Adherence, Improvement Measure (AIM) System

This study has been completed.
The Commonwealth Fund
Information provided by (Responsible Party):
University of California, San Francisco Identifier:
First received: November 30, 2010
Last updated: November 18, 2013
Last verified: November 2013

In this project, we will work directly with underserved patients in a safety-net setting to conduct a randomized clinical trial of standard-of-care adherence counseling versus a novel adherence intervention embedded in an existing PHR that uses cellular phone short message service (SMS) reminders and patient responses to the reminders. We will compare adherence rates in both arms as assessed by antiretroviral medication concentrations in hair samples and self-report; clinical outcomes will also be compared in the two arms. The project will examine medication adherence for antiretroviral medications and treatments of common conditions such as depression, hypertension, diabetes and hypercholesterolemia.

Condition Intervention Phase
Patient Compliance
Behavioral: SMS medication adherence
Behavioral: No SMS adherence reminder
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Adherence, Improvement Measure (AIM) System; Challenge Topic: 10-MH-101

Resource links provided by NLM:

Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • HIV viral load [ Time Frame: 12 month ] [ Designated as safety issue: No ]
    The primary analyses of the 12-month trial data will compare the two study groups with respect to (i) change from baseline in CD4 T-cell count; and (ii) proportion of patients whose HIV viral load (VL) level is detectable. We will use repeated-measures analysis techniques to estimate longitudinal prevalence at the population level (via generalized estimating equations) and at the individual levels (via generalized linear mixed models)[25].

Secondary Outcome Measures:
  • Level of antiretroviral medication in hair [ Time Frame: 12 month ] [ Designated as safety issue: No ]
    We will evaluate the antiretroviral level in hair samples from patients to determine compliance with medications.

Enrollment: 99
Study Start Date: August 2010
Study Completion Date: December 2012
Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Receiving SMS alerts
The patients randomized to this arm will have a SMS message sent to them regarding medication adherence for antiretroviral medications, anti-hypertensive medications, anti-depressants, hyperglycemic controlling medications and hypercholesterolemia controlling medications as well as life style supportive suggestions.
Behavioral: SMS medication adherence
SMS messages to cell phones.
Other Name: mobile health messages for health conditions and medications
Active Comparator: No SMS messages
The patients randomized to this arm will have a SMS message sent to them regarding healthy life style supportive suggestions.
Behavioral: No SMS adherence reminder
In this arm, patients will be sent supportive lifestyle suggestions to their phone using SMS technology but will not be sent a reminder regarding their medication adherence.
Other Name: No medication adherence or disease specific messages.


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Older than 18
  • Evidence of HIV-1 infection, based on patient's medical history or results of laboratory tests
  • Detectable Viral Load, based on patient's medical record
  • Receiving primary medical care at the AIDS Program at SFGH
  • Able and willing to give informed consent to be randomized to study arms
  • Willing to use the patient portal
  • Has a cell phone with ability to receive and send unlimited SMS texts, Patient of the HIV/AIDS Clinic at ward 86, SFGH

Exclusion Criteria:

Failure to meet inclusion criteria


  Contacts and Locations
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Please refer to this study by its identifier: NCT01252212

United States, California
Ward 86, San Francisco General Hospital
San Francisco, California, United States, 94110
Sponsors and Collaborators
University of California, San Francisco
The Commonwealth Fund
Principal Investigator: James Kahn, MD University of California, San Francisco
  More Information

No publications provided

Responsible Party: University of California, San Francisco Identifier: NCT01252212     History of Changes
Other Study ID Numbers: 10-00019, 1RC1MH088341
Study First Received: November 30, 2010
Last Updated: November 18, 2013
Health Authority: United States: Federal Government

Keywords provided by University of California, San Francisco:
HIV, antiretroviral, adherence, SMS, cell phone processed this record on August 27, 2015