Development of a Geographical Momentary Assessment Informed Trauma Intervention to Improve ART Adherence and Viral Suppression in Violence-Affected Persons Living with HIV

翻译后摘要：受暴力影响的艾滋病毒感染者（PLWH）不太可能成功 坚持药物治疗方案，参与护理，并实现持续的病毒抑制。 有必要采取技术干预措施，以满足受暴力影响的艾滋病毒/艾滋病感染者的需求 （VAPLWH）.目前，还没有专门针对VAPLWH患者的日常生活的移动的干预措施。 经验该项目使用地理生态瞬时评估（GEMA）， 确定影响护理参与的日常活动空间和心理社会因素 VAPLWH。暴力发生的频率和时间的影响将在 这些关系。将开展形成性工作，以了解VAPLWH的需求， 移动的干预的偏好。我们的目标是开发一个创伤信息移动的 通过调整循证干预措施，面对创伤生活（LIFT） 并增加新的GEMA确定的干预目标。可行性和可接受性 将使用混合方法对干预措施进行测试，并将对干预措施进行试点测试。 进行，以检查依从性和护理参与的初步疗效。局限性 先前的研究是通过使用GEMA来确定上下文和情境因素， 艾滋病毒/艾滋病感染者的护理，探索与暴力和社会人口统计学相关的潜在修正因素， 并将其纳入移动的干预措施，以改善心理健康和解决障碍 照顾VAPLWH。

Abstract: Violence-affected persons living with HIV (PLWH) are less likely to successfully adhere to medication regimens, engage in care, and achieve sustained viral suppression. Technology-delivered interventions are necessary to meet the needs of violence affected PLWH (VAPLWH). Currently, there are no mobile interventions for VAPLWH tailored to their daily experiences. This project uses Geographical Ecological Momentary Assessment (GEMA) to identify the daily activity spaces and psychosocial factors that influence engagement in care for VAPLWH. The impact of frequency and timing of violence experienced will be examined in these relationships. Formative work will be conducted to understand VAPLWH needs and preferences for a mobile intervention. The goal is to develop a trauma-informed mobile intervention by adapting an evidence-based intervention, Living in the Face of Trauma (LIFT) and adding novel GEMA identified targets for intervention. Feasibility and acceptability of the intervention will be tested using mixed methods, and a pilot test of the intervention will be conducted to examine preliminary efficacy on adherence and care engagement. Limitations in prior research are examined by using GEMA to identify contextual and situational factors on care in PLWH, explore potential modifying factors related to violence and socio-demographics, and incorporate these into a mobile intervention to improve mental health and address barriers to care for VAPLWH.