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

Enbal Shacham, Daphne Lew, Ting Xiao, Julia López, Timothy Trull, Mario Schootman, Rachel Presti

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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.

Original languageEnglish
Pages (from-to)2176-2184
Number of pages9
JournalAIDS and Behavior
Volume23
Issue number8
DOIs
StatePublished - Aug 15 2019

Keywords

  • Alcohol
  • Ecological momentary assessment
  • Electronic medication monitoring
  • HIV/AIDS
  • MEMSCap
  • Medication adherence

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