A Pilot Adherence Intervention for HIV-Infected Youth

针对感染艾滋病毒的青少年的试点依从性干预措施

• 批准号: 6671458
• 负责人: Sybil Hosek
• 金额: $ 4.44万
• 依托单位: JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-11-15 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6671458
• 关键词: AIDS; AIDS therapy; HIV infections; adolescence (12-20); antiviral agents; behavioral /social science research tag; clinical depression; clinical research; clinical trials; cognitive behavior therapy; combination chemotherapy; coping; health behavior; human subject; human therapy evaluation; outcomes research; patient care management; psychological stressor; psychological tests; questionnaires; substance abuse related disorder; therapy compliance; young adult human (21-34)

As the numbers of adolescents and young adults with HIV continue to increase, it becomes important to develop medication adherence interventions for a group with historically low rates of adherence. Among adults living with HIV, one of the most consistently significant predictors of medication non-adherence has been depression or the presence of depressive symptomatology (Singh et al., 1996; Chesney et al., 1996). Depression has also been found to be a significant predictor of medication non-adherence among HIV-positive adolescents (Hosek, 2000). This research project aims to expand the existing HIV adherence literature by exploring the feasibility, acceptability, and effectiveness of a cognitive-behavioral depression/coping skills intervention in increasing medication adherence among HIV-infected youth. Adolescents and young adults infected with HIV will be recruited from a large midwestern public medical facility and randomly assigned to either the intervention group or the standard-care comparison group. The results from this project are important in the development and implementation of larger interventions aimed at increasing medication adherence within this population.

随着感染艾滋病毒的青少年和年轻人数量持续增加，针对历史上依从率较低的群体制定药物依从性干预措施变得非常重要。在感染艾滋病毒的成年人中，不依从药物治疗的最一致的显着预测因素之一是抑郁或抑郁症状的存在（Singh 等，1996；Chesney 等，1996）。抑郁症也被发现是艾滋病毒阳性青少年不遵守药物治疗的一个重要预测因素（Hosek，2000）。该研究项目旨在通过探索认知行为抑郁/应对技能干预措施在提高艾滋病毒感染青少年药物依从性方面的可行性、可接受性和有效性，扩大现有的艾滋病毒依从性文献。感染艾滋病毒的青少年和年轻人将从中西部大型公共医疗机构中招募，并随机分配到干预组或标准护理对照组。该项目的结果对于制定和实施旨在提高该人群用药依从性的更大规模干预措施非常重要。