AIDS and Behavior

, Volume 17, Issue 6, pp 2031–2044

Feasibility, Acceptability and Preliminary Efficacy of an Online Peer-to-Peer Social Support ART Adherence Intervention

  • Keith J. Horvath
  • J. Michael Oakes
  • B. R. Simon Rosser
  • Gene Danilenko
  • Heather Vezina
  • K. Rivet Amico
  • Mark L. Williams
  • Jane Simoni
Original Paper

DOI: 10.1007/s10461-013-0469-1

Cite this article as:
Horvath, K.J., Michael Oakes, J., Simon Rosser, B.R. et al. AIDS Behav (2013) 17: 2031. doi:10.1007/s10461-013-0469-1

Abstract

This study describes the results of an online social support intervention, called “Thrive with Me” (TWM), to improve antiretroviral therapy (ART) adherence. HIV-positive gay or bisexually-identified men self-reporting imperfect ART adherence in the past month were randomized to receive usual care (n = 57) or the eight-week TWM intervention (n = 67). Self-reported ART outcome measures (0–100 % in the past month) were collected at baseline, post-intervention, and 1-month follow-up. Follow-up assessment completion rate was 90 %. Participants rated (1–7 scale) the intervention high in information and system quality and overall satisfaction (Means ≥ 5.0). The intervention showed modest effects for the overall sample. However, among current drug-using participants, the TWM (vs. Control) group reported significantly higher overall ART adherence (90.1 vs. 57.5 % at follow-up; difference = 31.1, p = 0.02) and ART taken correctly with food (81.6 vs. 55.7 % at follow-up; difference = 47.9, p = 0.01). The TWM intervention appeared feasible to implement, acceptable to users, and demonstrated greatest benefits for current drug users.

Keywords

Antiretroviral adherence Internet-based intervention Social support Men who have sex with men 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Keith J. Horvath
    • 1
  • J. Michael Oakes
    • 2
  • B. R. Simon Rosser
    • 2
  • Gene Danilenko
    • 3
  • Heather Vezina
    • 4
  • K. Rivet Amico
    • 5
  • Mark L. Williams
    • 6
  • Jane Simoni
    • 7
  1. 1.Center for AIDS Intervention Research, Medical College of WisconsinMilwaukeeUSA
  2. 2.Division of Epidemiology and Community Health EducationUniversity of MinnesotaMinneapolisUSA
  3. 3.Xerebral Inc.MinneapolisUSA
  4. 4.Children’s Hospital of Philadelphia Research Institute, University of PennsylvaniaPhiladelphiaUSA
  5. 5.Center for Health Intervention and PreventionUniversity of ConnecticutStorrsUSA
  6. 6.Department of Health Policy and ManagementFlorida International UniversityMiamiUSA
  7. 7.Department of PsychologyUniversity of WashingtonSeattleUSA

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