The effects of telehealth service model for people living with HIV in antiretroviral clinic at Krathum Baen Hospital, Samut Sakhon province
DOI:
https://doi.org/10.14456/taj.2026.9Keywords:
telehealth, people living with HIV, treatment adherenceAbstract
This research aimed to study the effect of a telehealth service model for people living with HIV (PLHIV), which involved remote medical follow-up, treatment, and clinical consultation, along with promoting treatment adherence through a remote system. The sample consisted of 50 PLHIV who were receiving antiretroviral therapy at Krathum Baen Hospital in Samut Sakhon Province, Thailand. Participants were selected using purposive sampling and divided into an experimental group and a comparison group, with 25 participants in each group. The research instruments included: (1) a manual for providing care to PLHIV through a telehealth service model, (2) a manual for activities promoting treatment adherence (3) a health behavior record book, and (4) a questionnaire assessing the outcomes of the telehealth service model, which was validated for content validity, clarity, and language appropriateness by three experts. Qualitative data were analyzed using content analysis. Quantitative data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the independent t-test, and the Mann–Whitney U test. The research findings indicated that the experimental group utilizing the telehealth service model showed better mean cost, mean duration of service use, mean treatment adherence, mean CD4 counts, and viral load (VL) levels compared to the comparison group using the standard healthcare service model. These differences were statistically significant (p<0.05). In conclusion, the telehealth service model for PLHIV can promote treatment adherence behavior and result in improved CD4 counts and VL levels.
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References
World Health Organization. HIV and AIDS [Internet]. 2024 [cited 2024 Oct 24]. Available from: https://www.who.int/news-room/fact-sheets/detail/hiv-aids
National Health Security Office. National HIV/AIDS services information system or National AIDS Program (NAP) [Internet]. 2023 [cited 2023 Dec 2]. Available from: http://napdl.nhso.go.th/NAPWebReport/LoginServlet (in Thai)
World Health Organization. Adherence to long-term therapies: evidence for action [Internet]. 2003 [cited 2023 Oct 23]. Available from: https://apps.who.int/iris/handle/10665/42682
Esmaeili ED, Azizi H, Dastgiri S, Kalankesh LR. Does telehealth affect the adherence to ART among patients with HIV? A systematic review and meta-analysis. BMC Infect Dis. 2023;23(1):169.
Kanfer FH, Gaelick-Buys L. Self-management methods.4th ed. In: Kanfer FH, Goldstein AP, editors. Helping people change: a textbook of methods. New York: Pergamon Press; 1991. p. 305-360
Jantharot B, Oba N, Champunot R, Puraya A. Effects of self-management program on self-management behaviors, viral load and CD4 level among HIV-infected persons. Thai AIDS Journal. 2024;36(2):68-81. (in Thai)
Khamphira J, Ritmontri A. The effect of self-management enhancing program on adherence to antiretroviral drug among HIV/AIDS clients, Mae-ai Hospital, Chiang Mai province [Internet]. 2024 [cited 2024 Dec 22]. Available from: https://www.chiangmaihealth.go.th/document/240717172118412261.pdf (in Thai)
Kanters S, Park JJ, Chan K, Socias ME, Ford N, Forrest JI, et al. Interventions to improve adherence to antiretroviral therapy: a systematic review and network meta-analysis. Lancet HIV. 2017;4(1): e31-40.
Suntharapot S, Sribundit N. Effectiveness of text messaging via application LINE on adherence to antiretroviral drug among HIV and AIDS patients in Khaoyoi Hospital, Phetchaburi. Thai Bulletin of Pharmaceutical Sciences. 2022;17(2):83-99. (in Thai)
Rongmuang D, Sukrungreung I, Mattayart S, Udompat P, Sarakshetrin A, Kunlaka S, et al. The development of telemedicine for caring patient undergoing peritoneal dialysis: lesson learned from the COVID-19 pandemic. Journal of Health Systems Research. 2023;17(1):108-27. (in Thai)
Srikam S, Pinchaleaw D, Keskomon T. The effects of a motivation-enhancing program with LINE application on adherence behaviors and CD4 white blood cell levels among newly HIV-infected patients in general hospital, Samut Sakhon Province. Journal of Prachomklao College of Nursing, Phetchaburi Province. 2024;7(1):33-49. (in Thai)
Ananthakrishnan AN, Singh S. The doctor will call you now! Telemedicine in the midst of a pandemic. Clin Gastroenterol Hepatol. 2020;18(8):1688-90.
Somya M, Kitsripisarn S, Bannaasan B. The effects of a motivation enhancing program on adherence regimen and sputum examination among newly diagnosed pulmonary tuberculosis patients. Journal of Nursing Science Chulalongkorn University. 2020;32(1):24-36. (in Thai)
Nanthachan N, Kasatpibal N, Viseskul N. Effect of information provision, motivation, and skill development on antiretroviral adherence among youths living with HIV. Nursing Journal CMU. 2015;42(3):72-83. (in Thai)
Leaungsomnapa S, Leaungsomnapa Y, Leaungsomnapa S, Suwannarat R, Chongprakobkit S. Effect of telehealth service delivery on medication adherence and viral load among stable people living with HIV at the antiretroviral clinic, Borai Hospital, Trat Province. Journal of Phrapokklao Nursing College, Chanthaburi. 2024;35(1):219-33. (in Thai)
Aungvitulsatit K, Banchonhattakit P. Improving the potentials of elderly care by telehealth system: a systematic review. Singburi Hospital Journal. 2022;31(2):131-41. (in Thai)
Pattanathong J. Development of telemedicine service model, Prachuap Khiri Khan Province. Journal of Health Sciences of Thailand. 2024;33(3):452-64. (in Thai)
