Preliminary findings of an intervention integrating modified directly observed therapy and risk reduction counseling

Abstract

Various interventions have been proposed to address these ongoing needs of HIV-positive patients as they encounter challenges with medication adherence and risk reduction. This report presents the findings of a study that pilots ‘DAART+’, an intervention that integrates modified directly observed therapy (MDOT), and risk reduction counseling for a population of marginally housed, substance-using persons. The pilot study intended to assess the feasibility of the intervention and to obtain data to assess the intervention's potential effectiveness. The preliminary data reveal that 83% of participants who completed the intervention (n=18) had undetectable viral load (VL) (VL≤400 copies/mL) which represents a 2.15 log₁₀ decrease from baseline. Risk behaviors also changed modestly with self-reported increases in condom usage.

Acknowledgments

This project was supported by NIH Research Grant #R21MH66590-01A1 funded by the National Institute of Mental Health and the National Center on Minority Health and Health Disparities.References