ART adherence and secondary prevention of HIV Anti-retroviral medications (ART) prevent the progression of HIV. However, substantial proportions of HIV positive individuals fail to adhere adequately to ART, resulting in spread of potentially drug-resistant strains to the community. A low cost method to boost ART adherence and thereby reduce the spread of HIV involves cell phone reminders, and our preliminary study (Hardy et al., 2011) finds significant effects of cell phone reminders for improving adherence. Contingency management (CM) also shows promise for improving ART adherence. CM involves providing tangible reinforcement each time the behavior (medication ingestion) is exhibited. Studies evaluating CM for increasing ART adherence have relied upon MEMS caps, but reinforcement of adherence via MEMS caps is done relatively infrequently and with delay, hindering its efficacy. Cell phones allow for reinforcement of adherence in real time. Because effect sizes of CM interventions are larger the more immediately the reinforcement is paired with the behavior targeted for change, integration of cell phone based reinforcement should improve adherence beyond reminders alone. Pilot data show feasibility, acceptability, and initial efficacy of cell phone administered CM using videoing recording techniques to verify medication adherence. Moreover, effective CM interventions have been shown to reduce risk behaviors in high-risk populations. In this study, we propose to randomize 165 HIV-positive patients to one of three 16-week treatment conditions: (1) standard care;(2) standard care + cell phone-based adherence reminders;or (3) standard care + cell phone-based adherence reminders and CM. In this latter condition, patients will earn reinforcement for sending in time- and date-stamped self videos of ART ingestion. Primary outcomes will include self-report measures of adherence and objective indices of viral loads, and effects will be evaluated both during the treatment period and throughout a one-year follow-up. Effects of these interventions on risk behaviors will be evaluated as well. We hypothesize that the cell phone reminder condition will improve adherence relative to standard care, and the cell phone reminder plus CM condition will have the best outcomes. We will also estimate the cost-effectiveness of these interventions. Results from this study may have widespread implications for the use of cell phones as a novel technology to improve initial adherence to ART, thereby reducing the spread of drug resistant HIV strains to the community.

Public Health Relevance

Antiretroviral treatment (ART) slows progression to AIDS and transmission of drug-resistant HIV strains, but for ART to be effective, patients must achieve high levels of adherence. This project evaluates novel interventions to enhance adherence to ART and reduce the spread of drug resistant HIV strains to the community. If effective, these interventions could have widespread application for improving ART adherence and slowing the spread of HIV.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Project (R01)
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Special Emphasis Panel (ZRG1-AARR-F (51))
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Kapogiannis, Bill
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University of Connecticut
Internal Medicine/Medicine
Schools of Medicine
United States
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Petry, Nancy M; Alessi, Sheila M; Byrne, Shannon et al. (2015) Reinforcing adherence to antihypertensive medications. J Clin Hypertens (Greenwich) 17:33-8
Weiss, Lindsay M; Petry, Nancy M (2014) Substance abuse treatment patients with early onset cocaine use respond as well to contingency management interventions as those with later onset cocaine use. J Subst Abuse Treat 47:146-50
Andrade, Leonardo F; Riven, Levi; Petry, Nancy M (2014) Associations between Antisocial Personality Disorder and Sex on Discounting Rates. Psychol Rec 64:639-644
Petry, Nancy M; Andrade, Leonardo F; Rash, Carla J et al. (2014) Engaging in job-related activities is associated with reductions in employment problems and improvements in quality of life in substance abusing patients. Psychol Addict Behav 28:268-75
Andrade, Leonardo F; Petry, Nancy M (2014) White problem gamblers discount delayed rewards less steeply than their African American and Hispanic counterparts. Psychol Addict Behav 28:599-606
Andrade, Leonardo F; Barry, Danielle; Litt, Mark D et al. (2014) Maintaining high activity levels in sedentary adults with a reinforcement-thinning schedule. J Appl Behav Anal 47:523-36
Alessi, Sheila M; Petry, Nancy M (2013) A randomized study of cellphone technology to reinforce alcohol abstinence in the natural environment. Addiction 108:900-9
Byrne, Shannon A; Cherniack, Martin G; Petry, Nancy M (2013) Antisocial personality disorder is associated with receipt of physical disability benefits in substance abuse treatment patients. Drug Alcohol Depend 132:373-7
Andrade, Leonardo F; Carroll, Kathleen M; Petry, Nancy M (2013) Marijuana use is associated with risky sexual behaviors in treatment-seeking polysubstance abusers. Am J Drug Alcohol Abuse 39:266-71
Petry, Nancy M; Alessi, Sheila M; Rash, Carla J (2013) Contingency management treatments decrease psychiatric symptoms. J Consult Clin Psychol 81:926-31

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