@INPROCEEDINGS{Cote15-Medicine20-VirtualIntervention,
   AUTHOR       = {Jos� C�t� and Gaston Godin and Pilar Ramirez-Garc�a and 
      Genevi�ve Rouleau and Anne Bourbonnais and Yann-Ga�l Gu�h�neuc and 
      C�cile Tremblay and Joanne Otis},
   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        = {Virtual Intervention to Support Self-Management of 
      Antiretroviral Therapy Among People Living With HIV},
   YEAR         = {2015},
   OPTADDRESS   = {},
   OPTCROSSREF  = {},
   EDITOR       = {Gunther Eysenbach},
   MONTH        = {October},
   NOTE         = {12 pages. Medicine 2.0.},
   OPTNUMBER    = {},
   OPTORGANIZATION = {},
   PAGES        = {e6},
   PUBLISHER    = {Medicine 2.0},
   OPTSERIES    = {},
   OPTVOLUME    = {},
   KEYWORDS     = {Topic: <b>VIHTAVIE</b>, Rubrique : <b>VIHTAVIE</b>, 
      Conference: Medicine 2.0},
   PDF          = {http://www.ptidej.net/publications/documents/Medicine2015.ppt.pdf},
   ABSTRACT     = {Background. Living with HIV necessitates long-term 
      healthcare follow-up particularly with respect to management of 
      antiretroviral therapy (ART). With the enormous possibilities 
      afforded by information and communication technologies (ICT), we 
      developed a virtual nursing intervention (VIH-TAVIE) to empower 
      persons living with HIV (PLHIV) to manage their ART and their 
      symptoms optimally. ICT interventions hold great promise across the 
      entire continuum of PLHIV care but further research is needed to 
      properly evaluate their effectiveness. Objective. The objective of 
      the study was to compare the effectiveness of two types of 
      follow-up-traditional and virtual-in terms of promoting adherence to 
      ART among PLHIV. Methods. A quasi-experimental study was conducted. A 
      sample of 179 PLHIV on ART for at least six months was recruited, of 
      which 99 at a site offering the virtual follow-up and 80 at another 
      site offering more traditional follow-ups. Adherence, the primary 
      outcome, and cognitive and affective variables (self-efficacy, 
      attitude towards medication intake, symptom-related discomfort, 
      stress or social support) were evaluated by self-administered 
      questionnaire at three measurement times: baseline (T0), and three 
      months (T3) and six months (T6) later. Results. On average, 
      participants had been living with HIV for 14 years and had been on 
      treatment for 11 years. The groups were highly heterogeneous, but 
      differed on a number of sociodemographic dimensions: education, 
      income, marital status, employment status, and living arrangements. 
      Adherence at baseline was high, reaching 79.7% for the traditional 
      follow-up group and 83.5% for the virtual follow-up group. A 
      generalized estimating equations (GEE) analysis was run, controlling 
      for sociodemographic characteristics at baseline. A time effect was 
      detected, indicating that the two groups improved on adherence over 
      time but did not differ. Improvement at six months was significantly 
      greater than at three months for both groups. Analysis of variance 
      revealed no significant group-by-time interaction on self-efficacy, 
      attitude towards medication intake, symptom-related discomfort, 
      stress or social support. A time effect was observed for both types 
      of follow-up on symptom-related discomfort and social support. Both 
      groups improved over time with respect to these variables. 
      Conclusions. Results showed that the two groups improved their 
      adherence at six months but did not differ in this regard. Hence, 
      neither type of follow-up proved better than the other in terms of 
      treatment adherence promotion.}
}

{"_id":"FEyKzdxjW3KafknFm","bibbaseid":"ct-godin-ramirezgarca-rouleau-bourbonnais-guhneuc-tremblay-otis-virtualinterventiontosupportselfmanagementofantiretroviraltherapyamongpeoplelivingwithhiv-2015","author_short":["C�t�, J.","Godin, G.","Ramirez-Garc�a, P.","Rouleau, G.","Bourbonnais, A.","Gu�h�neuc, Y.","Tremblay, C.","Otis, J."],"bibdata":{"bibtype":"inproceedings","type":"inproceedings","author":[{"firstnames":["Jos�"],"propositions":[],"lastnames":["C�t�"],"suffixes":[]},{"firstnames":["Gaston"],"propositions":[],"lastnames":["Godin"],"suffixes":[]},{"firstnames":["Pilar"],"propositions":[],"lastnames":["Ramirez-Garc�a"],"suffixes":[]},{"firstnames":["Genevi�ve"],"propositions":[],"lastnames":["Rouleau"],"suffixes":[]},{"firstnames":["Anne"],"propositions":[],"lastnames":["Bourbonnais"],"suffixes":[]},{"firstnames":["Yann-Ga�l"],"propositions":[],"lastnames":["Gu�h�neuc"],"suffixes":[]},{"firstnames":["C�cile"],"propositions":[],"lastnames":["Tremblay"],"suffixes":[]},{"firstnames":["Joanne"],"propositions":[],"lastnames":["Otis"],"suffixes":[]}],"booktitle":"Proceedings of the 5^th World Congress on Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research (Medicine 2.0)","title":"Virtual Intervention to Support Self-Management of Antiretroviral Therapy Among People Living With HIV","year":"2015","optaddress":"","optcrossref":"","editor":[{"firstnames":["Gunther"],"propositions":[],"lastnames":["Eysenbach"],"suffixes":[]}],"month":"October","note":"12 pages. Medicine 2.0.","optnumber":"","optorganization":"","pages":"e6","publisher":"Medicine 2.0","optseries":"","optvolume":"","keywords":"Topic: <b>VIHTAVIE</b>, Rubrique : <b>VIHTAVIE</b>, Conference: Medicine 2.0","pdf":"http://www.ptidej.net/publications/documents/Medicine2015.ppt.pdf","abstract":"Background. Living with HIV necessitates long-term healthcare follow-up particularly with respect to management of antiretroviral therapy (ART). With the enormous possibilities afforded by information and communication technologies (ICT), we developed a virtual nursing intervention (VIH-TAVIE) to empower persons living with HIV (PLHIV) to manage their ART and their symptoms optimally. ICT interventions hold great promise across the entire continuum of PLHIV care but further research is needed to properly evaluate their effectiveness. Objective. The objective of the study was to compare the effectiveness of two types of follow-up-traditional and virtual-in terms of promoting adherence to ART among PLHIV. Methods. A quasi-experimental study was conducted. A sample of 179 PLHIV on ART for at least six months was recruited, of which 99 at a site offering the virtual follow-up and 80 at another site offering more traditional follow-ups. Adherence, the primary outcome, and cognitive and affective variables (self-efficacy, attitude towards medication intake, symptom-related discomfort, stress or social support) were evaluated by self-administered questionnaire at three measurement times: baseline (T0), and three months (T3) and six months (T6) later. Results. On average, participants had been living with HIV for 14 years and had been on treatment for 11 years. The groups were highly heterogeneous, but differed on a number of sociodemographic dimensions: education, income, marital status, employment status, and living arrangements. Adherence at baseline was high, reaching 79.7% for the traditional follow-up group and 83.5% for the virtual follow-up group. A generalized estimating equations (GEE) analysis was run, controlling for sociodemographic characteristics at baseline. A time effect was detected, indicating that the two groups improved on adherence over time but did not differ. Improvement at six months was significantly greater than at three months for both groups. Analysis of variance revealed no significant group-by-time interaction on self-efficacy, attitude towards medication intake, symptom-related discomfort, stress or social support. A time effect was observed for both types of follow-up on symptom-related discomfort and social support. Both groups improved over time with respect to these variables. Conclusions. Results showed that the two groups improved their adherence at six months but did not differ in this regard. Hence, neither type of follow-up proved better than the other in terms of treatment adherence promotion.","bibtex":"@INPROCEEDINGS{Cote15-Medicine20-VirtualIntervention,\r\n AUTHOR = {Jos� C�t� and Gaston Godin and Pilar Ramirez-Garc�a and \r\n Genevi�ve Rouleau and Anne Bourbonnais and Yann-Ga�l Gu�h�neuc and \r\n C�cile Tremblay and Joanne Otis},\r\n BOOKTITLE = {Proceedings of the 5^th World Congress on Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research (Medicine 2.0)},\r\n TITLE = {Virtual Intervention to Support Self-Management of \r\n Antiretroviral Therapy Among People Living With HIV},\r\n YEAR = {2015},\r\n OPTADDRESS = {},\r\n OPTCROSSREF = {},\r\n EDITOR = {Gunther Eysenbach},\r\n MONTH = {October},\r\n NOTE = {12 pages. Medicine 2.0.},\r\n OPTNUMBER = {},\r\n OPTORGANIZATION = {},\r\n PAGES = {e6},\r\n PUBLISHER = {Medicine 2.0},\r\n OPTSERIES = {},\r\n OPTVOLUME = {},\r\n KEYWORDS = {Topic: <b>VIHTAVIE</b>, Rubrique : <b>VIHTAVIE</b>, \r\n Conference: Medicine 2.0},\r\n PDF = {http://www.ptidej.net/publications/documents/Medicine2015.ppt.pdf},\r\n ABSTRACT = {Background. Living with HIV necessitates long-term \r\n healthcare follow-up particularly with respect to management of \r\n antiretroviral therapy (ART). With the enormous possibilities \r\n afforded by information and communication technologies (ICT), we \r\n developed a virtual nursing intervention (VIH-TAVIE) to empower \r\n persons living with HIV (PLHIV) to manage their ART and their \r\n symptoms optimally. ICT interventions hold great promise across the \r\n entire continuum of PLHIV care but further research is needed to \r\n properly evaluate their effectiveness. Objective. The objective of \r\n the study was to compare the effectiveness of two types of \r\n follow-up-traditional and virtual-in terms of promoting adherence to \r\n ART among PLHIV. Methods. A quasi-experimental study was conducted. A \r\n sample of 179 PLHIV on ART for at least six months was recruited, of \r\n which 99 at a site offering the virtual follow-up and 80 at another \r\n site offering more traditional follow-ups. Adherence, the primary \r\n outcome, and cognitive and affective variables (self-efficacy, \r\n attitude towards medication intake, symptom-related discomfort, \r\n stress or social support) were evaluated by self-administered \r\n questionnaire at three measurement times: baseline (T0), and three \r\n months (T3) and six months (T6) later. Results. On average, \r\n participants had been living with HIV for 14 years and had been on \r\n treatment for 11 years. The groups were highly heterogeneous, but \r\n differed on a number of sociodemographic dimensions: education, \r\n income, marital status, employment status, and living arrangements. \r\n Adherence at baseline was high, reaching 79.7% for the traditional \r\n follow-up group and 83.5% for the virtual follow-up group. A \r\n generalized estimating equations (GEE) analysis was run, controlling \r\n for sociodemographic characteristics at baseline. A time effect was \r\n detected, indicating that the two groups improved on adherence over \r\n time but did not differ. Improvement at six months was significantly \r\n greater than at three months for both groups. Analysis of variance \r\n revealed no significant group-by-time interaction on self-efficacy, \r\n attitude towards medication intake, symptom-related discomfort, \r\n stress or social support. A time effect was observed for both types \r\n of follow-up on symptom-related discomfort and social support. Both \r\n groups improved over time with respect to these variables. \r\n Conclusions. Results showed that the two groups improved their \r\n adherence at six months but did not differ in this regard. Hence, \r\n neither type of follow-up proved better than the other in terms of \r\n treatment adherence promotion.}\r\n}\r\n\r\n","author_short":["C�t�, J.","Godin, G.","Ramirez-Garc�a, P.","Rouleau, G.","Bourbonnais, A.","Gu�h�neuc, Y.","Tremblay, C.","Otis, J."],"editor_short":["Eysenbach, G."],"key":"Cote15-Medicine20-VirtualIntervention","id":"Cote15-Medicine20-VirtualIntervention","bibbaseid":"ct-godin-ramirezgarca-rouleau-bourbonnais-guhneuc-tremblay-otis-virtualinterventiontosupportselfmanagementofantiretroviraltherapyamongpeoplelivingwithhiv-2015","role":"author","urls":{},"keyword":["Topic: <b>VIHTAVIE</b>","Rubrique : <b>VIHTAVIE</b>","Conference: Medicine 2.0"],"metadata":{"authorlinks":{}}},"bibtype":"inproceedings","biburl":"http://www.yann-gael.gueheneuc.net/Work/Publications/Biblio/complete-bibliography.bib","dataSources":["8vn5MSGYWB4fAx9Z4"],"keywords":["topic: <b>vihtavie</b>","rubrique : <b>vihtavie</b>","conference: medicine 2.0"],"search_terms":["virtual","intervention","support","self","management","antiretroviral","therapy","people","living","hiv","c�t�","godin","ramirez-garc�a","rouleau","bourbonnais","gu�h�neuc","tremblay","otis"],"title":"Virtual Intervention to Support Self-Management of Antiretroviral Therapy Among People Living With HIV","year":2015}