Optimizing Care for Challenging People Living With HIV

This is an intervention strategy for HIV-infected individuals based on their viral load measurements and medication adherence rates, measured by the proportion of days covered (PDC) for the past 365 days. A specific PDC threshold identifies individuals with less than 90% viral suppression at under 200 copies/mL. An intervention approach integrating social and behavioral models with electronic health (eHealth) technology is implemented for cases with a PDC below this threshold. The intervention aims to enhance the patient's adherence to their medication regimen. The effectiveness of this intervention is evaluated by comparing indicators before and after its application to determine if there are significant improvements in the participants' compliance with their antiretroviral therapy.

Inclusion criteria

• PLWH with adherence below the specific proportion of days covered (PDC), which is defined as the specific level that corresponds to 90% at viral suppression (< 200 copies/mL).

Exclusion criteria

• Under 18 years of age.
• Illiterate.
• Non-consenting individuals.
• Less than 365 days from the initial use of antiretroviral drugs to the assessment for inclusion in the study.
• Inability to obtain complete medication records for the 365 days prior to inclusion.
• Lack of a smart phone.
• No willingness to return for follow-up at the participating hospital.