RNOtherInvestigacion y educacion en enfermeria2025

Usability of a website to promote treatment adherence for adults with HIV.

Aiodelle Dos Santos Machado, Marcelo Ribeiro Primeira, Raquel Einloft Kleinubing and 4 others

PMID 41289529

WHAT IT FOUND

Eight adults living with HIV rated a website for treatment adherence as adequate and clear.

The study did not test whether it improves adherence or health outcomes.

Key findings

01Eight adults living with HIV rated the website as adequate overall, with a mean score of 1.88 within the study's 1.1 to 2.0 adequate range.

02Clarity received the highest attribute rating at 1.94, and objectives received the lowest at 1.81.

03Users suggested practical changes, such as removing explicit diagnosis from the home page and adding legal information, and some suggestions were not implemented because of system limits or previously validated content.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only eight adults were studied, so the usability ratings are preliminary. The study measured website ratings and suggestions, not antiretroviral adherence, viral load, or health outcomes. Participants had to be literate and free of visual impairment, so the results may not apply to patients with low literacy or visual problems. The evaluation took place in two specialized services and a support centre in a medium-sized city, so access and local care context may limit transfer. Some suggestions were not implemented because of system limits or because previously validated content would have had to change. Stigma limited participation in focus groups, so the sample may not represent all adults living with HIV.

Declared interests

The paper reports funding by CNPq and EBSERH and says the work came from a master's thesis. It does not report author conflicts of interest.

The easy way to misread this

Do not conclude that the website improves antiretroviral adherence or health outcomes. The study only rated its usability with eight adults and did not measure adherence or clinical results.

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