Online Program

Increasing medication adherence among HIV+ Hispanics: A culturally tailored application of the imb model

Tuesday, November 5, 2013

Maria Lopez, PhD, Department of Psychiatry and Behavioral Science, University of Miami, Miami, FL
The purpose of this study is to promote medication adherence, healthcare utilization, and positive health outcomes among HIV + Hispanics who are Medicare and Medicaid beneficiaries. The education intervention employs a randomized group design to evaluate the effectiveness of a brief culturally-tailored educational intervention designed to increase medication adherence and positive health outcomes in 400 HIV+ Hispanic CMS beneficiaries in Miami-Dade Florida. The efficacy of the intervention is determined by comparing the Educational Intervention (EI) group to the Standard of Care (SOC) group on specific outcomes in the following five domains: 1) medication adherence information, 2) medication adherence motivation, 3) medication adherence skills, 4) medication adherence behavior, and 5) health outcomes. Participants are assessed at three time points: 1) pre-intervention baseline, 2) post-intervention (EI or SOC), and 3) 6-month post-intervention follow-up (i.e., 6 months following completion of the EI or SOC). The following measures are administered per domain: Demographics: El Centro demographic intake form, Medication Adherence Information: Items from IMB Medication Adherence Questionnaire and the HIV Knowledge Questionnaire. Medication Adherence Motivation: Multidimensional Health Locus of Control Scale (MHLC), Patient-Practioner Orientation Scale (PPOS) Beliefs about Medicines Questionnaire (BMQ), and the HIV Stigma Scales. Medication Adherence Skills: HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES). Medication Adherence Behavior: Adult AIDS Clinical Trial Group Adherence Questionnaire (AACTG) and Rates of attendance to scheduled medical visits in a 6 month period. Health Outcomes: Viral load, CD4 cell count and the MOS-HIV Health Survey. In addition, HIV/AIDS stigma reduction strategies were crucial to the projects implementation.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related nursing
Social and behavioral sciences

Learning Objectives:
Describe the impact of an education intervention on the health outcomes of HIV+ Hispanic Medicare and Medicaid beneficiaries

Keyword(s): HIV/AIDS, Hispanic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: : Dr. Lopez-Class has worked for over 10 years conducting research with minority and underserved populations. Her work focuses on multiple levels of influence, including individual, interpersonal community, and institutional-based disparities with an emphasis on community assessment, outreach, and health service utilization. Most recently, with funding from NCI, Dr. Lopez-Class conducted both qualitative and quantitative research at Georgetown University focusing on the development of a comprehensive cultural scale and effective recruitment strategies of Latino males.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.