Text messages for older African Americans with HIV

为感染艾滋病毒的老年非洲裔美国人发送的短信

基本信息

批准号：
8329993
负责人：
Patricia Flynn Weitzman
金额：
$ 18.62万
依托单位：
ENVIRONMENT AND HEALTH GROUP, INC.
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-04-18 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8329993
关键词：
AIDS/HIV problem Accounting Acquired Immunodeficiency Syndrome Address Adherence Adult Affect Affective African American Age-Years Attitude Cellular Phone Centers for Disease Control and Prevention (U.S.)Chronic Chronic Disease Collaborations Computers Contracts Data Effectiveness Elderly Engineering Environment Evidence based intervention Face HIV HIV Infections HIV Seropositivity HIV diagnosis Health Health Professional Human immunodeficiency virus test Individual Intervention Latino Life Massachusetts Medical Memory Methods Minority Needs Assessment Neurocognitive New England Outcome Patients Pharmaceutical Preparations Pharmacy facility Phase Randomized Controlled Trials Regimen Research Personnel Sample Size Self Efficacy South Carolina Surveys Technology Testing Text United States Universities Viral Woman Work abstracting antiretroviral therapy base compliance behavior computer science cost cost effective disorder prevention evidence base executive function health disparity improved innovation medication compliance men novel pill pilot trial programs successful intervention therapy adherence treatment adherence

项目摘要

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.

描述（由申请人提供）：摘要环境与健康集团 (EHG), Inc. 与我们的合作伙伴合作：新英格兰 50 岁以上艾滋病毒协会、马萨诸塞州艾滋病毒/艾滋病消费者咨询委员会 (SWCAB)、计算机部门南卡罗来纳大学科学与工程学院和芬威健康中心提议开发一种创新、低成本、量身定制的手机短信干预措施。目前，超过 50 万非裔美国人感染艾滋病毒/艾滋病。此外，根据美国疾病控制与预防中心的数据，到2015年，50岁以上的人群将占美国所有艾滋病毒/艾滋病病例的一半。 EHG 提议的干预措施将寻求解决针对 50 岁以上艾滋病毒呈阳性的非裔美国人缺乏循证干预措施的问题。该计划将把药物提醒（ART 和其他慢性疾病药物）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疗法的两个主要障碍：1）神经认知能力（记忆和执行功能），2）情感（态度和观点）。以及许多老年非裔美国人感受到的对医疗保健专业人员不信任的文化障碍。该项目基于 EHG 在艾滋病毒/艾滋病领域的工作以及 2011 年进行的需求评估，结果显示：1) 短信和激励信息对于支持 ART 合规性是可取的，2) 短信优于计算机基于干预措施作为 ART 支持的一种手段。在第二阶段，我们将进行手机干预的随机对照试验。该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：项目叙述目前，超过 100 万美国人感染艾滋病毒/艾滋病，其中非裔美国人占这些感染者的一半以上。抗击艾滋病毒/艾滋病的一个关键问题是缺乏针对与该疾病作斗争的低成本、循证干预措施。在这项第一阶段研究中，我们将开发并测试一种新方法，以促进 50 岁以上的 HIV 阳性非裔美国人坚持 ART 和并发慢性病治疗。