Process evaluation for the adaptation, testing and dissemination of a mobile health platform to support people with HIV and tuberculosis in Irkutsk, Siberia.
Process evaluation for the adaptation, testing and dissemination of a mobile health platform to support people with HIV and tuberculosis in Irkutsk, Siberia.
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为支持西伯利亚伊尔库茨克的艾滋病毒和结核病患者的移动保健平台的调整、测试和传播进行进程评价。
DOI：
10.1136/bmjopen-2021-054867
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发表时间：
2022-03-29
期刊：
影响因子：
2.9
通讯作者：
Dillingham R
中科院分区：
文献类型：
--
作者：
Hodges J;Waldman AL;Koshkina O;Suzdalnitsky A;Schwendinger J;Vitko S;Plenskey A;Plotnikova Y;Moiseeva E;Koshcheyev M;Sebekin S;Zhdanova S;Ogarkov O;Heysell S;Dillingham R
We developed and tested a mobile health-based programme to enhance integration of HIV and tuberculosis (TB) care and to promote a patient-centred approach in a region of high coinfection burden. Phases of programme development included planning, stakeholder interviews and platform re-build, testing and iteration. In Irkutsk, Siberia, HIV/TB coinfection prevalence is high relative to the rest of the Russian Federation. Pilot testing occurred for a cohort of 60 people with HIV and TB. Key steps emerged to ensure the mobile health-based programme could be operational and adequately adapted for the context, including platform language adaptation, optimisation of server management, iteration of platform features, and organisational practice integration. Pilot testing of the platform rebuild yielded favourable patient perceptions of usability and acceptability at 6 months (n=47 surveyed), with 18 of 20 items showing scores above 4 (on a scale from 1 to 5) on average. Development of this mobile health-based programme for integrated care of infections highlighted the importance of several considerations for tailoring these interventions contextually, including language adaptation and technological capacity, but also, importantly, contextualised patient preferences related to privacy and communication with peers and/or providers, existing regional capacity for care coordination of different comorbidities, and infection severity and treatment requirements. Our experience demonstrated that integration of care for TB and HIV can be well served by using multimodal mobile health-based programmes, which can enhance communication and streamline workflow between providers across multiple collaborating institutions and improve continuity between inpatient and outpatient care settings. Further study of programme impact on contextual disease-related stigma and social isolation as well as evaluation of implementation on a broader scale for HIV care is currently under way. NCT03819374.
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影响因子：
4.4
作者：
Flickinger TE;DeBolt C;Xie A;Kosmacki A;Grabowski M;Waldman AL;Reynolds G;Conaway M;Cohn WF;Ingersoll K;Dillingham R
通讯作者：
Dillingham R
DOI：
10.1097/qai.0000000000001202
发表时间：
2017-01-01
影响因子：
3.6
作者：
Hirsch-Moverman, Yael;Daftary, Amrita;Howard, Andrea A.
通讯作者：
Howard, Andrea A.
影响因子：
1.4
作者：
Ogarkov, O. B.;Ebers, A.;Heysell, S. K.
通讯作者：
Heysell, S. K.
影响因子：
4.9
作者：
Dillingham, Rebecca;Ingersoll, Karen;Cohn, Wendy F.
通讯作者：
Cohn, Wendy F.
影响因子：
3.7
作者：
Nhavoto JA;Grönlund Å;Klein GO
通讯作者：
Klein GO