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Randomized Controlled Trial
. 2019 Oct;31(5):395-406.
doi: 10.1521/aeap.2019.31.5.395.

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  1 , John E Sidle  2 , Nok Chhun  1 , John A Lizcano  1 , Stephen M Macharia  3   4 , Meghan M Garcia  1 , Ann Mwangi  5 , Alfred Keter  5 , Abraham M Siika  6   4
Affiliations
Randomized Controlled Trial

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 et al. AIDS Educ Prev. 2019 Oct.

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.

Keywords: ART adherence; HIV; computer-based counseling; viral load.

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Figures

Figure 1.
Figure 1.
Screenshots of CARE+ Kenya
Figure 2.
Figure 2.
Participant flowchart of the CARE+ Kenya program, four sessions over 9 months.
Figure 3.
Figure 3.
(A) Log10 viral load over time stratified by group. (B) Average log10 viral load stratified by group and sex.
See this image and copyright information in PMC

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