Feasibility of ecological momentary assessment to study mood and risk behavior among young people who inject drugs

Mackesy‐Amiti, Mary Ellen; Boodram, Basmattee

doi:10.1016/j.drugalcdep.2018.03.016

Cited by 36 publications

(38 citation statements)

References 57 publications

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“…Sociodemographics, such as age (in years), race/ethnicity (black/African American, Hispanic/Latinx, other/multiple, or white), and education level (less than high school, high school or GED, and at least some college), have been shown previously to influence EMA completion, with older participants, people of color, those with less than a college education, or those with lower income having lower EMA completion [2,4,6]. We also included housing status (living with a family member, friend, or partner who rents/owns a home; living in temporary/transitional housing; experiencing homelessness; or renting/owning a home) as a possible indicator of noncompletion, given previous literature citing homelessness as a barrier to participation [1]. Recent incarceration and competing needs (eg, foregoing HIV medications to afford basic needs such as food, housing, and/or clothing and vice versa) have been shown to exacerbate health outcomes for those living with HIV [23,27] but had yet to be explored as possible barriers to EMA participation.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have used the terms “daily diaries” or “electronic diaries” interchangeably with EMAs; however, in this study, we will use only EMA for consistency. A range of research projects have used EMAs to improve data accuracy and to capture nuances in affect or mood [1], substance use [1-5], and, more recently, behaviors among persons living with HIV [5-8].…”

Section: Introductionmentioning

confidence: 99%

“…However, to our knowledge, no quantitative studies of EMAs or other mobile health interventions exist for TW. Just as young MSM and other HIV risk groups consistently demonstrate high EMA compliance [1,2-4,8,15], TW living with HIV may similarly respond well to such a data collection method.…”

Section: Introductionmentioning

confidence: 99%

“…Prior research demonstrated inconsistent results regarding the relationship between race/ethnicity and EMA completion: two studies cite no differences in EMA completion by race/ethnicity [4,6], and one study showed lower EMA completion among MSM of color [2]. A study of risk behaviors among young people who inject drugs found that homeless participants had lower completion of EMAs [1]. Structural barriers to EMA completion have yet to be explored among MSM and TW living with HIV.…”

Section: Introductionmentioning

confidence: 99%

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Social Inequity and Structural Barriers to Completion of Ecological Momentary Assessments for Young Men Who Have Sex With Men and Trans Women Living With HIV in San Francisco

Turner

Arayasirikul

Trujillo

et al. 2019

JMIR Mhealth Uhealth

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Background Ecological momentary assessments (EMAs) administered via text messaging facilitate real-time data collection. With widespread cell phone access, EMAs are becoming more available to even the most disenfranchised communities, such as those living with HIV. However, structural barriers disproportionately burden young men who have sex with men (MSM) and trans women (TW) living with HIV and threaten participation in HIV research. Objective We aim to identify structural barriers to completing EMA text surveys nested within a digital HIV care intervention for young MSM and TW living with HIV in San Francisco. Methods A total of 10,800 EMA text messages were delivered daily over 90 days to 120 participants enrolled in the Health eNav intervention (2017-2018) at the San Francisco Department of Public Health. EMA surveys inquired about participants’ daily affect, sexual behaviors, substance use, and treatment adherence. Survey completion was calculated after 30, 60, and 90 days of follow-up. We described characteristics of nonstarters (those who provided less than four complete responses to the first seven EMA surveys) and analyzed structural correlates of days to first weeklong or more EMA survey noncompletion using multivariable Cox proportional hazards regression. Qualitative interviews were used to evaluate the acceptability of EMA surveys. Results Participants completed 4384 of 10,800 (40.59%) EMA surveys. Completion of 70% or more of EMA surveys was attained by 56 of 120 participants (46.7%) at 30 days of follow-up, 40/120 (33.3%) at 60 days of follow-up, and 30/120 (25.0%) by the end of the 90-day study period. Twenty-eight participants (23.3%) were identified as nonstarters, and were more likely to be recently incarcerated (prevalence ratio [PR] 2.3, 95% CI 1.3-4.4), forego basic needs for HIV medications (PR 2.4, 95% CI 1.3-4.5), and be diagnosed with HIV in the last year (PR 2.2, 95% CI 1.1-4.1). Adjusting for nonstarters, young MSM and TW living in temporary/transitional housing (adjusted hazard ratio [aHR] 1.8, 95% CI 1.1-3.0), foregoing HIV medications to afford basic needs (aHR 1.7, 95% CI 1.1-2.7), and having less than a college education (aHR 3.5, 95% CI 1.4-9.0) had greater hazard of weeklong or more EMA survey noncompletion. Overall, there was high acceptability of the EMA surveys. Conclusions Although access to and use of technology is increasingly ubiquitous, this analysis demonstrates persisting gaps in EMA completion by socioeconomic factors such as incarceration, education level, housing, and competing needs for young MSM and TW living with HIV in San Francisco. Moreover, those recently diagnosed with HIV were more likely to experience an immediate drop-off in completing EMA surveys. EMAs are feasible for individuals not experiencing social inequity and structural barriers. HIV prevention technologies addressing these barriers and leveraging similar methodolo...

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social Inequity and Structural Barriers to Completion of Ecological Momentary Assessments for Young Men Who Have Sex With Men and Trans Women Living With HIV in San Francisco

Turner

Arayasirikul

Trujillo

et al. 2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…Our study reports on the results of a meta-analysis of recent studies (1997-2017) [6-16] among PWID to better characterize this population using data representing the estimated 32,000 PWID who reside in metropolitan Chicago, Illinois [17]. The synthesized data will be used to 1) better inform interventions, and 2) to provide a realistic profile of a synthetic population for a computational model that could be used to examine specific combinations of HCV elimination strategies.…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of 20 years of data on people who inject drugs in metropolitan Chicago to inform computational modeling

Boodram

Mackesy‐Amiti

Khanna

et al. 2021

Preprint

Self Cite

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Progress toward hepatitis C virus (HCV) elimination in the United States is not on track to meet targets, as injection drug use continues to drive increasing HCV incidence. Computational models are useful in understanding the complex interplay of individual, social, and structural level factors that might alter HCV incidence, prevalence, transmission, and disease progression. However, these models need to be informed with real socio-behavioral data. We conducted a meta-analysis of research studies spanning 20 years of research and interventions with people who inject drugs in metropolitan Chicago to produce parameters for a synthetic population for a computational model. We then fit an exponential random graph model (ERGM) using the network estimates from the meta-analysis in order to develop the dynamic component of a realistic agent-based model.

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Response Patterns to Weekly Short Message Service Health Surveys Among Diverse Youth at High Risk for Acquiring HIV

Tang

Gunn

Kwok³

et al. 2022

AIDS Behav

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Feasibility of ecological momentary assessment to study mood and risk behavior among young people who inject drugs

Abstract: This study demonstrated high acceptability and feasibility of EMA among young PWID, with up to 6 survey prompts per day. However, homelessness significantly hampered successful participation.

Cited by 36 publications

References 57 publications

Social Inequity and Structural Barriers to Completion of Ecological Momentary Assessments for Young Men Who Have Sex With Men and Trans Women Living With HIV in San Francisco

Social Inequity and Structural Barriers to Completion of Ecological Momentary Assessments for Young Men Who Have Sex With Men and Trans Women Living With HIV in San Francisco

A meta-analysis of 20 years of data on people who inject drugs in metropolitan Chicago to inform computational modeling

Response Patterns to Weekly Short Message Service Health Surveys Among Diverse Youth at High Risk for Acquiring HIV

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