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Publication Profiles

Integrating ART adherence support technologies in the care of pregnant and postpartum people with HIV: a qualitative study

Citation

Rendell S, Schmidt H, Neergaard R, et al. Integrating ART adherence support technologies in the care of pregnant and postpartum people with HIV: a qualitative study. Implement Sci Commun. 2022;3(1):85. doi:10.1186/s43058-022-00331-0

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

ART adherence

Geography:

Philadelphia County-PA, Washington-DC, Fulton County-GA, Alabama

Study Participant Classification:

Providers, Implementer(s)

Plain Language Objectives

The researchers asked clinicians caring for pregnant and postpartum people with HIV about text messages, video check-ins, connected pill bottles, and signaling pills. They wanted to understand which tools providers preferred and what privacy, workload, relationship, and regulatory issues could affect routine use.

Plain Language Abstract

Clinics have limited guidance on how to integrate technology that supports HIV medication adherence during pregnancy and after delivery. Researchers interviewed 26 multidisciplinary providers between March and December 2020. They discussed text messages, video check-ins with a provider or automated facial recognition, connected pill bottles, and signaling pills, each of which generated adherence information. Providers most preferred text messages and least preferred signaling pills. They considered effects on patient-provider relationships, when and how long a tool might help, possible disclosure of HIV status, and added work for patients and staff. Concerns included surveillance, privacy, coercion, inaccurate adherence data, and the need for providers to respond to new information. Payers anticipated regulatory obstacles for unfamiliar connected products. Customization, predictable reminders, and stronger therapeutic relationships were viewed as facilitators. These qualitative findings represent provider perspectives, not patients’ experiences or measured adherence. The study identified implementation considerations but did not test whether any technology improved medication use or HIV outcomes.

Key Takeaways

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