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Educational program fails to improve adherence to HIV treatment in minority patients.

Women's Health Weekly

| December 04, 2003 | COPYRIGHT 2003 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2003 DEC 4 - (NewsRx.com & NewsRx.net) -- A novel educational intervention does not improve adherence to HIV treatment in minority patients.

According to published research from Texas, "A 24-week open-label clinical trial was conducted in 195 HIV-infected adults commonly underrepresented in research (35% female, 71% African American, 21% Hispanic, and 20% injection drug users [IDUs]) to evaluate the effect of an HIV educational program on efficacy and adherence with a simple, compact, twice-daily triple nucleoside regimen containing a lamivudine (150 mg)/zidovudine (300 mg) combination (COM) tablet plus abacavir (ABC), 300 mg."

"At baseline, the patients' median plasma HIV-1 RNA level was 4.18 log[subscript]10 copies/mL and the median CD4+ cell count was 379 celIs/mm[superscript]3," noted M.K. Rawlings and coauthors working at the Southeast Dallas Health Center. "Patients were randomized 1:1 to four modules of the Tools for Health and Empowerment HIV education intervention plus routine counseling (EI+RC; n=96) or to routine counseling alone (RC; n=99)."

"No differences between the EI+RC and RC treatment arms were observed with respect to the proportion of patients achieving plasma HIV-1 RNA levels

The researchers concluded that, "in under-represented patients, the EI used in this study did not affect the efficacy and adherence results with ABC+COM to any greater degree than did RC."

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