May I Help You? An Avatar Health Concierge for HIV-infected African American MSM

我可以帮你吗？

• 批准号: 9063378
• 负责人: Mark S Dworkin
• 金额: $ 21.25万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-28 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9063378
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Adherence; Adoption; Affect; African American; Anti-Retroviral Agents; Appointment; Behavior; Behavioral; Biological Preservation; Blood; Car Phone; Caring; Cellular Phone; Clinic; Communication; Comprehension; Computers; Continuity of Patient Care; Cues; Development; Devices; Diagnosis; Disease; Dose; Ensure; Face; Feedback; Focus Groups; Future; Gestures; HIV; HIV Infections; HIV Seropositivity; Hand; Health; Health Promotion; Health Services; Healthcare; Highly Active Antiretroviral Therapy; Hotlines; Human; Image; Incidence; Intervention; Knowledge; Laboratories; Learning; Mental disorders; Modality; Modeling; Morbidity - disease rate; Motivation; Oral; Outcome; Participant; Patient Self-Report; Patients; Persons; Persuasive Communication; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Prevention Research; Price; Provider; Public Health; Randomized Controlled Trials; Reminder Systems; Research; Resistance; Self Efficacy; Speech; Staging; Substance abuse problem; Surveys; Target Populations; Telephone; Testing; Text; Viral; Viral Load result; Virus; Visit; Work; antiretroviral therapy; base; behavioral health; experience; falls; health literacy; improved; innovation; interest; medication compliance; men; men who have sex with men; mortality; pill; preference; public health relevance; skills; theories; therapy adherence; transmission process

 DESCRIPTION (provided by applicant): This application responds to the President's HIV Care Continuum Initiative to improve the proportion of HIV- infected persons engaged in care by developing a theory-based Avatar mobile phone intervention that engages young HIV-positive African American men who have sex with men (AAMSM) in three of the five stages of care: (1) retention, (2) HAART adherence, and (3) viral suppression. The intervention will maximize the likelihood of compliance with healthy behavior leading to both patient benefits (decreased morbidity, mortality and resistant viru s) and population benefits (decreased HIV transmission). MSM account for more than three-fourths of new HIV infections among men and nearly half of these are AAMSM. In addition, they are less likely to take highly active antiretroviral therapy and have viral suppression. We will systematically develop and then evaluate the feasibility, acceptability, utilization, and preliminary impact of a theory-based innovative Avatar mobile phone application to engage young HIV-infected AAMSM in multiple stages of the HIV Care Continuum. The intervention draws on the Information Motivation Behavioral Skills Model that focuses on feedback between information and motivation that affect one's behavioral skills, behaviors, and desired health outcomes. The Avatar will encourage interaction with information and functions that promote engagement with the HIV Care Continuum, provide fundamental HIV information, provide motivating statements, facilitate interaction with healthcare, visualize laboratory results, and encourage, explain, and even illustrate relevant behavioral skills. We will (1) Develop an Avatar-based mobile phone application; (2) Perform participatory formative research with 4 sequential focus groups of 6 HIV-infected AAMSM (N=24) to revise the Avatar-based app in order to ensure maximum acceptability among the target population; (3) Evaluate the app to determine acceptability, feasibility, utilization and preliminary effects including bloo draw and HIV clinic return visit compliance, pill count and self reported adherence, and viral load suppression in 50 HIV-infected AAMSM (5 beta testers and 45 pilot subjects) and (4); Revise the app based on survey and oral input from pilot study participants. If successful, the Avatar will be subsequently tested in a large scale randomized controlled trial with AAMSM.

 描述（由申请人提供）：该应用程序响应总统的艾滋病毒护理连续倡议，通过开发基于理论的化身移动的电话干预来提高参与护理的艾滋病毒感染者的比例，该干预在五个护理阶段中的三个阶段中参与年轻的艾滋病毒阳性非洲裔男性同性恋者（AAMSM）：（1）保留，（2）HAART依从性，和（3）病毒抑制。干预措施将最大限度地提高遵守健康行为的可能性，从而使患者受益（降低发病率、死亡率和耐药维鲁）和人群受益（减少艾滋病毒传播）。男男性行为者占男性艾滋病毒新感染者的四分之三以上，其中近一半是AAMSM。此外，他们不太可能接受高效抗逆转录病毒治疗， 抑制病毒。我们将系统地开发，然后评估的可行性，可接受性，利用率和初步影响的理论为基础的创新化身移动的手机应用程序，从事年轻的艾滋病毒感染的AAMSM在多个阶段的艾滋病毒护理连续。该干预借鉴了信息动机行为技能模型，该模型侧重于影响一个人的行为技能，行为和期望的健康结果的信息和动机之间的反馈。头像将鼓励与信息和功能的互动，促进与艾滋病毒护理连续体的互动，提供基本的艾滋病毒信息，提供激励声明，促进与医疗保健的互动，可视化实验室结果，并鼓励，解释，甚至说明相关的行为技能。我们将（1）开发一个基于Avatar的移动的手机应用程序;（2）与4个连续焦点小组（6名HIV感染的AAMSM，N=24）进行参与性形成性研究，以修改基于Avatar的应用程序，以确保目标人群的最大可接受性;（3）评估应用程序，以确定可接受性，可行性，利用率和初步效果，包括血液抽取和艾滋病毒诊所回访依从性，药丸计数和自我报告的依从性，在50例HIV感染的AAMSM（5例β测试者和45例试点受试者）中进行病毒载量抑制和（4）;根据试点研究参与者的调查和口头输入修订应用程序。如果成功，Avatar随后将在AAMSM的大规模随机对照试验中进行测试。