Real-time electronic adherence monitoring plus follow-up improves adherence compared to standard electronic adherence monitoring

Abstract

The impact of real-time electronic monitoring on antiretroviral therapy adherence warrants further study. We conducted an analysis of cohort participants that initially involved standard electronic adherence monitoring (EAM), followed by real-time EAM plus home visits for sustained ≥48-hour adherence interruptions. Immediately after switching between the two types of EAM, mean adherence among 112 participants increased from 84% to 93% and remained elevated for six months (p<0.001). Real-time EAM is a promising approach for improving adherence