Text messages for older African Americans with HIV

描述(由申请人提供)：环境与健康集团(EHG)，Inc.与我们的合作伙伴合作：新英格兰艾滋病毒50岁以上协会、马萨诸塞州艾滋病毒/艾滋病消费者咨询委员会(SWCAB)、南卡罗来纳大学计算机科学与工程系和芬威健康中心提议开发一种创新的、低成本的、量身定做的手机短信干预。目前，有50多万非裔美国人感染了艾滋病毒/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对50岁以上的非裔美国人和艾滋病毒阳性者缺乏循证干预的问题。该计划将把药物提醒(ART和其他慢性病药物)与针对50岁及以上感染艾滋病毒的非裔美国人的激励信息结合起来。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大障碍：1)神经认知能力(记忆和执行功能)，2)情感(态度和观点)。以及许多年长的非裔美国人感受到的对医疗保健专业人员的不信任的文化障碍。该项目基于EHG自己在艾滋病毒/艾滋病领域的工作和2011年进行的需求评估，评估结果显示：1)短信和激励短信在支持抗逆转录病毒治疗合规方面是可取的，2)短信比基于计算机的干预更适合作为抗逆转录病毒治疗的支持手段。在第二阶段，我们将进行手机干预的随机对照试验。这项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：项目描述目前，超过100万美国人感染了艾滋病毒/艾滋病，而非洲裔美国人占这些感染人数的一半以上。与艾滋病毒/艾滋病作斗争的一个关键问题是，对那些与该疾病作斗争的人缺乏低成本、有证据的干预措施。在这项第一阶段的研究中，我们将开发和测试一种新的方法，以促进50岁以上的艾滋病毒阳性非裔美国人遵守抗逆转录病毒治疗和共生慢性疾病治疗。

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.