A multimedia curriculum for adherence to medications for adults living with HIV/AIDS in North Carolina
Tina Penick Brock, The University of North Carolina at Chapel Hill, United States
The University of North Carolina at Chapel Hill . Awarded
This study was designed to evaluate the impact of a multimedia educational intervention based on principles of Social Cognitive Theory, targeted toward individuals with low literacy skills and delivered as a movie viewed on a handheld computer. Patient satisfaction, knowledge, and self-efficacy to adhere to HIV medication regimens were the primary outcomes evaluated. The feasibility and efficiency of the intervention were also assessed.
Fifty-one English-speaking adults who were initiating or taking medications for the treatment of HIV/AIDS and receiving care in a specialty clinic at an academic medical center responded to questions before and after watching a movie that included graphics-intensive, professional, and peer instruction in knowledge and skills development. More than half the subjects demonstrated a reading ability below eighth grade level (defined as low literacy) using the Rapid Estimate of Adult Literacy in Medicine (REALM) instrument.
The majority of subjects indicated and demonstrated that their knowledge of HIV disease, HIV medications, and HIV adherence behaviors improved following the movie. In addition, most subjects expressed a preference to receive health information in the form of videos, described the information as easier to remember when presented in this manner, and communicated that they liked using the handheld computer to watch the video. Following the intervention, the majority of subjects indicated that they were extremely sure or very sure they would be able to take all or most of their HIV medications as directed which implies a high degree of self-efficacy for medication adherence. These data suggest that video education is valuable in all patients, but it is particularly useful in educating patients with low literacy skills. Additional study to determine the long-term effects of the intervention is warranted.
Brock, T.P. A multimedia curriculum for adherence to medications for adults living with HIV/AIDS in North Carolina. Ph.D. thesis, The University of North Carolina at Chapel Hill.
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