OPT-In For Life: A Mobile Technology–Based Intervention to Improve HIV Care Continuum for Young Adults Living With HIV
| Autor: | Cynthia Whitener, John Zurlo, Verbenia Collins, Tarek Eshak, Alexander Haynos, Ping Du |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Technology medicine.medical_specialty Nursing (miscellaneous) Adolescent Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Young Adult 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans Mobile technology 030212 general & internal medicine Young adult 030505 public health business.industry Public Health Environmental and Occupational Health Continuity of Patient Care Retention rate Care Continuum Family medicine Secure messaging 0305 other medical science business Viral load |
| Zdroj: | Health Promotion Practice. 21:727-737 |
| ISSN: | 1552-6372 1524-8399 |
| Popis: | Young adults living with HIV (YALH) have lower rates of retention in care and HIV viral suppression. Multiple barriers exist to engage YALH in care. We developed and implemented a multifaceted, mobile application-based intervention, “OPT-In for Life,” by targeting YALH to encourage retention in care and eventually viral suppression. The app integrated multiple user-friendly features for YALH to manage their HIV care, including a two-way secure messaging function, HIV-related laboratory results, and appointment or medication reminders. We recruited 92 YALH who were 18 to 34 years old and were newly diagnosed with HIV, had a history of falling out of care, or had a detectable HIV viral load into this intervention. Study participants used the app to manage their HIV care and to communicate and interact with their HIV care team. During the intervention period, the retention rate among our study participants increased from 41.3% at baseline to 78.6% at 6-month follow-up, maintained at 12-month follow-up (79.8%), and slightly decreased to 73.4% at 18-month follow-up but it was still significantly higher than the baseline retention rate ( p < .0001). The viral suppression rate (HIV RNA |
| Databáze: | OpenAIRE |
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