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

我可以帮你吗？

• 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
• 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

 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（由申请人提供）：本申请响应总统的 HIV 护理连续性倡议，通过开发一种基于理论的 Avatar 移动电话干预措施来提高参与护理的 HIV 感染者的比例，该干预措施吸引了年轻的 HIV 阳性非洲裔美国男性，这些男性患有艾滋病毒。与男性发生性行为（AAMSM）的五个护理阶段中的三个：（1）保留，（2）HAART依从性，以及（3）病毒抑制该干预措施将最大限度地提高患者遵守健康行为的可能性，从而使患者受益。 （发病率、死亡率和病毒抵抗力下降）和人口福利（艾滋病毒传播减少）占男性新增艾滋病毒感染人数的四分之三以上，其中近一半是 AAMSM。积极的抗逆转录病毒治疗和 我们将系统地开发并评估基于理论的创新阿凡达手机应用程序的可行性、可接受性、利用率和初步影响，以吸引年轻的艾滋病毒感染者 AAMSM 参与艾滋病毒护理连续体的多个阶段。关于信息动机行为技能模型，该模型侧重于影响一个人的行为技能、行为和期望的健康结果的信息和动机之间的反馈，阿凡达将鼓励与促进艾滋病毒护理连续体参与的信息和功能进行交互，提供基础。 HIV 信息，提供激励性陈述，促进与医疗保健的互动，可视化实验室结果，并鼓励、解释甚至说明相关的行为技能。我们将 (1) 开发基于 Avatar 的移动电话应用程序；(2) 进行参与性形成性研究。由 6 名 HIV 感染者 AAMSM (N=24) 组成的 4 个连续焦点小组修改基于 Avatar 的应用程序，以确保目标人群的最大可接受性； (3) 评估应用程序以确定可接受性、可行性和利用率初步效果，包括 50 名 HIV 感染者 AAMSM（5 名 beta 测试人员和 45 名试点受试者）的抽血和 HIV 诊所回访依从性、药丸计数和自我报告的依从性以及病毒载量抑制，以及 (4) 根据调查修改应用程序；如果成功，Avatar 将在 AAMSM 的大规模随机对照试验中进行测试。