Clinic-level implementation of mHealth to improve HIV viral suppression for patients with substance use disorders
临床层面实施移动医疗以改善药物滥用障碍患者的 HIV 病毒抑制
基本信息
- 批准号:10609091
- 负责人:
- 金额:$ 62.07万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-04-15 至 2027-02-28
- 项目状态:未结题
- 来源:
- 关键词:AddressAdherenceAdoptionAppointmentAwardAwarenessBehavioralCaringCellular PhoneCitiesClinicClinicalCluster randomized trialCollaborationsColoradoCommunitiesComplexCost Effectiveness AnalysisCost MeasuresCosts and Cost AnalysisCriminal JusticeDataDiagnosisDisparityDrug usageEffectiveness of InterventionsEpidemicFailureFoundationsFundingFutureGeographyGoalsHIVHIV InfectionsHIV/AIDSHealthHealth Services AccessibilityHealth systemHomeHousingHybridsIncidenceInfrastructureInternetInterventionIntervention TrialLife Cycle StagesMaintenanceMedicalMental Health ServicesMinority GroupsMissouriMobile Health ApplicationModelingMonitorPatient EducationPatient RecruitmentsPatientsPersonsPopulationProviderReach, Effectiveness, Adoption, Implementation, and MaintenanceResearchSecureServicesSiteSocial WorkSocial supportSolidSubstance Use DisorderSupport SystemSystemTestingTexasTimeTreatment outcomeUnited StatesUnited States National Institutes of HealthViralWisconsinWorkaddictionalcohol misuseantiretroviral therapyaustinbarrier to carebehavior changecare coordinationclinical careclinical practicedesigneffectiveness testingeffectiveness/implementation studyelectronic health record systemethnic disparityethnic minority populationevidence baseexperiencefood insecurityhealth equityimplementation costimplementation evaluationimplementation trialimprovedinnovationinterdisciplinary approachintervention refinementintrinsic motivationmHealthmedication compliancemembermobile computingnovel strategiespatient centered medical homepatient orientedpeerpeer coachingpeer supportperson centeredpreventprimary outcomeprogramsprovider communicationpsychological distresspublic health relevancequality assuranceracial disparityracial minority populationrandomized trialresponsesecondary outcomeservice organizationskillssocialsocial determinantssocial health determinantsstructural health determinantssubstance usetooltransmission processtreatment adherence
项目摘要
PROJECT SUMMARY / ABSTRACT
In response to PAR-20-036: Getting to Zero: Understanding HIV Viral Suppression and Transmission in the
United States, we propose a hybrid type 2 effectiveness-implementation study that will evaluate an innovative
clinic-level intervention featuring an evidence-based mobile health (mHealth) application (CHESS) and peer-
driven social support. Within the infrastructure of a large HIV/AIDS Service Organization offering an integrated,
patient-centered model of care in Colorado, Missouri, Texas and Wisconsin, we will implement an mHealth
system designed to close information gaps, build intrinsic motivation, and develop behavioral skills needed for
sustained adherence to treatment. Peer support will be provided through activities delivered by patients
recruited and trained to serve as peer mentors. The mHealth system and peer mentoring will be integrated into
the existing care model, known as the HIV Medical Home. We hypothesize that the integrated intervention will
increase the proportion of patients with viral suppression and reduce missed clinic appointments by supporting
three needs: (1) It will facilitate real-time, community-based capture of data reflecting social and behavioral
determinants known to precede lapses in HIV care (e.g., housing and food insecurity, unhealthy alcohol or
drug use, or poor medication adherence); (2) It will improve engagement in care by increasing social
connectedness among patients, and between patients and peer mentors; and (3) It will support retention in
addiction treatment and mental health care that help maintain engagement in HIV care. Project Year 1 will be
devoted to planning and refinement of the intervention in close collaboration with organizational leaders and
people living with HIV who are members of the local communities. Beginning in Project Year 2, we will conduct
a stepped wedge cluster randomized trial of the intervention in seven clinics. We will leverage data collected
through the integrated electronic health record system serving all seven clinics to test intervention
effectiveness on viral suppression and retention in care. We also will conduct an implementation cost analysis
and cost-effectiveness analysis to inform future sustainment of the intervention model. The study builds on a
solid foundation of prior research demonstrating the promise of mHealth and peer strategies for enhancing
engagement in HIV and addiction treatment and care for other complex conditions. The findings from this
study, if successful, will contribute a new and innovative set of tools with high potential impact for improving
HIV viral suppression in multiple geographic settings.
项目总结/摘要
PAR-20-036:实现零:了解艾滋病毒的抑制和传播
美国,我们提出了一个混合型2有效性实施研究,将评估一个创新的
诊所级干预,以循证移动的健康(mHealth)应用程序(CHESS)和同行为特色,
推动社会支持。在一个大型艾滋病毒/艾滋病服务组织的基础设施内,
在科罗拉多、密苏里州、得克萨斯州和威斯康星州,我们将实施移动健康
系统旨在缩小信息差距,建立内在动力,并发展所需的行为技能,
持续坚持治疗。将通过患者提供的活动提供同伴支持
招募并培训他们担任同侪导师。移动医疗系统和同伴指导将被纳入
现有的护理模式,称为艾滋病毒医疗之家。我们假设综合干预将
增加病毒抑制患者的比例,并通过支持减少错过门诊预约
三个需求:(1)它将促进实时、基于社区的数据采集,反映社会和行为
已知在艾滋病毒护理失误之前的决定因素(例如,住房和粮食不安全、不健康的酒精或
药物使用或药物依从性差);(2)通过增加社会参与度,
患者之间的联系,以及患者和同伴导师之间的联系;(3)它将支持保留
成瘾治疗和精神卫生保健,有助于保持对艾滋病毒护理的参与。项目第一年将是
致力于与组织领导人密切合作,规划和完善干预措施,
当地社区的艾滋病毒感染者。从项目第二年开始,我们将
一项在七家诊所进行的干预措施的阶梯式楔形群随机试验。我们将利用收集的数据
通过服务于所有七个诊所的综合电子健康记录系统,
有效抑制病毒和保持护理。我们还将进行实施成本分析
和成本效益分析,为今后维持干预模式提供信息。该研究建立在
先前研究的坚实基础,证明了移动健康和同伴战略的承诺,
参与艾滋病毒和成瘾治疗和护理其他复杂的条件。这一发现
研究如果成功,将有助于提供一套新的创新工具,对改善环境具有很大的潜在影响。
在多个地理环境中抑制艾滋病毒。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Andrew Quanbeck其他文献
Andrew Quanbeck的其他文献
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{{ truncateString('Andrew Quanbeck', 18)}}的其他基金
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
- 批准号:
9753819 - 财政年份:2018
- 资助金额:
$ 62.07万 - 项目类别:
Promoting the implementation of clinical guidelines for opioid prescribing in primary care using systems consultation
利用系统咨询促进初级保健中阿片类药物处方临床指南的实施
- 批准号:
10427364 - 财政年份:2018
- 资助金额:
$ 62.07万 - 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
- 批准号:
10394239 - 财政年份:2018
- 资助金额:
$ 62.07万 - 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
- 批准号:
9919469 - 财政年份:2018
- 资助金额:
$ 62.07万 - 项目类别:
Promoting the implementation of clinical guidelines for opioid prescribing in primary care using systems consultation
利用系统咨询促进初级保健中阿片类药物处方临床指南的实施
- 批准号:
10198891 - 财政年份:2018
- 资助金额:
$ 62.07万 - 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
- 批准号:
10152469 - 财政年份:2018
- 资助金额:
$ 62.07万 - 项目类别:
Conceptualizing the problem of implementation: a systems engineering perspective applied in substance abuse treatment
概念化实施问题:系统工程视角应用于药物滥用治疗
- 批准号:
9256452 - 财政年份:2015
- 资助金额:
$ 62.07万 - 项目类别:
Conceptualizing the problem of implementation: a systems engineering perspective applied in substance abuse treatment
概念化实施问题:系统工程视角应用于药物滥用治疗
- 批准号:
8869335 - 财政年份:2015
- 资助金额:
$ 62.07万 - 项目类别:
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