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Computerised counselling can achieve reductions in viral load and HIV transmission risk behaviour, investigators from the United States report in the online edition of the Journal of Acquired Immune Deficiency Syndromes. The counselling programme was associated with significant reductions in viral load, improvements in adherence to HIV therapy and reductions in risky sexual behaviour.
Thanks to antiretroviral therapy, many people with HIV now have a normal life expectancy. The best outcomes are seen in individuals who adhere to their treatment. Good adherence also has a secondary benefit, as suppression of viral load is associated with a reduced risk of HIV transmission to sexual partners.
The study had two arms.
Participants in the intervention arm had access to a computerised programme that provided counselling about treatment adherence, HIV disclosure, safer sex, condom use, substance abuse and the impact of adherence on viral load. Individuals in the control arm completed computerised questionnaires, answering questions about their treatment adherence, substance use and sexual risk behaviour.The primary outcomes were changes from baseline in viral load, 30-day adherence to HIV therapy and the likelihood of reporting unprotected anal/vaginal sex or problems with condom use.
 
Computerised counselling for patients taking HIV therapy can reduce viral load, improve treatment adherence and reduce rates of risky sex

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