L. Montoya, Kaitlin Blackstone, Alexandra Rooney, Ben Gouaux, Shereen Georges, Colin A. Depp, J. Hampton Atkinson, The TMARC Group
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2013/585143
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author David J. Moore
Jessica L. Montoya
Kaitlin Blackstone
Alexandra Rooney
Ben Gouaux
Shereen Georges
Colin A. Depp
J. Hampton Atkinson
The TMARC Group
author_facet David J. Moore
Jessica L. Montoya
Kaitlin Blackstone
Alexandra Rooney
Ben Gouaux
Shereen Georges
Colin A. Depp
J. Hampton Atkinson
The TMARC Group
author_sort David J. Moore
collection DOAJ
description The feasibility, use, and acceptability of text messages to track methamphetamine use and promote antiretroviral treatment (ART) adherence among HIV-infected methamphetamine users was examined. From an ongoing randomized controlled trial, 30-day text response rates of participants assigned to the intervention (individualized texting for adherence building (iTAB), n = 20) were compared to those in the active comparison condition (n = 9). Both groups received daily texts assessing methamphetamine use, and the iTAB group additionally received personalized daily ART adherence reminder texts. Response rate for methamphetamine use texts was 72.9% with methamphetamine use endorsed 14.7% of the time. Text-derived methamphetamine use data was correlated with data from a structured substance use interview covering the same time period (P<0.05). The iTAB group responded to 69.0% of adherence reminder texts; among those responses, 81.8% endorsed taking ART medication. Standardized feedback questionnaire responses indicated little difficulty with the texts, satisfaction with the study, and beliefs that future text-based interventions would be helpful. Moreover, most participants believed the intervention reduced methamphetamine use and improved adherence. Qualitative feedback regarding the intervention was positive. Future studies will refine and improve iTAB for optimal acceptability and efficacy. This trial is registered with ClinicalTrials.gov NCT01317277.
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spelling doaj-art-d9267d4fdf4346269ed787963b7b56f42025-02-03T01:27:38ZengWileyAIDS Research and Treatment2090-12402090-12592013-01-01201310.1155/2013/585143585143Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine UsersDavid J. Moore0Jessica L. Montoya1Kaitlin Blackstone2Alexandra Rooney3Ben Gouaux4Shereen Georges5Colin A. Depp6J. Hampton Atkinson7The TMARC Group8Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USAHIV Neurobehavioral Research Program, 220 Dickinson Street, Suite B (8231), San Diego, CA 92103, USAHIV Neurobehavioral Research Program, 220 Dickinson Street, Suite B (8231), San Diego, CA 92103, USADepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USADepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USADepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USADepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USADepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USADepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USAThe feasibility, use, and acceptability of text messages to track methamphetamine use and promote antiretroviral treatment (ART) adherence among HIV-infected methamphetamine users was examined. From an ongoing randomized controlled trial, 30-day text response rates of participants assigned to the intervention (individualized texting for adherence building (iTAB), n = 20) were compared to those in the active comparison condition (n = 9). Both groups received daily texts assessing methamphetamine use, and the iTAB group additionally received personalized daily ART adherence reminder texts. Response rate for methamphetamine use texts was 72.9% with methamphetamine use endorsed 14.7% of the time. Text-derived methamphetamine use data was correlated with data from a structured substance use interview covering the same time period (P<0.05). The iTAB group responded to 69.0% of adherence reminder texts; among those responses, 81.8% endorsed taking ART medication. Standardized feedback questionnaire responses indicated little difficulty with the texts, satisfaction with the study, and beliefs that future text-based interventions would be helpful. Moreover, most participants believed the intervention reduced methamphetamine use and improved adherence. Qualitative feedback regarding the intervention was positive. Future studies will refine and improve iTAB for optimal acceptability and efficacy. This trial is registered with ClinicalTrials.gov NCT01317277.http://dx.doi.org/10.1155/2013/585143
spellingShingle David J. Moore
Jessica L. Montoya
Kaitlin Blackstone
Alexandra Rooney
Ben Gouaux
Shereen Georges
Colin A. Depp
J. Hampton Atkinson
The TMARC Group
Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users
AIDS Research and Treatment
title Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users
title_full Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users
title_fullStr Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users
title_full_unstemmed Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users
title_short Preliminary Evidence for Feasibility, Use, and Acceptability of Individualized Texting for Adherence Building for Antiretroviral Adherence and Substance Use Assessment among HIV-Infected Methamphetamine Users
title_sort preliminary evidence for feasibility use and acceptability of individualized texting for adherence building for antiretroviral adherence and substance use assessment among hiv infected methamphetamine users
url http://dx.doi.org/10.1155/2013/585143
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