VITAL Start: Video-Based Intervention to Inspire Treatment Adherence for Life—Pilot of a Novel Video-Based Approach to HIV Counseling for Pregnant Women Living with HIV

We developed and piloted a video-based intervention targeting HIV-positive pregnant women to optimize antiretroviral therapy (ART) retention and adherence by providing a VITAL Start (Video-intervention to Inspire Treatment Adherence for Life) before ART. VITAL Start (VS) was grounded in behavior-det...

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Bibliographic Details
Published in:AIDS and behavior 2019-11, Vol.23 (11), p.3140-3151
Main Authors: Kim, Maria H., Ahmed, Saeed, Tembo, Tapiwa, Sabelli, Rachael, Flick, Robert, Yu, Xiaoying, Mazenga, Alick, Le Blond, Holly, Simon, Katie, Hartig, Miriam, Wetzel, Elizabeth, Nyirenda, Rose, Kazembe, Peter N., Mphande, Mtisunge, Mkandawire, Angella, Chitani, Mike J., Abrams, Elaine J.
Format: Article
Language:English
Subjects:
Adult
Anti-HIV Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Attrition
Counseling
Counseling - methods
Female
Health Personnel
Health Psychology
HIV
HIV Infections - drug therapy
HIV Infections - psychology
Human immunodeficiency virus
Humans
Infectious Disease Transmission, Vertical - prevention & control
Infectious Diseases
Intervention
Iterative methods
Malawi - epidemiology
Medical personnel
Medication Adherence - psychology
Medicine
Medicine & Public Health
Original Paper
Patient compliance
Pharmacy
Pregnancy
Pregnancy Complications, Infectious - drug therapy
Pregnant Women - psychology
Public Health
Retention
Self Report
Treatment Adherence and Compliance
Treatment compliance
Women
Womens health
Workers
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Summary:We developed and piloted a video-based intervention targeting HIV-positive pregnant women to optimize antiretroviral therapy (ART) retention and adherence by providing a VITAL Start (Video-intervention to Inspire Treatment Adherence for Life) before ART. VITAL Start (VS) was grounded in behavior-determinant models and developed through an iterative multi-stakeholder process. Of 306 pregnant women eligible for ART, 160 were randomized to standard of care (SOC), 146 to VS and followed for one-month. Of those assigned to VS, 100% completed video-viewing; 96.5% reported they would recommend VS. Of 11 health workers interviewed, 82% preferred VS over SOC; 91% found VS more time-efficient. Compared to SOC, VS group had greater change in HIV/ART knowledge (p 
ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-019-02634-1