| Autor: |
Uhrig Castonguay, Breana J, Cressman, Andrew E, Kuo, Irene, Patrick, Rudy, Trezza, Claudia, Cates, Alice, Olsen, Halli, Peterson, James, Kurth, Ann, Bazerman, Lauri B, Beckwith, Curt G |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
JMIR mHealth and uHealth, Vol 8, Iss 2, p e16220 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2291-5222 |
| DOI: |
10.2196/16220 |
| Popis: |
BackgroundPreviously incarcerated individuals have suboptimal linkage and engagement in community HIV care. Mobile health (mHealth) interventions have been shown to be effective in addressing these gaps. In Washington, District of Columbia (DC), we conducted a randomized trial of an SMS text messaging–based mHealth intervention (CARE+ Corrections) to increase linkage to community HIV care and antiretroviral treatment adherence among HIV-infected persons involved in the criminal justice system. ObjectiveThis study aimed to describe the SMS text messaging–based intervention, participant use of the intervention, and barriers and facilitators of implementation. MethodsFrom August 2013 to April 2015, HIV-positive incarcerated individuals were recruited within the DC Department of Corrections, and persons released in the past 6 months were recruited within the community via street-based recruitment, community partnerships, and referrals. Participants were followed for 6 months and received weekly or daily SMS text messages. Formative research resulted in the development of the content of the messages in 4 categories: HIV Appointment Reminders, Medication Adherence, Prevention Reminders, and Barriers to Care following release from jail. Participants could customize the timing, frequency, and message content throughout the study period. ResultsOf the 112 participants enrolled, 57 (50.9%) were randomized to the intervention group and 55 (49.1%) to the control group; 2 control participants did not complete the baseline visit, and were dropped from the study, leaving a total of 110 participants who contributed to the analyses. Study retention was similar across both study arms. Median age was 42 years (IQR 30-50), 86% (49/57) were black or African American, 58% (33/57) were male, 25% (14/57) were female, and 18% (10/57) were transgender. Median length of last incarceration was 4 months (IQR 1.7-9.0), and median lifetime number of times incarcerated was 6.5 (IQR 3.5-14.0). Most participants (32/54, 59%) had a baseline viral load of |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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