Use of mHealth Technology for Supporting Symptom Management in Underserved Persons Living with HIV

使用移动医疗技术支持服务不足的艾滋病毒感染者的症状管理

• 批准号: 8902295
• 负责人: Rebecca Schnall
• 金额: $ 15万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-03 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8902295
• 关键词: Use; mHealth; Technology; Supporting; Symptom

 DESCRIPTION (provided by applicant): HIV has changed from an acute illness to a chronic disease. The success of HIV medications and treatments has significantly altered the course of the disease. While AIDS-related illnesses are no longer the primary threat, a new set of HIV-associated complications have emerged, resulting in a chronic disease that for many will span several decades of life. The ability to self-manage adverse symptoms of HIV illness has been shown to improve patient-centered outcomes. In response to this need a team at UCSF developed a paper-based symptom management manual with self-management strategies for 21 common HIV/AIDS adverse symptoms (PCOR evidence). The efficacy of the manual was demonstrated in a 775-person RCT over three months at 12 sites. However, subsequent use of these strategies has been very limited; mHealth offers an ideal platform for the implementation and dissemination of evidence-based strategies for HIV symptom management. Due to the high incidence of HIV among racial and ethnic minority populations, it is appropriate to develop mHealth tools tailored to the needs of these populations. mHealth technology has the potential to address many of the health care needs of persons living with HIV/AIDS (PLWH) including symptom management. In response to these current issues, our application seeks to inform the development and testing of a mHealth application that will incorporate findings from PCOR studies to improve the outcomes of PLWH. To improve outcomes for those most in need, our study activities are focused on communities with the greatest burden of HIV in the US, including racial and ethnic minorities and those of low socioeconomic status. The aims of this project are to: 1) Apply participatory design methods to incorporate PCOR evidence for HIV symptom management into a mobile health application (mVIP) for use in patient self-management; 2) Using a randomized design, examine the effect of mVIP as compared to an attention control group on primary outcomes of symptom frequency and intensity; 3) Guided by the PRECEDE-PROCEED model of health program planning and evaluation, examine PLWH's perceptions of the predisposing, enabling, and reinforcing factors for mVIP use. The tool developed using this research has the potential to extend the impact and reach of health care for PLWH. Findings from this study have the potential to make scientific evidence more accessible to patients through the use of mHealth technology. Ultimately the incorporation of HIV symptom management strategies into patients' lives through the use of mHealth technologies has the potential to advance the effective dissemination and implementation of PCOR findings.

 描述（由适用提供）：艾滋病毒已从急性疾病变为慢性疾病。艾滋病毒药物和治疗的成功已大大改变了疾病的进程。尽管与艾滋病相关的疾病不再是主要威胁，但已经出现了一系列与HIV相关的并发症，导致一种慢性疾病，该疾病将跨越数十年的生命。自我管理的艾滋病毒疾病症状的能力已显示可改善以患者为中心的结果。为了应对这一需要，UCSF的团队开发了一种基于纸张的症状管理手册，并具有21种常见的艾滋病毒/艾滋病广告症状的自我管理策略（PCOR证据）。手册的效率已在775人的RCT中在三个月内在12个地点进行了证明。但是，随后使用这些策略非常有限。 MHealth为实施和传播基于证据的艾滋病毒症状管理策略提供了理想的平台。由于种族和少数族裔人口中的艾滋病毒发生率很高，因此可以开发满足这些人群需求的MHealth工具。 MHealth技术有可能满足艾滋病毒/艾滋病（PLWH）（包括症状管理）的人们的许多医疗保健需求。为了应对这些当前问题，我们的应用程序旨在为MHealth应用程序的开发和测试提供信息，该应用程序将纳入PCOR研究的发现，以改善PLWH的结果。为了改善最有需要的人的结果，我们的研究活动集中在美国最伟大的艾滋病毒（包括赛车和少数民族）和社会经济地位低下的社区上。该项目的目的是：1）应用参与设计方法将艾滋病毒症状管理的PCOR证据纳入移动健康应用程序（MVIP），以用于患者自我管理； 2）使用随机设计，与注意力控制组对症状频率和强度的主要结果相比，检查MVIP的影响； 3）在健康计划计划和评估模型的指导下，检查了PLWH对MVIP使用的诱人，启用和加强因素的看法。使用这项研究开发的工具有可能扩展对PLWH的医疗保健的影响和覆盖。这项研究的发现有可能通过使用MHealth技术使患者更容易获得科学证据。最终，通过使用MHealth Technologies将HIV症状管理策略纳入患者的生活中，有可能提高PCOR发现的有效传播和实施。