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Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence.

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  • Additional Information
    • Affiliation:
      College for Public Health and Social Justice, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO, USA
      Washington University School of Medicine, St. Louis, MO, USA
      University of Missouri, Columbia, MO, USA
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Identifying distinct patterns of behavior and mood in natural environments that interrupt medication adherence among individuals with HIV will be useful in informing intervention development. This pilot study assessed the initial efficacy of using ecologic momentary assessment to define patterns of alcohol use, mood, and medication adherence. Participants reported intraday alcohol use and mood using app-enabled smartphones and MEMSCap pill bottles to measure medication adherence. There were 34 enrolled participants, 29 of whom completed the 28-day study. Participants drank a mean of 7.75 days of the study period. The positive and negative affect scores ranged from 10 to 50, with a mean of 25.7 and 11.4 for each, respectively. The average medication adherence for the sample was 94.1%. These findings suggest these types of data collection methods are increasingly acceptable in measuring real-time mood and behavior, which may better inform interventions addressed at increasing HIV adherence practices.
      Resumen: Identificación de patrones distintos de comportamiento y estado de ánimo en los ambientes naturales que interrumpen el cumplimiento con la medicación entre los individuos con VIH será útil para informar el desarrollo de la intervención. Este estudio piloto evaluó la eficacia inicial de utilizar evaluación ecológica momentánea (EMA) para definir patrones de adherencia de uso de alcohol, estado de ánimo y medicación. Los participantes informaron uso de alcohol intradía y estado de ánimo usando MEMSCap píldora botellas y teléfonos inteligentes basados en la aplicación se utilizaron para medir el cumplimiento con la medicación. Hubo 34 participantes inscritos, 29 de los cuales completaron el estudio de 28 días. Los participantes tomaban un promedio de 7,75 días del período de estudio. Las puntuaciones de afecto positivo y negativo variaron de 10 a 50, con una media de 25,7 y de 11,4 para cada uno, respectivamente. El cumplimiento con la medicación media para la muestra fue de 94,1%. Estos resultados sugieren que estos tipos de métodos de recolección de datos son cada vez más aceptables en la medición en tiempo real estado de ánimo y comportamiento, y que puede informar mejor a las intervenciones dirigidas a aumentar prácticas de adherencia VIH.
    • Journal Subset:
      Biomedical; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; USA
    • ISSN:
      1090-7165
    • MEDLINE Info:
      NLM UID: 9712133
    • Publication Date:
      20190725
    • Publication Date:
      20200731
    • Accession Number:
      10.1007/s10461-018-2378-9
    • Accession Number:
      137642058
  • Citations
    • ABNT:
      SHACHAM, E. et al. Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence. AIDS & Behavior, [s. l.], v. 23, n. 8, p. 2176–2184, 2019. DOI 10.1007/s10461-018-2378-9. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137642058. Acesso em: 26 set. 2020.
    • AMA:
      Shacham E, Lew D, Xiao T, et al. Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence. AIDS & Behavior. 2019;23(8):2176-2184. doi:10.1007/s10461-018-2378-9
    • APA:
      Shacham, E., Lew, D., Xiao, T., López, J., Trull, T., Schootman, M., & Presti, R. (2019). Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence. AIDS & Behavior, 23(8), 2176–2184. https://doi.org/10.1007/s10461-018-2378-9
    • Chicago/Turabian: Author-Date:
      Shacham, Enbal, Daphne Lew, Ting Xiao, Julia López, Timothy Trull, Mario Schootman, and Rachel Presti. 2019. “Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence.” AIDS & Behavior 23 (8): 2176–84. doi:10.1007/s10461-018-2378-9.
    • Harvard:
      Shacham, E. et al. (2019) ‘Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence’, AIDS & Behavior, 23(8), pp. 2176–2184. doi: 10.1007/s10461-018-2378-9.
    • Harvard: Australian:
      Shacham, E, Lew, D, Xiao, T, López, J, Trull, T, Schootman, M & Presti, R 2019, ‘Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence’, AIDS & Behavior, vol. 23, no. 8, pp. 2176–2184, viewed 26 September 2020, .
    • MLA:
      Shacham, Enbal, et al. “Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence.” AIDS & Behavior, vol. 23, no. 8, Aug. 2019, pp. 2176–2184. EBSCOhost, doi:10.1007/s10461-018-2378-9.
    • Chicago/Turabian: Humanities:
      Shacham, Enbal, Daphne Lew, Ting Xiao, Julia López, Timothy Trull, Mario Schootman, and Rachel Presti. “Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence.” AIDS & Behavior 23, no. 8 (August 2019): 2176–84. doi:10.1007/s10461-018-2378-9.
    • Vancouver/ICMJE:
      Shacham E, Lew D, Xiao T, López J, Trull T, Schootman M, et al. Testing the Feasibility of Using Ecological Momentary Assessment to Collect Real-Time Behavior and Mood to Predict Technology-Measured HIV Medication Adherence. AIDS & Behavior [Internet]. 2019 Aug [cited 2020 Sep 26];23(8):2176–84. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137642058