PositiveLinks: A Mobile Health Intervention for Retention in HIV Care and Clinical Outcomes with 12-Month Follow-Up
PositiveLinks: A Mobile Health Intervention for Retention in HIV Care and Clinical Outcomes with 12-Month Follow-Up
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DOI：
10.1089/apc.2017.0303
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发表时间：
2018-06-01
影响因子：
4.9
通讯作者：
Cohn, Wendy F.
中科院分区：
文献类型：
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作者：
Dillingham, Rebecca;Ingersoll, Karen;Cohn, Wendy F.
移动的卫生干预措施可以帮助艾滋病毒感染者（PLWH）改善护理参与。我们设计并试行了PositiveLinks，这是一种针对PLWH的诊所附属移动的干预措施，并评估了对护理保留和病毒抑制的纵向影响。该计划是基于一个学术瑞安白色诊所服务于非城市人口在弗吉尼亚州中部。PL干预包括一个智能手机应用程序，该应用程序将参与者与诊所工作人员联系起来，并提供教育资源，每日查询压力，情绪和药物依从性，每周测验，预约提醒和虚拟支持小组。使用McNemar检验HRSA-1、访视稳定性和病毒抑制以及非参数Wilcoxon符号秩检验CD 4计数和病毒载量分析结局。在77名参与者中，63%为男性，49%为非西班牙裔黑人，72%低于联邦贫困线。参与者的保持护理基准（HRSA-1）从基线时的51%增加到6个月时的88%（p
Mobile health interventions may help People Living with HIV (PLWH) improve engagement in care. We designed and piloted PositiveLinks, a clinic-affiliated mobile intervention for PLWH, and assessed longitudinal impact on retention in care and viral suppression. The program was based at an academic Ryan White Clinic serving a nonurban population in Central Virginia. The PL intervention included a smartphone app that connected participants to clinic staff and provided educational resources, daily queries of stress, mood and medication adherence, weekly quizzes, appointment reminders, and a virtual support group. Outcomes were analyzed using McNemar's tests for HRSA-1, visit constancy, and viral suppression and nonparametric Wilcoxon signed-rank tests for CD4 counts and viral loads. Of 77 participants, 63% were male, 49% black non-Hispanic, and 72% below the federal poverty level. Participants' achievement of a retention in care benchmark (HRSA-1) increased from 51% at baseline to 88% at 6 months (p