Acceptability, Feasibility, and Preliminary Efficacy of a Theory-Based Relational Embodied Conversational Agent Mobile Phone Intervention to Promote HIV Medication Adherence in Young HIV-Positive African American MSM.

Autor: Dworkin MS; Division of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public Health., Lee S; Connecticut College, New London, Connecticut., Chakraborty A; Division of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public Health., Monahan C; University of Illinois at Chicago School of Public Health., Hightow-Weidman L; University of North Carolina, Chapel Hill, North Carolina., Garofalo R; Department of Pediatrics, Northwestern University/Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Qato DM; University of Illinois at Chicago College of Pharmacy, Chicago, Illinois., Liu L; Division of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public Health., Jimenez A; University of Illinois at Chicago School of Public Health.
Jazyk: angličtina
Zdroj: AIDS education and prevention : official publication of the International Society for AIDS Education [AIDS Educ Prev] 2019 Feb; Vol. 31 (1), pp. 17-37.
DOI: 10.1521/aeap.2019.31.1.17
Abstrakt: An embodied conversational agent can serve as a relational agent and provide information, motivation, and behavioral skills. To evaluate the feasibility, acceptability, and preliminary efficacy of My Personal Health Guide, a theory-based mobile-delivered embodied conversational agent intervention to improve adherence to antiretroviral therapy in young African American men who have sex with men, we conducted this prospective pilot study using a 3-month pre-post design. Outcome measures included adherence, acceptability, feasibility, pre versus post health literacy, and pre versus post self-efficacy. There were 43 participants. Pill count adherence > 80% improved from 62% at baseline to 88% at follow-up (p = .05). The acceptability of the app was high. Feasibility issues identified included loss of usage data from unplanned participant app deletion. Health literacy improved whereas self-efficacy was high at baseline and follow-up. This pilot study of My Personal Health Guide demonstrated acceptability and preliminary efficacy in improving adherence in this important population.
Databáze: MEDLINE