An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention.  European Health Psychology Conference, Galway, Ireland.: Health Psychology Across the Lifespan: Uniting Research, Practice & policy

Kathryn King; Rob Horne; Vanessa Cooper; Elizabeth Glendenning; Susan Michie; Trudie Chalder

An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland. Health Psychology Across the Lifespan: Uniting Research, Practice & policy

Kathryn King, Rob Horne, Vanessa Cooper, Elizabeth Glendenning, Susan Michie, Trudie Chalder

Research output: Contribution to conference types › Poster

Abstract

Background
Effectiveness of antiretroviral therapy (ART) depends on prompt uptake of treatment and a high level of long-term adherence, yet these behaviours are suboptimal. Previous interventions have significantly improved adherence but effect sizes are small.

The aim of this article was to describe the development of an intervention to support uptake and adherence to treatment in HIV positive patients (SUPA intervention).

Methodology
The intervention was devised in line with Medical Research Council guidance for development of complex interventions and informed by the Perceptions and Practicalities Approach to nonadherence, Necessity Concerns Framework, empirical evidence, preparatory research with target populations and user testing. The Template for Intervention Description and Replication checklist guided intervention development. Intervention participants were ART naïve HIV patients, who were clinically recommended to start ART attending an NHS clinic, who completed the Beliefs about Medicines Questionnaire, indicating high concerns and low necessity for ART adherence.

Findings
Intervention materials (patient and nurse manuals and digital animations) were developed by a multidisciplinary panel of experts in adherence, behaviour change, cognitive behavioural therapy, HIV medicine and HIV advocacy and user tested in focus groups with people living with HIV. The effectiveness of the SUPA intervention for increasing uptake and adherence to ART in people at risk for low engagement with ART is currently being evaluated in a randomised controlled trial in 10 HIV clinics across 7 NHS Trusts.

Discussion
We conclude that it is possible to report transparently on the development of a theory-based intervention to increase uptake and adherence to ART.

Original language	English
Publication status	Published - Aug 2018
Event	European Health Psychology Conference - Galway, Ireland Duration: 6 Jun 2018 → 8 Jun 2018

Conference

Conference	European Health Psychology Conference
Country/Territory	Ireland
City	Galway
Period	6/06/2018 → 8/06/2018

Keywords

Adherence
HIV
Intervention
CBT
Motivational Interviewing

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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King, K., Horne, R., Cooper, V., Glendenning, E., Michie, S., & Chalder, T. (2018). An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland. Health Psychology Across the Lifespan: Uniting Research, Practice & policy. Poster session presented at European Health Psychology Conference, Galway, Ireland.

King, Kathryn ; Horne, Rob ; Cooper, Vanessa et al. / An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland. Health Psychology Across the Lifespan: Uniting Research, Practice & policy. Poster session presented at European Health Psychology Conference, Galway, Ireland.

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title = "An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland.: Health Psychology Across the Lifespan: Uniting Research, Practice & policy",

abstract = "Background Effectiveness of antiretroviral therapy (ART) depends on prompt uptake of treatment and a high level of long-term adherence, yet these behaviours are suboptimal. Previous interventions have significantly improved adherence but effect sizes are small. The aim of this article was to describe the development of an intervention to support uptake and adherence to treatment in HIV positive patients (SUPA intervention). Methodology The intervention was devised in line with Medical Research Council guidance for development of complex interventions and informed by the Perceptions and Practicalities Approach to nonadherence, Necessity Concerns Framework, empirical evidence, preparatory research with target populations and user testing. The Template for Intervention Description and Replication checklist guided intervention development. Intervention participants were ART na{\"i}ve HIV patients, who were clinically recommended to start ART attending an NHS clinic, who completed the Beliefs about Medicines Questionnaire, indicating high concerns and low necessity for ART adherence. Findings Intervention materials (patient and nurse manuals and digital animations) were developed by a multidisciplinary panel of experts in adherence, behaviour change, cognitive behavioural therapy, HIV medicine and HIV advocacy and user tested in focus groups with people living with HIV. The effectiveness of the SUPA intervention for increasing uptake and adherence to ART in people at risk for low engagement with ART is currently being evaluated in a randomised controlled trial in 10 HIV clinics across 7 NHS Trusts. Discussion We conclude that it is possible to report transparently on the development of a theory-based intervention to increase uptake and adherence to ART.",

keywords = "Adherence, HIV, Intervention, CBT, Motivational Interviewing",

author = "Kathryn King and Rob Horne and Vanessa Cooper and Elizabeth Glendenning and Susan Michie and Trudie Chalder",

year = "2018",

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language = "English",

note = "European Health Psychology Conference ; Conference date: 06-06-2018 Through 08-06-2018",

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King, K, Horne, R, Cooper, V, Glendenning, E, Michie, S & Chalder, T 2018, 'An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland. Health Psychology Across the Lifespan: Uniting Research, Practice & policy', European Health Psychology Conference, Galway, Ireland, 6/06/2018 - 8/06/2018.

An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland. Health Psychology Across the Lifespan: Uniting Research, Practice & policy. / King, Kathryn; Horne, Rob; Cooper, Vanessa et al.
2018. Poster session presented at European Health Psychology Conference, Galway, Ireland.

Research output: Contribution to conference types › Poster

TY - CONF

T1 - An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland.

T2 - European Health Psychology Conference

AU - King, Kathryn

AU - Horne, Rob

AU - Cooper, Vanessa

AU - Glendenning, Elizabeth

AU - Michie, Susan

AU - Chalder, Trudie

PY - 2018/8

Y1 - 2018/8

N2 - Background Effectiveness of antiretroviral therapy (ART) depends on prompt uptake of treatment and a high level of long-term adherence, yet these behaviours are suboptimal. Previous interventions have significantly improved adherence but effect sizes are small. The aim of this article was to describe the development of an intervention to support uptake and adherence to treatment in HIV positive patients (SUPA intervention). Methodology The intervention was devised in line with Medical Research Council guidance for development of complex interventions and informed by the Perceptions and Practicalities Approach to nonadherence, Necessity Concerns Framework, empirical evidence, preparatory research with target populations and user testing. The Template for Intervention Description and Replication checklist guided intervention development. Intervention participants were ART naïve HIV patients, who were clinically recommended to start ART attending an NHS clinic, who completed the Beliefs about Medicines Questionnaire, indicating high concerns and low necessity for ART adherence. Findings Intervention materials (patient and nurse manuals and digital animations) were developed by a multidisciplinary panel of experts in adherence, behaviour change, cognitive behavioural therapy, HIV medicine and HIV advocacy and user tested in focus groups with people living with HIV. The effectiveness of the SUPA intervention for increasing uptake and adherence to ART in people at risk for low engagement with ART is currently being evaluated in a randomised controlled trial in 10 HIV clinics across 7 NHS Trusts. Discussion We conclude that it is possible to report transparently on the development of a theory-based intervention to increase uptake and adherence to ART.

AB - Background Effectiveness of antiretroviral therapy (ART) depends on prompt uptake of treatment and a high level of long-term adherence, yet these behaviours are suboptimal. Previous interventions have significantly improved adherence but effect sizes are small. The aim of this article was to describe the development of an intervention to support uptake and adherence to treatment in HIV positive patients (SUPA intervention). Methodology The intervention was devised in line with Medical Research Council guidance for development of complex interventions and informed by the Perceptions and Practicalities Approach to nonadherence, Necessity Concerns Framework, empirical evidence, preparatory research with target populations and user testing. The Template for Intervention Description and Replication checklist guided intervention development. Intervention participants were ART naïve HIV patients, who were clinically recommended to start ART attending an NHS clinic, who completed the Beliefs about Medicines Questionnaire, indicating high concerns and low necessity for ART adherence. Findings Intervention materials (patient and nurse manuals and digital animations) were developed by a multidisciplinary panel of experts in adherence, behaviour change, cognitive behavioural therapy, HIV medicine and HIV advocacy and user tested in focus groups with people living with HIV. The effectiveness of the SUPA intervention for increasing uptake and adherence to ART in people at risk for low engagement with ART is currently being evaluated in a randomised controlled trial in 10 HIV clinics across 7 NHS Trusts. Discussion We conclude that it is possible to report transparently on the development of a theory-based intervention to increase uptake and adherence to ART.

KW - Adherence

KW - HIV

KW - Intervention

KW - CBT

KW - Motivational Interviewing

M3 - Poster

Y2 - 6 June 2018 through 8 June 2018

ER -

King K, Horne R, Cooper V, Glendenning E, Michie S, Chalder T. An Intervention to Support Treatment Management for the chronic disease of HIV: The SUPA Intervention. European Health Psychology Conference, Galway, Ireland. Health Psychology Across the Lifespan: Uniting Research, Practice & policy. 2018. Poster session presented at European Health Psychology Conference, Galway, Ireland.