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document
Enhancing HIV medication adherence in India . BACKGROUND This pilot study evaluated an intervention designed to enhance adherence among those new to antiretroviral therapy . METHODS Participants ( n = 80 ) were recruited from a hospital clinic in Chandigarh , India , and randomized to a 3-month group intervention or individual enhanced standard of care followed by crossover of condition and assessed over 6 months . Adherence was measured by prescription refill , pill count , and self-report . RESULTS At baseline , 56 % of group condition ( immediate intervention ) and 54 % of individual condition ( delayed intervention ) participants were nonadherent by pill count and 23 % of group and 26 % of individual condition participants self-reported skipping medication at least once over the last 3 months . From the postintervention to long-term follow-up , adherence in the group condition ( immediate intervention ) improved in comparison with adherence in the individual condition ( delayed intervention ; χ ( 2 ) = 5.67 , P = .02 ) . CONCLUSIONS Results support the use of interventions early in treatment to provide information and social support to establish long-term healthy adherence behaviors .
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Intervention_Educational
3-month group intervention or individual enhanced standard of care followed by crossover of condition and assessed over 6 months .
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Outcome_Mental
adherence
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Outcome_Mental
prescription refill , pill count , and self-report
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Outcome_Mental
pill count
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Outcome_Mental
self-reported skipping medication
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Participant_Sample-size
n = 80