Clinical Scholarly Project Handbook
Young adults tend to have a lower rate of HIV care and adherence to medication, mainly due to busy lifestyle and forgetfulness (Brooks et al. 2020). The study shows that forgetfulness was the main cause of ART non-adherence in young adults living with HIV (Morowatisharifabad et al. 2019). Young adults living with HIV fall below expectation for an antiretroviral therapy (Endebu et al. 2019). As a result, young adults with HIV have a higher incidence of medication non-adherence and are more susceptible to opportunistic infections or comorbidities. Non-adherence to ART has generated more problems such as infecting other people, causing preventable hospital admission's costs, and death from AIDS. (Center for Disease Control, 2020). The high rate of non-adherence in adolescent and young adults with HIV present a critical challenge to health care providers in the United States (Belzer et al., 2014).
The purpose of this study is to improve medication adherence using mobile device reminders among adults aged 18-30 years living with HIV. The use of mobile devices is common among the young and the access to mobile devices has grown widely including to low income population. The use of mobile devices is an adjunct to traditional medical treatment has also become more popular in
recent years as shown by the expanding studies in the use of mobile device in
healthcare (Rodrigues et al. 2015). In a study by Belzer et al., using youth friendly
technology (e.g. mobile device reminders), adherence was significantly higher in
the intervention group compared to the control at 24 and 48 weeks for the past
month (P = 0.007) and log 10 HIV VL was significantly lower at both 24 and 48
weeks (2014).
Using mobile device (calls) as a medication reminder among young adult, age (18-30 years) living with HIV with clinical history of non-adherence is associated with increase in the medication adherence (95%, missing no more than one pill per week) and subsequently, viral load suppression (<20) copies per milliliter of blood over 8 weeks.
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