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

Research output: Contribution to conference typesPoster

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

Original languageEnglish
Publication statusPublished - Aug 2018
EventEuropean Health Psychology Conference -
Duration: 1 Jan 2008 → …

Conference

ConferenceEuropean Health Psychology Conference
Period1/01/2008 → …

King's Authors

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.

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