May I Help You? An Avatar Health Concierge for HIV-infected African American MSM

我可以帮你吗？

基本信息

批准号：
9063378
负责人：
Mark S Dworkin
金额：
$ 21.25万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-28 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9063378
关键词：
AIDS prevention AIDS/HIV problem Accounting Address Adherence Adoption Affect African American Anti-Retroviral Agents Appointment Behavior Behavioral Biological Preservation Blood Car Phone Caring Cellular Phone Clinic Communication Comprehension Computers Continuity of Patient Care Cues Development Devices Diagnosis Disease Dose Ensure Face Feedback Focus Groups Future Gestures HIV HIV Infections HIV Seropositivity Hand Health Health Promotion Health Services Healthcare Highly Active Antiretroviral Therapy Hotlines Human Image Incidence Intervention Knowledge Laboratories Learning Mental disorders Modality Modeling Morbidity - disease rate Motivation Oral Outcome Participant Patient Self-Report Patients Persons Persuasive Communication Pharmaceutical Preparations Phase Pilot Projects Population Prevention Research Price Provider Public Health Randomized Controlled Trials Reminder Systems Research Resistance Self Efficacy Speech Staging Substance abuse problem Surveys Target Populations Telephone Testing Text Viral Viral Load result Virus Visit Work antiretroviral therapy base behavioral health experience falls health literacy improved innovation interest medication compliance men men who have sex with men mortality pill preference public health relevance skills theories therapy adherence transmission process

项目摘要

DESCRIPTION (provided by applicant): This application responds to the President's HIV Care Continuum Initiative to improve the proportion of HIV- infected persons engaged in care by developing a theory-based Avatar mobile phone intervention that engages young HIV-positive African American men who have sex with men (AAMSM) in three of the five stages of care: (1) retention, (2) HAART adherence, and (3) viral suppression. The intervention will maximize the likelihood of compliance with healthy behavior leading to both patient benefits (decreased morbidity, mortality and resistant viru s) and population benefits (decreased HIV transmission). MSM account for more than three-fourths of new HIV infections among men and nearly half of these are AAMSM. In addition, they are less likely to take highly active antiretroviral therapy and have viral suppression. We will systematically develop and then evaluate the feasibility, acceptability, utilization, and preliminary impact of a theory-based innovative Avatar mobile phone application to engage young HIV-infected AAMSM in multiple stages of the HIV Care Continuum. The intervention draws on the Information Motivation Behavioral Skills Model that focuses on feedback between information and motivation that affect one's behavioral skills, behaviors, and desired health outcomes. The Avatar will encourage interaction with information and functions that promote engagement with the HIV Care Continuum, provide fundamental HIV information, provide motivating statements, facilitate interaction with healthcare, visualize laboratory results, and encourage, explain, and even illustrate relevant behavioral skills. We will (1) Develop an Avatar-based mobile phone application; (2) Perform participatory formative research with 4 sequential focus groups of 6 HIV-infected AAMSM (N=24) to revise the Avatar-based app in order to ensure maximum acceptability among the target population; (3) Evaluate the app to determine acceptability, feasibility, utilization and preliminary effects including bloo draw and HIV clinic return visit compliance, pill count and self reported adherence, and viral load suppression in 50 HIV-infected AAMSM (5 beta testers and 45 pilot subjects) and (4); Revise the app based on survey and oral input from pilot study participants. If successful, the Avatar will be subsequently tested in a large scale randomized controlled trial with AAMSM.

描述（由应用程序提供）：此申请响应总统的HIV Care Contumum Contimative旨在通过开发一种基于理论的AVATAR手机干预措施来提高从事护理的HIV感染者的比例，该措施与年轻的HIV HIV阳性非裔美国人与男性发生性关系（AAMSM）的年轻男性（AAMSM（AAMSM））中的五个阶段：干预措施将最大程度地遵守健康行为的可能性，从而导致患者益处（降低发病率，死亡率和抗药性病毒）和人口益处（减少HIV传播）。 MSM占男性中新的HIV感染的四分之三以上，其中几乎一半是AAMSM。此外，他们不太可能接受高度活性的抗逆转录病毒疗法和有病毒抑制。我们将系统地开发，然后评估基于理论的创新的头像手机应用程序的可行性，可接受性，利用率和初步影响，以使年轻的HIV感染的HIV感染的AAMS在HIV Care Continum的多个阶段中吸收了AAMSM。该干预措施借鉴了信息动机行为技能模型，该模型的重点是影响一个人行为技能，行为和所需健康成果的信息和动机之间的反馈。头像将鼓励与信息和功能互动，以促进与艾滋病毒护理连续体的参与，提供基本的艾滋病毒信息，提供动机声明，促进与医疗保健的互动，可视化实验室结果，并鼓励，解释，解释甚至说明相关的行为技能。我们将（1）开发基于头像的手机应用程序；（2）通过4个由6个HIV感染的AAMSM（n = 24）的4个顺序焦点组进行参与形成研究，以修改基于阿凡达的应用程序，以确保目标人群之间的最大可接受性；（3）评估该应用程序以确定可接受性，可行性，利用率和初步影响，包括抽血和HIV诊所回报率访问依从性，药丸计数和自我报告的依从性，以及50位HIV感染的AAMSM（5个Beta测试者和45名试验性受试者）中的病毒载荷抑制作用和（4）；根据试点研究参与者的调查和口头输入来修改应用程序。如果成功，则随后将在大规模随机对照试验中对AAMSM进行测试。