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A Nursing Virtual Intervention: Real-Time Support for Managing Antiretroviral Therapy

CÔTÉ, JOSÉ PhD, RN; RAMIREZ-GARCIA, PILAR PhD, RN; ROULEAU, GENEVIÈVE MSc, RN; SAULNIER, DIANE MSc, RN; GUÉHÉNEUC, YANN-GAEL PhD; HERNANDEZ, ANNICK MSc; GODIN, GASTON PhD

CIN: Computers, Informatics, Nursing: January/February 2011 - Volume 29 - Issue 1 - pp 43-51
doi: 10.1097/NCN.0b013e3181f9dc02
Feature Article

Based on a philosophy of empowerment, we developed the HIV Treatment, Virtual Nursing Assistance and Education intervention to equip persons living with HIV for managing their daily antiretroviral therapies. In this article, we describe the project and the process of developing it, which was carried out in three phases: (1) development of the intervention's clinical content, (2) generation of a multimedia presentation, and (3) implementation of our Web application via computer interface. The HIV Treatment, Virtual Nursing Assistance and Education consists of four interactive sessions at the computer, animated by a virtual nurse that takes the individual through the learning process about the capabilities necessary for taking the treatment. This information and strategies provided by the virtual nurse are specifically adapted to the participant, according to the responses he/she supplies. The virtual intervention approach, still experimental, is intended to be complementary with the actual clinical follow-up and has been developed in the context of reorganizing services and of the scarcity of resources. While we anticipate direct positive outcomes among the HIV clientele, it is also highly probable that this virtual support application will have ramifications among different clienteles who must also contend with the daily challenges of their health conditions.

Author Affiliations: Université de Montréal (Dr Côté, Mss Ramirez-Garcia, Saulnier and Hernandez); CRCHUM (Ms Rouleau, Dr Côté), Montréal, Quebec, Canada; École Polytechnique (Dr Guéhéneuc); Montréal, Quebec, Canada, Canada Research on Behavior and Health, Université Laval (Dr Godin), Quebec, Quebec, Canada.

This project was supported in part by the Réseau sidami du Fonds de la recherche en santé du Québec (FRSQ), le Centre de recherche du CHUM (CRCHUM), and The Chair for Research into New Practices in Nursing.

Collaborators: Nicolas Fournier, User Experience Design, Categorical Design Solutions Inc; Prabhdeep Singh, Solution Architect & Programmer, iTech Canada Inc, www.itechcanada.com.

Corresponding author: José Côté, PhD, RN, The Chair for Research into New Practices in Nursing, Université de Montréal, CRCHUM, C.P. 6128 Succursale Centre-Ville, Montréal, Quebec, Canada, H3C 3J7 (jose.cote@umontreal.ca)

© 2011 Lippincott Williams & Wilkins, Inc.