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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Real-time adherence monitoring for HIV antiretroviral therapy
AIDS and Behavior, Volume 14, No. 6, Year 2010
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Description
Current adherence assessments typically detect missed doses long after they occur. Real-time, wireless monitoring strategies for antiretroviral therapy may provide novel opportunities to proactively prevent virologic rebound and treatment failure. Wisepill, a wireless pill container that transmits a cellular signal when opened, was pilot tested in ten Ugandan individuals for 6 months. Adherence levels measured by Wisepill, unannounced pill counts, and selfreport were compared with each other, prior standard electronic monitoring, and HIV RNA. Wisepill data was initially limited by battery life and signal transmission interruptions. Following device improvements, continuous data was achieved with median (interquartile range) adherence levels of 93% (87-97%) by Wisepill, 100% (99-100%) by unannounced pill count, 100% (100-100%) by self-report, and 92% (79-98%) by prior standard electronic monitoring. Four individuals developed transient, low-level viremia. After overcoming technical challenges, real-time adherence monitoring is feasible for resource-limited settings and may detect suboptimal adherence prior to viral rebound. © The Author(s) 2010.
Authors & Co-Authors
Haberer, Jessica Elizabeth
United States, Boston
Massachusetts General Hospital
United States, Cambridge
Harvard Initiative for Global Health
United States, Cambridge
Harvard University
Kahane, Josh
United States, Cambridge
Harvard Initiative for Global Health
Kigozi, Isaac M.
Uganda, Mbarara
Mbarara University of Science and Technology
Emenyonu, Nneka I.
United States, Boston
Massachusetts General Hospital
United States, Cambridge
Harvard Initiative for Global Health
Uganda, Mbarara
Mbarara University of Science and Technology
Hunt, Peter W.
United States, San Francisco
University of California, San Francisco
Martin, Jeffrey N.
United States, San Francisco
University of California, San Francisco
Bangsberg, David R.
United States, Boston
Massachusetts General Hospital
United States, Cambridge
Harvard Initiative for Global Health
United States, Cambridge
Harvard University
Uganda, Mbarara
Mbarara University of Science and Technology
Statistics
Citations: 209
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.1007/s10461-010-9799-4
ISSN:
10907165
Research Areas
Infectious Diseases