The Effect of Information Digitization: the Ennoe Method on Knowledge and Adherence to Treatment in HIV People

Aims: This study evaluated the effectiveness of information digitization using the Ennoe method in enhancing knowledge and treatment adherence among people living with HIV/AIDS (PLHIV). Methods: This study employed a research and development (R&D) design, followed by a one-group pretest-posttest approach with ۳۰ randomly selected participants undergoing antiretroviral therapy (ART). The study was conducted in ۲۰۲۴ in Jambi City, Indonesia. The intervention was delivered through the Ennoe method, which encompasses Engagement, Education, Monitoring, and Adherence. Data were collected using structured questionnaires assessing knowledge and ART adherence before and after the intervention. Statistical analyses, including chi-square tests, paired t-tests, and Cohen's d effect size, were conducted to evaluate the intervention’s effectiveness. Results: The findings indicated that baseline patient knowledge and adherence to ART were relatively low prior to the intervention. However, a significant improvement was observed following the intervention. The mean knowledge score increased from ۴۳±۴.۷ to ۶۰.۸±۶.۹ (p=۰.۰۰۱, Cohen's d=۳.۰۱), while medication adherence improved from ۵۷.۷±۲.۵ to ۶۸.۵±۵.۱ (p=۰.۰۰۱, Cohen's d=۲.۶۸), demonstrating a substantial effect. Additionally, education level and marital status were identified as factors influencing ART adherence. Conclusion: The implementation of the Ennoe method through digital health information delivery has been demonstrated to effectively enhance knowledge and adherence to ART among people living with HIV (PLHIV). This study has some limitations, including a small sample size of ۳۰ participants, which may limit generalizability, suggesting the need for a larger sample in future research, and the lack of comparison between the digital method and traditional education.

کلیدواژه ها:

Health Literacy [MeSH] ، Medication Adherence [MeSH] ، HIV Infections [MeSH] ، Patient Education as Topic [MeSH]