Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014;26(12):1477-81.
doi: 10.1080/09540121.2014.924213. Epub 2014 Jun 9.

Refining a personalized mHealth intervention to promote medication adherence among HIV+ methamphetamine users

Jessica L Montoya  1 , Shereen Georges, Amelia Poquette, Colin A Depp, J Hampton Atkinson, David J Moore; Translational Methamphetamine AIDS Research Center (TMARC) Group
Affiliations

Refining a personalized mHealth intervention to promote medication adherence among HIV+ methamphetamine users

Jessica L Montoya et al. AIDS Care. 2014.

Abstract

Mobile health (mHealth) interventions to promote antiretroviral therapy (ART) adherence have shown promise; however, among persons living with HIV who abuse methamphetamine (MA), effective tailoring of content to match the expressed needs of this patient population may be necessary. This study aimed (1) to understand patient perspectives of barriers and facilitators of ART adherence among people with HIV who use MA, and (2) to obtain feedback on the thematic content of an mHealth intervention in order to tailor the intervention to this subgroup. Two separate focus groups, each with 10 HIV+/MA+ individuals, were conducted. Transcribed audio recordings were qualitatively analyzed to identify emergent themes. Inter-rater reliability of themes was high (mean Kappa = .97). Adherence barriers included MA use, misguided beliefs about ART adherence, memory and planning difficulties, social barriers and perceived stigma, and mental heath issues. Facilitators of effective ART adherence were cognitive compensatory strategies, promotion of well-being, health-care supports, adherence education, and social support. Additionally, the focus groups generated content for reminder text messages to be used in the medication adherence intervention. This qualitative study demonstrates the feasibility of using focus groups to derive patient-centered intervention content to address the health challenge at hand in targeted populations.

Keywords: adherence; antiretroviral treatment; focus groups; mHealth; methamphetamine; short message service.

PubMed Disclaimer

References

    1. Chander G, Himelhoch S, Moore RD. Substance abuse and psychiatric disorders in HIV-positive patients: epidemiology and impact on antiretroviral therapy. Drugs. 2006;66(6):769–789. doi: 10.2165/00003495-200666060-00004. - DOI - PubMed
    1. Coomes CM, Lewis MA, Uhrig JD, Furberg RD, Harris JL, Bann CM. Beyond reminders: a conceptual framework for using short message service to promote prevention and improve healthcare quality and clinical outcomes for people living with HIV. AIDS Care. 2012;24(3):348–357. doi: 10.1080/09540121.2011.608421. - DOI - PubMed
    1. Horvath T, Azman H, Kennedy GE, Rutherford GW. Mobile phone text messaging for promoting adherence to antiretroviral therapy in patients with HIV infection. Cochrane Database of Systematic Reviews. 2012;3:CD009756. doi: 10.1002/14651858.CD009756. - DOI - PMC - PubMed
    1. Moore DJ, Blackstone K, Woods SP, Ellis RJ, Atkinson JH, Heaton RK, Grant I. Methamphetamine use and neuropsychiatric factors are associated with antiretroviral non-adherence. AIDS Care. 2012;24(12):1504–1513. doi: 10.1080/09540121.2012.672718. - DOI - PMC - PubMed
    1. Reback CJ, Larkins S, Shoptaw S. Methamphetamine abuse as a barrier to HIV medication adherence among gay and bisexual men. AIDS Care. 2003;15(6):775–785. doi: 10.1080/09540120310001618621. - DOI - PubMed

Publication types

LinkOut - more resources