VIH-TAVIE: Tailored Virtual Support for Better Self-Management of Antiretroviral Therapy. C�t�, J., Rouleau, G., Ramirez-Garcia, P., Gu�h�neuc, Y., Godin, G., & Hernandez, A. In Proceedings of the 5<sup>th</sup> World Congress on Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research (Medicine 2.0), September, 2012. Medicine 2.0.
VIH-TAVIE: Tailored Virtual Support for Better Self-Management of Antiretroviral Therapy [link]Paper  abstract   bibtex   
Background: The VIH-TAVIE (VIH - Traitement Assistance Virtuelle Infirmière et Enseignement or HIV - Treatment Virtual Nurse Assistance and Teaching) intervention is an innovative healthcare application that employs information technology as a means of access and learning to help people living with HIV (PLHIV) adhere more effectively to their daily antiretroviral treatment. Objective: The presentation will serve to describe the VIH-TAVIE application and demonstrate how it works. Method: With the help of experts in the fields of media arts (e.g., media consultant, graphic designer) and computer sciences, a group of health professionals (nurses, pharmacists, nutritionists, doctors) created the TAVIE computing platform, which supports the VIH-TAVIE application and allows developing other tailored virtual interventions quickly and efficiently. Results: The VIH-TAVIE application is composed of four computer sessions each 20-30 minutes long, in which the user interacts with an animated ``virtual'' nurse. The nurse guides the individual through a process of learning about the aptitudes required to optimize treatment adherence. The aim of VIH-TAVIE is to allow PLHIV to consolidate their self-motivation, self-observation, problem-solving, emotional-control and social-interaction capacities. Together, these enable PLHIV to incorporate the therapeutic regimen into their daily routine, to cope with side-effects from the medication, to handle situations or circumstances that could interfere with medication intake, to interact with health professionals, and to mobilize social support. The virtual nurse also provides personalized teaching, such as by giving examples of other PLHIV who managed to handle situations similar to those faced by the user, as well as feedback and positive reinforcement on progress made and skills acquired. Overall, VIH-TAVIE comprises about 130 pages, 140 short video clips, 40 animated features and 55 PDF files (e.g., summaries of different skills, answers to frequently asked questions, advice on coping with side-effects). It also provides the user with consolidation tools (e.g., a logbook for recording adverse side-effects). The TAVIE platform is endowed with a Content Management System with some 20 algorithms set up to ``tailor'' responses according to user profile and information submitted by the user at each session. The relation and interaction between user and virtual nurse makes for a more dynamic experience than is the case with ordinary general information websites insensitive to user profile. The database included in the platform allows keeping track of how resources are used (e.g., PDF files downloaded, video clips and web pages viewed, time spent on each page), which facilitates evaluating the intervention's effectiveness with respect to the target group and makes it easier to adjust and update content accordingly. Conclusion: The ultimate aim of the VIH-TAVIE project is to make support available to PLHIV at all times and at their convenience so that they may develop the skills needed to meet the challenges inherent to their health condition.
@INPROCEEDINGS{Cote12-Medicine20-VIHTAVIESelfManagement,
   AUTHOR       = {Jos� C�t� and Genevi�ve Rouleau and Pilar Ramirez-Garcia and 
      Yann-Ga�l Gu�h�neuc and Gaston Godin and Annick Hernandez},
   BOOKTITLE    = {Proceedings of the 5<sup>th</sup> World Congress on Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research (Medicine 2.0)},
   TITLE        = {VIH-TAVIE: Tailored Virtual Support for Better 
      Self-Management of Antiretroviral Therapy},
   YEAR         = {2012},
   OPTADDRESS   = {},
   OPTCROSSREF  = {},
   OPTEDITOR    = {},
   MONTH        = {September},
   OPTNOTE      = {},
   OPTNUMBER    = {},
   OPTORGANIZATION = {},
   OPTPAGES     = {},
   PUBLISHER    = {Medicine 2.0},
   OPTSERIES    = {},
   OPTVOLUME    = {},
   KEYWORDS     = {Topic: <b>VIHTAVIE</b>, Venue: <c>Medicine 2.0</c>},
   URL          = {https://www.medicine20congress.org/index.php/med/med2012/paper/view/1118},
   ABSTRACT     = {Background: The VIH-TAVIE (VIH - Traitement Assistance 
      Virtuelle Infirmi{\`e}re et Enseignement or HIV - Treatment Virtual 
      Nurse Assistance and Teaching) intervention is an innovative 
      healthcare application that employs information technology as a means 
      of access and learning to help people living with HIV (PLHIV) adhere 
      more effectively to their daily antiretroviral treatment. Objective: 
      The presentation will serve to describe the VIH-TAVIE application and 
      demonstrate how it works. Method: With the help of experts in the 
      fields of media arts (e.g., media consultant, graphic designer) and 
      computer sciences, a group of health professionals (nurses, 
      pharmacists, nutritionists, doctors) created the TAVIE computing 
      platform, which supports the VIH-TAVIE application and allows 
      developing other tailored virtual interventions quickly and 
      efficiently. Results: The VIH-TAVIE application is composed of four 
      computer sessions each 20-30 minutes long, in which the user 
      interacts with an animated ``virtual'' nurse. The nurse guides the 
      individual through a process of learning about the aptitudes required 
      to optimize treatment adherence. The aim of VIH-TAVIE is to allow 
      PLHIV to consolidate their self-motivation, self-observation, 
      problem-solving, emotional-control and social-interaction capacities. 
      Together, these enable PLHIV to incorporate the therapeutic regimen 
      into their daily routine, to cope with side-effects from the 
      medication, to handle situations or circumstances that could 
      interfere with medication intake, to interact with health 
      professionals, and to mobilize social support. The virtual nurse also 
      provides personalized teaching, such as by giving examples of other 
      PLHIV who managed to handle situations similar to those faced by the 
      user, as well as feedback and positive reinforcement on progress made 
      and skills acquired. Overall, VIH-TAVIE comprises about 130 pages, 
      140 short video clips, 40 animated features and 55 PDF files (e.g., 
      summaries of different skills, answers to frequently asked questions, 
      advice on coping with side-effects). It also provides the user with 
      consolidation tools (e.g., a logbook for recording adverse 
      side-effects). The TAVIE platform is endowed with a Content 
      Management System with some 20 algorithms set up to ``tailor'' 
      responses according to user profile and information submitted by the 
      user at each session. The relation and interaction between user and 
      virtual nurse makes for a more dynamic experience than is the case 
      with ordinary general information websites insensitive to user 
      profile. The database included in the platform allows keeping track 
      of how resources are used (e.g., PDF files downloaded, video clips 
      and web pages viewed, time spent on each page), which facilitates 
      evaluating the intervention's effectiveness with respect to the 
      target group and makes it easier to adjust and update content 
      accordingly. Conclusion: The ultimate aim of the VIH-TAVIE project is 
      to make support available to PLHIV at all times and at their 
      convenience so that they may develop the skills needed to meet the 
      challenges inherent to their health condition.}
}

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