@Article{信息:doi 10.2196 / / jmir。3264，作者=“C{\'e} t{\'e} and Godin, Gaston and ramires - garcia, Pilar and Rouleau, Genevi{\ 'e} ve and Bourbonnais, Anne and Gu{\'e}h{\'e}neuc, Yann-Ga{\ 'e} l and Tremblay, C{\'e} ile and Otis, Joanne”，标题=“支持艾滋病毒感染者抗逆转录病毒治疗自我管理的虚拟干预”，期刊=“J Med Internet Res”，年=“2015”，月=“Jan”，日=“06”，卷=“17”，数=“1”，页=“e6”，关键词=“坚持;抗逆转录病毒疗法，高度有效;感染艾滋病毒的患者;人体免疫缺陷病毒;护理;护理信息学;背景:携带人类免疫缺陷病毒(HIV)的患者需要长期的医疗保健随访，特别是在抗逆转录病毒治疗(ART)管理方面。利用信息和通信技术(ICT)提供的巨大可能性，我们开发了一种虚拟护理干预(VIH-TAVIE)，旨在使艾滋病毒患者能够以最佳方式管理他们的抗逆转录病毒治疗和他们的症状。信通技术干预措施在整个艾滋病毒患者护理连续体中具有巨大的前景，但需要进一步研究以适当评估其有效性。 Objective: The objective of the study was to compare the effectiveness of two types of follow-up---traditional and virtual---in terms of promoting ART adherence among HIV patients. Methods: A quasi-experimental study was conducted. Participants were 179 HIV patients on ART for at least 6 months, of which 99 were recruited at a site offering virtual follow-up and 80 at another site offering only traditional follow-up. The primary outcome was medication adherence and the secondary outcomes were the following cognitive and affective variables: self-efficacy, attitude toward medication intake, symptom-related discomfort, stress, and social support. These were evaluated by self-administered questionnaire at baseline (T0), and 3 (T3) and 6 months (T6) later. Results: On average, participants had been living with HIV for 14 years and had been on ART for 11 years. The groups were highly heterogeneous, differing on a number of sociodemographic dimensions: education, income, marital status, employment status, and living arrangements. Adherence at baseline was high, reaching 80{\%} (59/74) in the traditional follow-up group and 84{\%} (81/97) in the virtual follow-up group. A generalized estimating equations (GEE) analysis was run, controlling for sociodemographic characteristics at baseline. A time effect was detected indicating that both groups improved in adherence over time but did not differ in this regard. Improvement at 6 months was significantly greater than at 3 months in both groups. Analysis of variance revealed no significant group-by-time interaction effect on any of the secondary outcomes. A time effect was observed for the two kinds of follow-ups; both groups improved on symptom-related discomfort and social support. Conclusions: Results showed that both interventions improved adherence to ART. Thus, the two kinds of follow-up can be used to promote treatment adherence among HIV patients on ART. ", issn="1438-8871", doi="10.2196/jmir.3264", url="//www.mybigtv.com/2015/1/e6/", url="https://doi.org/10.2196/jmir.3264", url="http://www.ncbi.nlm.nih.gov/pubmed/25563775" }