McGonigle Eamonn, Johnson Megan Mueller, Tucker Heather, Hudgens Michael, Dallas Ronald, Horvath Keith J, Goolsby Rachel, Secord Elizabeth, Purswani Murli, Reirden Daniel, Rathore Mobeen, Robinson Lisa-Gaye, Gaur Aditya H, Amico K Rivet
University of Michigan, School of Public Health, Department of Health Behavior and Health Equity, Ann Arbor, MI, US.
University of Washington, School of Public Health, Department of Global Health, Seattle, WA, US.
AIDS Behav. 2025 Jul 21. doi: 10.1007/s10461-025-04820-w.
Electronic dose monitoring with feedback (EMF) offers an opportunity to visualize daily dosing behaviors that can otherwise be difficult to appreciate. Visual displays, including early, on-time, late, or missed doses over time, can foster insights around patterns of dosing. Reactions to seeing these patterns among youth with HIV (YWH) who struggle with adherence are important to consider with EMF. YWH (ages 14-25) participating in the ATN152 TERA intervention were presented withsmart-bottle-generated 1-month EMF calendars as part of their sessions with a remote 'coach'. To characterize how youth reacted to these visualizations, transcripts from this portion of the coaching sessions were thematically analyzed. A total of 64 youth-coach discussions were characterized across 37 unique participants (22 years old on average, 81% Black/African American, 46% acquired HIV vertically). Six main reactions to EMF calendars were identified: feelings of pride/satisfaction, empowerment/motivation, positive surprise, negative surprise, shame/guilt, and/or neutral reactions. Although most reactions were positive, those with negative reactions tended to be in response to calendars showing low adherence. Over a quarter (28%) of youth ranked the EMF as one of the most beneficial/helpful aspects of the intervention when asked about experiences with intervention tools within the coaching session. A calendar EMF appeared to offer unique opportunities to explore adherence in the context of a supportive counseling session.
带反馈的电子剂量监测（EMF）提供了一个机会，可将日常给药行为可视化，否则这些行为可能难以察觉。可视化显示，包括随着时间推移的早期、按时、延迟或漏服剂量情况，有助于深入了解给药模式。对于在坚持服药方面存在困难的感染艾滋病毒青年（YWH）来说，考虑他们对这些模式的反应对于EMF很重要。参与ATN152 TERA干预的14至25岁的YWH在与远程“教练”的课程中，收到了智能药瓶生成的1个月EMF日历。为了描述青年对这些可视化的反应，对教练课程这一部分的文字记录进行了主题分析。在37名独特的参与者（平均年龄22岁，81%为黑人/非裔美国人，46%通过垂直传播感染艾滋病毒）中，共对64次青年与教练的讨论进行了特征描述。确定了对EMF日历的六种主要反应：自豪/满足感、增强权能/动力、积极的惊讶、消极的惊讶、羞耻/内疚，以及/或者中立反应。尽管大多数反应是积极的，但那些有消极反应的人往往是对显示依从性低的日历做出的反应。当在教练课程中被问及对干预工具的体验时，超过四分之一（28%）的青年将EMF列为干预中最有益/最有帮助的方面之一。日历EMF似乎为在支持性咨询课程的背景下探索依从性提供了独特的机会。
