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The LIVE Network: a music-based messaging program to promote ART adherence self-management
Marcia McDonnell Holstad1, Igho Ofotokun, Melinda Higgins
1Nell Hodgson School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA, 30322, USA, nurmmcd@emory.edu.
The LIVE Network (LN) music program showed promise in improving adherence self-efficacy and reducing viral loads in patients on antiretroviral therapy (ART), though pill counts were not significantly impacted.
Area of Science:
- Public Health
- Infectious Diseases
- Behavioral Science
Background:
- Antiretroviral therapy (ART) adherence is critical for managing HIV/AIDS.
- Improving patient self-efficacy can enhance treatment adherence.
- Novel interventions are needed to support long-term ART adherence.
Purpose of the Study:
- To evaluate the efficacy, acceptability, and feasibility of The LIVE Network (LN), a music program.
- To compare LN's impact on ART adherence, clinical indicators, and self-efficacy against standard care.
- To assess the potential of music-based interventions in HIV management.
Main Methods:
- Pilot-tested The LIVE Network (LN) music program in 77 participants over 12 weeks.
- Compared outcomes between the LN group and a standard care group.
- Measured ART adherence via pill counts (PC) and plasma antiretroviral trough levels.
- Assessed clinical indicators and adherence self-efficacy.
Main Results:
- The LN group showed significantly higher adherence self-efficacy (p < 0.1).
- Viral loads significantly decreased in the LN group (p < 0.1).
- While not statistically significant, the LN group had higher PC and a greater proportion with therapeutic antiretroviral levels.
Conclusions:
- The LIVE Network (LN) demonstrates potential as an acceptable and feasible intervention for improving adherence self-efficacy and reducing viral loads in ART patients.
- Music-based programs may offer a novel approach to enhance HIV treatment outcomes.
- Further research is warranted to confirm these findings in larger trials.
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