Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
AIDS Behav. 2013 Jan;17(1):104-12. doi: 10.1007/s10461-012-0295-x.
This demonstration study tested the impact of a 5-month clinic-wide social marketing campaign at improving adherence to antiretroviral therapy (ART). The intervention included a video, posters, pens, mugs, and lapel buttons with the campaign slogan "Live the Solution: Take Your Pills Every Day." Participants self-reported adherence over a 4-week interval, the primary outcome, with a visual analogue scale. Pre- and post-intervention surveys were completed by 141 participants. Adherence did not change over time (absolute mean change -2.02 %, paired t test P = 0.39). Among the 39.7 % of participants who correctly identified the campaign slogan on the post-intervention survey, adherence increased by 3.3 %, while it decreased in the other participants by 5.5 % (paired t test P = 0.07). The well-received campaign did not increase short-term adherence to ART, but adherence tended to increase in participants who were more engaged with the intervention. Future interventions should engage patients more completely and have a more potent effect on adherence.
本研究旨在测试为期 5 个月的诊所范围的社会营销活动对改善抗逆转录病毒治疗 (ART) 依从性的影响。该干预措施包括视频、海报、笔、马克杯和带有活动口号“Live the Solution: Take Your Pills Every Day”的领夹按钮。参与者在 4 周的时间内自我报告了依从性，这是主要结果，采用了视觉模拟量表。141 名参与者完成了干预前后的调查。依从性没有随时间变化（绝对平均变化 -2.02%，配对 t 检验 P = 0.39）。在对干预后调查中正确识别出活动口号的 39.7%的参与者中，依从性增加了 3.3%，而在其他参与者中，依从性下降了 5.5%（配对 t 检验 P = 0.07）。这项广受欢迎的活动并没有增加短期的 ART 依从性，但在更积极参与干预的参与者中，依从性有增加的趋势。未来的干预措施应该更全面地吸引患者，并对依从性产生更有效的影响。
