Usability of a website to promote treatment adherence for adults with HIV
DOI:
https://doi.org/10.17533/udea.iee.v43n3e05Keywords:
HIV, treatment adherence and compliance, adult, educational technology, biomedical translational science, nursingAbstract
Objective. To evaluate a website-type care-educational technology aimed at promoting adherence to antiretroviral treatment in adults living with HIV.
Methods. This study was based on a Knowledge Translation into Action project developed in two stages: in the first stage, a free-access website was created through collaboration among different research groups; in the second stage, a cross-sectional study was conducted with focus groups and individual interviews with eight participants, using the Assistive Technology Assessment Instrument to evaluate the website’s attributes.
Results. The website was established as a digital care-educational technology, providing information supported by scientific evidence on self-efficacy, social support, and quality of life. The proposed issues addressed different situations in the lives of people living with HIV, with the objective of fostering treatment adherence. In the overall assessment conducted by the target audience, the website obtained a mean score of 1.88 (minimum 1.1 and maximum 2.0), being classified as adequate. Suggestions received were incorporated through adjustments in design and content structure.
Conclusion. The website can be used by adults living with HIV and by nursing professionals to promote treatment adherence, contributing to self-care and health education.
Downloads
References
1. Programa Conjunto das Nações Unidas sobre HIV/AIDS. O caminho que põe fim à AIDS: Relatório Global do UNAIDS 2023. Genebra: UNAIDS; 2023.
2. Brasil. Boletim Epidemiológico - HIV e Aids 2023. Brasília, DF: Departamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis Secretaria de Vigilância em Saúde e Ambiente do Ministério da Saúde; 2023.
3. Liao R, Tang Z, Zhang N, Hu L, Chang Z, Ren J, et al. Discrepancies between self-reported medication in adherence and indirect measurement adherence among patients undergoing antiretroviral therapy: a systematic review. Infectious Diseases of Poverty. 2024; 13:51.
4. Aurpibul L, Tangmunkongvorakul A, Detsakunathiwatchara C, Srita A, Masurin S, Meeart P, et al. “I want to be healthy and move on”: A qualitative study of barriers and facilitators to antiretroviral treatment adherence among young adult survivors with perinatal HIV in Thailand. PLoS ONE. 2024; 19:e0305918.
5. World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: World Health Organization; 2003.
6. Salbego C, Nietsche EA, Teixeira E, Girardon-Perlini NMO, Wild CF, Ilha S. Care-educational technologies: an emerging concept of the praxis of nurses in a hospital context. Revista Brasileira de Enfermagem. 2018; 71:2666–74.
7. Santos KRFN, Carneiro WS, Vieira AS, Souza MB, Gonçalves CFG. Fatores que interferem na adesão e permanência da terapia antirretroviral. Brazilian Journal of Health Review. 2020; 3:3037–43.
8. Almeida ECD, Marran AL, Baldissera VDA, Corsi CAC, Yahiaoui S, Bouchkira H, et al. A enfermagem e o letramento em saúde no contexto do HIV/AIDS, tuberculose, hepatites virais e infecções sexualmente transmissíveis. Enfermagem em Foco. 2024; 15(Supl 2): 169–76.
9. Almeida ECD, Silva MCND, Pantoja VJDC, Maciel ELN. O protagonismo da Enfermagem no enfrentamento do HIV/AIDS, hepatites virais, tuberculose e infecções sexualmente transmissíveis. Enfermagem em Foco. 2024;15(Supl 2): 8–9.
10. Mota NP, Maia JKO, Abreu WJCP, Galvão MTG. Educational technologies for HIV prevention in black people: scope review. Revista Gaúcha de Enfermagem. 2023; 44:e20220093.
11. Grupo de Trabalho da Sociedade Civil para a Agenda 2030 (GTSC A2030). VII Relatório Luz de Desenvolvimento Sustentável. Brasil: 2023.
12. Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions. 2006; 26:13–24.
13. Vieira ACG, Gastaldo D, Harrison D. How to translate scientific knowledge into practice? Concepts, models and application. Revista Brasileira de Enfermagem. 2020; 73:e20190179.
14. Primeira MR, Machado AS, Langendorf TF, Albarracin DGE, Paula CC, Padoin SMM. Adesão ao tratamento antirretroviral de adultos com HIV: tradução do conhecimento na criação de website. Revista Latino-Americana de Enfermagem. 2025; 33: e4641.
15. Guimarães FJ, Carvalho ALRF, Pagliuca LMF. Elaboração e validação de instrumento de avaliação de tecnologia assistiva. Revista Eletrônica de Enfermagem. 2015; 17:302–11.
16. Guimarães FJ, Pagliuca LMF. Validation of assistive technology on psychoactive substances for visually impaired people. Disability and Rehabilitation: Assistive Technology 2017; 14:236–40.
17. Zeiler M, Dietzel N, Haug F, Haug J, Kammerer K, Pryss R, et al. A User-Centered Design Approach for a Screening App for People with Cognitive Impairment (digiDEM-SCREEN): Development and Usability Study. JMIR Human Factors. 2025; 12: e65022–e65022.
18. Santos AAD, Wanderley FAC, Morais EPGD, Peres AL, Warren EMC, Medeiros ICF, et al. Validação de produtos educacionais - relato de experiência. Caderno Pedagógico. 2025; 22(1):e13303.
19. Ramírez López GA, Gómez Galicia DL, Zagal Jiménez TX, Toledano Jaimes CD, Díaz De León Castañeda C. Digital health for promoting adherence to antiretroviral treatment in patients with HIV/AIDS: A meta-review. Farmacia Hospitalaria. 2024; 48(5):T252–T258.
20. Zuge SS, Paula CC, Padoin SMM. Efetividade de intervenções para adesão à terapia antirretroviral em adultos com HIV: revisão sistemática. Revista Escola de Enfermagem da Universidade de São Paulo. 2020; 54:e03627.
21. Galiza DDF, Cabral LA, Machado ALG, Moreira TMM, Sampaio HAC. Tecnologia educativa sobre saúde para mulheres privadas de liberdade à luz do letramento em saúde. Texto & Contexto – Enfermagem. 2023; 32:e20220260.
22. Freitas GM, Lavezzo F, Domingos NAM, Seidl EMF, Miyazaki MCOS. Variáveis Psicossociais e Adesão ao Tratamento Antirretroviral para HIV/Aids. Revista Psicologia e Saúde. 2021; 12(4):191-206.
23. Santos FAAS, Araújo VS, Oliveira MAA, Fernandes MNF, Correia DJ, Silva AR, et al. Rede de apoio e autopercepção de comportamento da pessoa vivendo com HIV/AIDS. Contribuciones a las Ciencias Sociales. 2023; 16:31731–48.
24. Fonseca BS, Azevedo LS, Aguirre HC, Shibukawa BMC, Piran CGM, Furtado MD, et al. Representações sociais de jovens adultos vivendo com HIV/Aids: revisão integrativa. Revista Brasileira de Sexualidade Humana. 2023; 34:1097.
25. Camlin CS, Charlebois ED, Getahun M, Akatukwasa C, Atwine F, Itiakorit H, et al. Pathways for reduction of HIV‐related stigma: a model derived from longitudinal qualitative research in Kenya and Uganda. Journal of the International AIDS Society. 2020; 23(12): e25647.
26. Berthe PCJ, Amor YB. A Rapid Review of HIV-Related Stigma-Reduction Randomized Controlled Trials. AIDS and Behavior. 2025; 29(7): 2088–106.
27. Ebrahimi H, Shoorideh FA, Sohrabi MR, Ebrahimi M, Hosseini M. An Analysis of Approaches to Reduction of HIV Stigma across the World through educational interventions: A Scoping Review. Investigación y Educación en Enfermería. 2024; 42(1):e06.
28. Areri HA, Marshall A, Harvey G. Interventions to improve self-management of adults living with HIV on Antiretroviral Therapy: A systematic review. PLoS ONE. 2020; 15:e0232709.
29. Lima ID de A, Leon CGRMP de, Ribeiro LM, Silva ICR da, Vilela DM, Fonseca LMM, et al. A Serious Game (Immunitates) About Immunization: Development and Validation Study. JMIR Serious Games. 2022; 10:e30738.
30. Reis AC, Lencastre L, Guerra MP, Remor E. Relação entre sintomatologia psicopatológica, adesão ao tratamento e qualidade de vida na infecção HIV e AIDS. Psicologia: Reflexão e Crítica. 2010; 23:420–9.
31. Alckmin-Carvalho F, Silva MMS, Simão NS, Nichiata LYI. Qualidade de vida de pessoas que vivem com HIV no Brasil: revisão sistemática. Revista Brasileira de Qualidade de Vida. 2024;16: e17425.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
