Text messages for older African Americans with HIV

为感染艾滋病毒的老年非洲裔美国人发送的短信

• 批准号: 8329993
• 负责人: Patricia Flynn Weitzman
• 金额: $ 18.62万
• 依托单位: ENVIRONMENT AND HEALTH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-18 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8329993
• 关键词: AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; Adherence; Adult; Affect; Affective; African American; Age-Years; Attitude; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Chronic; Chronic Disease; Collaborations; Computers; Contracts; Data; Effectiveness; Elderly; Engineering; Environment; Evidence based intervention; Face; HIV; HIV Infections; HIV Seropositivity; HIV diagnosis; Health; Health Professional; Human immunodeficiency virus test; Individual; Intervention; Latino; Life; Massachusetts; Medical; Memory; Methods; Minority; Needs Assessment; Neurocognitive; New England; Outcome; Patients; Pharmaceutical Preparations; Pharmacy facility; Phase; Randomized Controlled Trials; Regimen; Research Personnel; Sample Size; Self Efficacy; South Carolina; Surveys; Technology; Testing; Text; United States; Universities; Viral; Woman; Work; abstracting; antiretroviral therapy; base; compliance behavior; computer science; cost; cost effective; disorder prevention; evidence base; executive function; health disparity; improved; innovation; medication compliance; men; novel; pill; pilot trial; programs; successful intervention; therapy adherence; treatment adherence

DESCRIPTION (provided by applicant): Abstract Environment and Health Group (EHG), Inc. in collaboration with our partners: New England Association of HIV over 50, the Massachusetts Statewide Consumer Advisory Board (SWCAB) on HIV/AIDS, the Department of Computer Science and Engineering at the University of South Carolina, and Fenway Health Center proposes to develop an innovative, low-cost, tailored, cell phone text message intervention. Currently over 500,000 African Americans are living with HIV/AIDS. In addition, according to the Centers for Disease Control and Prevention, by 2015, people over 50 years of age will account for half of all HIV/AIDS cases in the United States. EHG's proposed intervention will seek to address the lack of evidenced-based interventions for those African Americans, who are over 50, and HIV positive. The program will combine pill reminders (ART and other chronic illness medications) with motivational messages for African Americans, 50 years and older, with HIV. This intervention will address two major barriers to ART adherence among HIV positive older adults: 1) neurocognitive abilities (memory and executive function), 2) affect (attitude and outlook). As well as the cultural barrier of distrust of health care professionals felt by many oldr African Americans. The project is based on EHG's own work in the field of HIV/AIDS and on a need assessment conducted in 2011 that revealed that: 1) text messages and motivational messages were desirable in supporting ART compliance, and 2) text messaging was preferred over computer-based interventions as a means of ART support. In Phase 2, we will conduct a randomized control trial of the cell phone intervention. This second phase of the study will include local pharmacies as partners. PUBLIC HEALTH RELEVANCE: Project Narrative Currently, over 1 million Americans are infected with HIV/AIDS, and African Americans account for more than half of these infections. A key problem in the fight against HIV/AIDS is the lack of low-cost, evidenced-based interventions for those struggling with the disease. In this Phase I study, we will develop, and test, a novel method to promote adherence to ART and co-occurring chronic illness treatments among HIV positive, African Americans, who are over 50.

描述（由申请人提供）：Abstract Environment and Health Group（EHG），Inc.与我们的合作伙伴：新英格兰50岁以上艾滋病毒协会、马萨诸塞州全州艾滋病毒/艾滋病消费者咨询委员会（SWCAB）、南卡罗来纳州大学计算机科学与工程系以及芬威健康中心合作，提出开发一种创新的、低成本的、量身定制的手机短信干预措施。目前有50多万非裔美国人感染艾滋病毒/艾滋病。此外，根据疾病控制和预防中心的数据，到2015年，50岁以上的人将占美国所有艾滋病毒/艾滋病病例的一半。EHG提出的干预措施将寻求解决50岁以上艾滋病毒阳性的非洲裔美国人缺乏循证干预措施的问题。该计划将联合收割机药丸提醒（抗逆转录病毒疗法和其他慢性病药物）与激励信息相结合，为50岁及以上的非洲裔美国人，艾滋病毒。这项干预措施将解决艾滋病毒阳性老年人坚持抗逆转录病毒治疗的两个主要障碍：1）神经认知能力（记忆和执行功能），2）情感（态度和前景）。以及许多老年非裔美国人对医疗保健专业人员不信任的文化障碍。该项目基于EHG自身在艾滋病毒/艾滋病领域的工作以及2011年进行的需求评估，该评估显示：1）短信和激励信息在支持ART依从性方面是可取的，2）短信优于基于计算机的干预措施作为ART支持的手段。在第二阶段，我们将进行一项手机干预的随机对照试验。该研究的第二阶段将包括当地药店作为合作伙伴。 公共卫生相关性：目前，超过100万美国人感染了艾滋病毒/艾滋病，非洲裔美国人占这些感染者的一半以上。防治艾滋病毒/艾滋病斗争中的一个关键问题是，对那些与这种疾病作斗争的人缺乏低成本、基于证据的干预措施。在这项I期研究中，我们将开发和测试一种新的方法，以促进50岁以上的HIV阳性非洲裔美国人坚持ART和并发慢性疾病治疗。