Health Information for Infected Veterans

在过去的二十年里，艾滋病毒已经从一种急性、致命的疾病转变为一种慢性 服用最佳抗病毒药物的患者具有接近正常预期寿命的健康状况 治疗方案。尽管这是一个有希望的消息，但艾滋病毒感染者仍然面临着许多 挑战和需要积极主动地自我管理其艾滋病毒和共病情况 为了过上健康的生活。个人健康记录(PHR)是这些人可用的关键工具 个人，并旨在支持自我管理做法。在退伍军人事务部，PHR是我的 HealtheVet(MHV)，拥有大约200万注册用户，感染了艾滋病毒 退伍军人是最早的领养群体之一。然而，在感染艾滋病毒的退伍军人中采用 (以及其他患有慢性病的人)仍远未普及。该项目将采用多个 HIV感染者My HealtheVet(MHV)使用情况的阶段混合设计 退伍军人和他们的提供者。量化方法将使我们能够将MHV工具的使用与 健康结果，而定性方法将帮助我们理解为什么 某些退伍军人正在采用(或不采用)MHV。我们还将包括提供商，因为他们 在促进或阻止退伍军人使用MHV方面发挥关键作用。我们的最终目标是 整合定量和定性结果，为制定干预措施提供信息 在患者和提供者中以可能促进健康的方式增加对MHV的有效利用； 这一干预措施将在后续拨款中进行试点测试。这个项目的发现是成立的 不仅改善感染艾滋病毒的退伍军人的健康，而且改善与艾滋病毒携带者生活在一起的其他人的健康 慢性病。

Over the last two decades, HIV has transformed from an acute, deadly disease to a chronic health condition with near normal life expectancy for patients who follow optimal antiviral treatment regimens. Although this is promising news, HIV-infected individuals still face many challenges and need to be proactive in self-management of their HIV and comorbid conditions in order to live a healthy life. Personal health records (PHRs) are a key tool available to these individuals and designed to support self-management practices. In the VA, the PHR is My HealtheVet (MHV), which has approximately 2 million registered users, with HIV-infected Veterans being one of the early adopting groups. However, adoption in HIV-infected Veterans (and others with chronic disease) is still far from universal. This project will employ a multi- phase mixed methods design for in-depth analysis of My HealtheVet (MHV) use by HIV-infected Veterans and their providers. The quantitative methods will allow us to link MHV tool use to health outcomes, whereas the qualitative methods will help us achieve an understanding of why certain Veterans are adopting (or not adopting) MHV. We will also include providers, as they play a critical role in facilitating or discouraging use of MHV among Veterans. Our final aim will integrate quantitative and qualitative findings to inform the development of an intervention to increase effective use of MHV among patients and providers in ways likely to promote health; this intervention will be pilot tested in a follow-up grant. The findings of this project hold significant promise to not only improve the health of HIV-infected Veterans but others living with chronic diseases.