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“InfoPlus Adherence”: A Study of a Provider-Delivered Intervention to Support ART Adherence using an EMR-Based Alert

In Haiti, use of HIV antiretroviral therapy has scaled up dramatically; however, concerning levels of attrition, sub-optimal adherence, and suspected treatment failure have been observed. The “InfoPlus Adherence” research project is developing and pilot testing a provider-based intervention using an electronic alert together with brief ART adherence counseling to improve ART adherence and reduce the incidence of ART treatment failure. This innovative intervention leverages the existing nation-wide iSanté EMR system and offers potential for wide-scale impact on care delivery and patient adherence, by targeting scarce personnel and resources toward those most in need. The research study involving mixed methods will take place in two large public-sector ART clinics in Haiti. Outcomes of interest include retention in care, ART adherence, incidence of ART treatment failure by WHO immunologic and clinical criteria, and HIV viral suppression. Funding is provided through an R34 award from the National Institutes of Mental Health (NIMH). 

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Active Dates 
09/01/2016 to 06/30/2019
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