Implementing a Digital HIV Care Navigation Intervention (Health eNav): Protocol for a Feasibility Study
Implementing a Digital HIV Care Navigation Intervention (Health eNav): Protocol for a Feasibility Study
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DOI：
10.2196/16406
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发表时间：
2019-11-01
影响因子：
1.7
通讯作者：
Wilson, Erin C.
中科院分区：
文献类型：
--
作者：
Arayasirikul, Sean;Trujillo, Dillon;Wilson, Erin C.
背景资料：在美国，与男性发生性关系的年轻种族和少数民族男性（MSM）和跨性别女性不成比例地受到艾滋病毒和艾滋病的影响。由于艾滋病毒检测的低吸收率以及与护理的联系不佳，未被识别的感染是年轻种族和少数民族男男性行为者和跨性别妇女中艾滋病毒持续传播的驱动力。互联网和移动的技术与基于社会网络的方法相结合，为克服和解决护理障碍以及有效传播干预措施提供了巨大潜力。我们描述健康电子导航（Health eNav），一种数字艾滋病毒护理导航干预措施，将支持性护理结构扩展到诊所之外，为新诊断的、与护理无关的、脱离护理的艾滋病毒感染者提供服务，而不是病毒抑制，在他们需要支持most.Methods的时候：这项研究利用生态瞬时评估为期90天，并使用个人提供的短消息服务的文本消息，为参与者提供数字艾滋病护理导航超过6个月的时间。我们的目标是改善艾滋病毒护理的参与，联系和保留，并改善病毒抑制。数字艾滋病护理导航包括以下组成部分：（1）艾滋病护理导航，（2）健康促进，（3）动机访谈，（4）数字社会支持。结果：招募于2016年11月18日开始;招募于2018年5月31日结束。干预交付于2018年11月30日结束，随访评估于2019年10月31日结束。在本文中，我们提出了基线样本characteristics.Conclusions：我们讨论了现实世界的战略和挑战，在城市一级的公共卫生环境中提供数字艾滋病护理导航干预。
Background: Young racial and ethnic minority men who have sex with men (MSM) and trans women are disproportionately affected by HIV and AIDS in the United States. Unrecognized infection, due to a low uptake of HIV testing, and poor linkage to care are driving forces of ongoing HIV transmission among young racial and ethnic minority MSM and trans women. Internet and mobile technologies, in combination with social network-based approaches, offer great potential to overcome and address barriers to care and effectively disseminate interventions.Objective: We describe Health eNavigation (Health eNav), a digital HIV care navigation intervention that extends supportive care structures beyond clinic walls to serve youth and young adults living with HIV who are newly diagnosed, not linked to care, out of care, and not virally suppressed, at times when they need support the most.Methods: This study leverages ecological momentary assessments for a period of 90 days and uses person-delivered short message service text messages to provide participants with digital HIV care navigation over a 6-month period. We aim to improve engagement, linkage, and retention in HIV care and improve viral suppression. Digital HIV care navigation includes the following components: (1) HIV care navigation, (2) health promotion, (3) motivational interviewing, and (4) digital social support.Results: Recruitment began on November 18, 2016; enrollment closed on May 31, 2018. Intervention delivery ended on November 30, 2018, and follow-up evaluations concluded on October 31, 2019. In this paper, we present baseline sample characteristics.Conclusions: We discuss real-world strategies and challenges in delivering the digital HIV care navigation intervention in a city-level, public health setting.