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Efficacy of a Group Medication Adherence Intervention Among HIV Positive Women: The SMART/EST Women’s Project

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Abstract

This intervention sought to improve overall quality of life and health behavior in women living with human immunodeficiency virus (HIV). We contrasted the effect of a group cognitive behavioral stress management expressive supportive therapy (CBSM+) intervention plus a healthier lifestyles (HL) component with an individual educational/informational format plus HL on HIV-medication adherence. Women, n = 237, predominantly African-American and Latina, living with HIV were recruited from Miami, New York and New Jersey and randomized to group or individual conditions (ten weekly sessions) plus group or individual HL, i.e., four conditions. Women reported relatively high levels of adherence at baseline. Participants in any of the group conditions increased self-reported adherence and emotion-focused coping skills in comparison with individual participation. This study suggests that group interventions may be an important adjunct in increasing medication adherence for HIV positive women.

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Acknowledgments

Funded by NIMH Grant Nos. 1R01-MH 55463 and 1R01-MH61208. We would like to acknowledge all those in our research teams at the University of Miami School of Medicine, the Clinical Directors Network and St John’s University, as well as community sites providing referrals, and most importantly, the women participating in this research.

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Authors and Affiliations

  1. Department of Psychology, Barry University, 11300 NE 2nd Avenue, Miami Shores, FL, 33161-6695, USA

    Deborah L. Jones

  2. Veterans Affairs Medical Center, Miami, FL, USA

    Shvawn McPherson-Baker

  3. University of Miami, Miami, FL, USA

    David Lydston

  4. Clinical Directors Network, New York, NY, USA

    Joanne Camille & Jonathan N. Tobin

  5. St. John’s University, Jamaica, NY, USA

    Elizabeth Brondolo

  6. University of Miami Miller School of Medicine, Miami, FL, USA

    Stephen M. Weiss

Authors
  1. Deborah L. Jones
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  2. Shvawn McPherson-Baker
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  3. David Lydston
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  4. Joanne Camille
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  5. Elizabeth Brondolo
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  6. Jonathan N. Tobin
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  7. Stephen M. Weiss
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Correspondence to Deborah L. Jones.

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Jones, D.L., McPherson-Baker, S., Lydston, D. et al. Efficacy of a Group Medication Adherence Intervention Among HIV Positive Women: The SMART/EST Women’s Project. AIDS Behav 11, 79–86 (2007). https://doi.org/10.1007/s10461-006-9165-8

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  • DOI: https://doi.org/10.1007/s10461-006-9165-8

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