Computer-based counseling program (Care+ Kenya) to promote prevention and HIV health for people living with HIV/AIDS: A randomized controlled trial

Ann E. Kurth, John E. Sidle, Nok Chhun, John A. Lizcano, Stephen M. Macharia, Meghan M. Garcia, Ann Mwangi, Alfred Keter, Abraham M. Siika

Research output: Contribution to journalArticle

Abstract

In countries experiencing the dual burden of HIV disease and health care worker shortages, information and communication technology tools offer the potential 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. Both arms had > 0.5 log10 reduction in viral load over time (p = .0007), a clinically relevant finding. A computer-based counseling tool is feasible and acceptable in a high-volume East African HIV setting and provides evidence-based ART adherence and risk reduction support that may extend health workforce deficits.

Original languageEnglish (US)
Pages (from-to)395-406
Number of pages12
JournalAIDS Education and Prevention
Volume31
Issue number5
DOIs
StatePublished - Jan 1 2019

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Keywords

  • ART adherence
  • Computer-based counseling
  • HIV
  • Viral load

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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