In countries experiencing the dual burden of HIV disease and health care worker shortages, information and communication technology tools offer the potential to help support HIV treatment adherence and secondary HIV transmission risk reduction for people living with HIV/AIDS. We conducted a randomized controlled trial (September 1, 2011-July 12, 2012) with follow-up through April 2013. Participants were recruited from two clinics affiliated with the Academic Model Providing Access to Healthcare program in western Kenya. A total of 236 participants were enrolled, randomly assigned to intervention (n = 118) or risk-assessment only control (n = 118) and followed up for 9 months. Both arms had > 0.5 log10 reduction in viral load over time (p = .0007), a clinically relevant finding. A computer-based counseling tool is feasible and acceptable in a high-volume East African HIV setting and provides evidence-based ART adherence and risk reduction support that may extend health workforce deficits.

中文翻译：

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基于计算机的咨询计划（CARE +肯尼亚），以促进艾滋病毒/艾滋病感染者的预防和艾滋病毒健康：一项随机对照试验

在遭受艾滋病毒疾病和卫生保健工作者双重负担的国家中，信息和通信技术工具提供了潜力，可帮助支持艾滋病毒治疗依从性和降低艾滋病毒/艾滋病感染者的继发性艾滋病毒传播风险。我们进行了一项随机对照试验（2011年9月1日至2012年7月12日），随访期至2013年4月。参与者是从与肯尼亚西部提供医疗服务计划的学术模式相关的两家诊所招募的。共纳入236名参与者，随机分配至干预组（n = 118）或仅进行风险评估对照（n = 118），并随访9个月。两组的病毒载量随时间减少> 0.5 log10（p = .0007），这是临床相关发现。