OPT-In For Life: A Mobile Technology-Based Intervention to Improve HIV Care Continuum for Young Adults Living With HIV
OPT-In For Life: A Mobile Technology-Based Intervention to Improve HIV Care Continuum for Young Adults Living With HIV
复制标题
DOI：
10.1177/1524839920936247
复制
发表时间：
2020-08-06
影响因子：
1.9
通讯作者：
Whitener, Cynthia
中科院分区：
文献类型：
--
作者：
Zurlo, John;Du, Ping;Whitener, Cynthia
青年艾滋病毒感染者（YALH）在护理和艾滋病毒抑制方面的保留率较低。让YALH参与护理存在多种障碍。我们开发并实施了一项多方面的、基于移动的应用程序的干预措施“OPT-In for Life”，以YALH为目标，鼓励患者继续接受护理，并最终抑制病毒。该应用程序集成了多个用户友好的功能，让YALH管理他们的艾滋病毒护理，包括双向安全消息功能，艾滋病毒相关的实验室结果，以及预约或药物提醒。我们招募了92名年龄在18至34岁之间的YALH，他们是新诊断出的HIV感染者，有脱离护理的历史，或者有可检测到的HIV病毒载量。研究参与者使用该应用程序来管理他们的艾滋病毒护理，并与他们的艾滋病毒护理团队进行沟通和互动。在干预期间，我们的研究参与者的留存率从基线时的41.3%增加到6个月随访时的78.6%，在12个月随访时保持不变（79.8%），在18个月随访时略微下降到73.4%，但仍显著高于基线留存率（p< .0001）。病毒抑制率（HIV RNA
Young adults living with HIV (YALH) have lower rates of retention in care and HIV viral suppression. Multiple barriers exist to engage YALH in care. We developed and implemented a multifaceted, mobile application-based intervention, "OPT-In for Life," by targeting YALH to encourage retention in care and eventually viral suppression. The app integrated multiple user-friendly features for YALH to manage their HIV care, including a two-way secure messaging function, HIV-related laboratory results, and appointment or medication reminders. We recruited 92 YALH who were 18 to 34 years old and were newly diagnosed with HIV, had a history of falling out of care, or had a detectable HIV viral load into this intervention. Study participants used the app to manage their HIV care and to communicate and interact with their HIV care team. During the intervention period, the retention rate among our study participants increased from 41.3% at baseline to 78.6% at 6-month follow-up, maintained at 12-month follow-up (79.8%), and slightly decreased to 73.4% at 18-month follow-up but it was still significantly higher than the baseline retention rate (p< .0001). The viral suppression rate (HIV RNA