HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV

Dodson, Sarity; Klassen, Karen; McDonald, Karalyn; Millard, Tanya; Osborne, Richard H.; Battersby, Malcolm; Fairley, Christopher K.; Simpson, Julie A.; Lorgelly, Paula; Tonkin, Andrew; Roney, Janine; Slavin, Sean; Sterjovski, Jasminka; Brereton, Margot; Lewin, Sharon R.; Crooks, Levinia; Watson, Jo; Kidd, Michael; Williams, I.M.; Elliott, Julian

doi:10.1186/s12879-016-1422-5

Cited by 15 publications

(17 citation statements)

References 57 publications

(55 reference statements)

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“…It aims to increase the motivation in clean and healthy living, especially in physical activity. This is in accordance with the statement that the brain gym effectively improves the child's motivation for the physical activity 18 . The brain gym is an exercise programme to build brain power as a form of stimulation for sensory as well as motor activity in the body, especially in school children 19 .…”

Section: Discussionsupporting

confidence: 92%

Improving clean and healthy living behaviour through snakes and ladders board game among school children

Kusumawardani

Rekawati

Fitriyani

et al. 2020

Sri Lanka J Child Health

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Section: Discussionsupporting

confidence: 92%

Improving clean and healthy living behaviour through snakes and ladders board game among school children

Kusumawardani

Rekawati

Fitriyani

et al. 2020

Sri Lanka J Child Health

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“…The HealthMap model has been described in the study protocol [ 70 ]. Briefly, the model included (1) new opportunities for people with HIV to discuss their health status and goals with their doctor using the HealthMap shared health record; (2) access for people with HIV to their own health record and contextual health information; and (3) self-management support delivered by health coaches, online and via telephone.…”

Section: Resultsmentioning

confidence: 99%

The systematic development of a complex intervention: HealthMap, an online self-management support program for people with HIV

Millard

Dodson²,

McDonald

et al. 2018

BMC Infect Dis

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BackgroundDespite persistent calls for HIV care to adopt a chronic care approach, few HIV treatment services have been able to establish service arrangements that prioritise self-management. To prevent cardiovascular and other chronic disease outcomes, the HealthMap program aims to enhance routine HIV care with opportunities for self-management support. This paper outlines the systematic process that was used to design and develop the HealthMap program, prior to its evaluation in a cluster-randomised trial.MethodsProgram development, planning and evaluation was informed by the PRECEDE-PROCOEDE Model and an Intervention Mapping approach and involved four steps: (1) a multifaceted needs assessment; (2) the identification of intervention priorities; (3) exploration and identification of the antecedents and reinforcing factors required to initiate and sustain desired change of risk behaviours; and finally (4) the development of intervention goals, strategies and methods and integrating them into a comprehensive description of the intervention components.ResultsThe logic model incorporated the program’s guiding principles, program elements, hypothesised causal processes, and intended program outcomes. Grounding the development of HealthMap on a clear conceptual base, informed by the research literature and stakeholder’s perspectives, has ensured that the HealthMap program is targeted, relevant, provides transparency, and enables effective program evaluation.ConclusionsThe use of a systematic process for intervention development facilitated the development of an intervention that is patient centred, accessible, and focuses on the key determinants of health-related outcomes for people with HIV in Australia. The techniques used here may offer a useful methodology for those involved in the development and implementation of complex interventions.

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“…The 10 included studies and their key study characteristics are summarized in Table 1. Of these included studies, 7 were RCTs [35,36,[40][41][42][43]. In 90% (9/10) of studies, study participants only included people living with HIV.…”

Section: Included Studiesmentioning

confidence: 99%

“…The remaining 10% of studies included a combination of both people living with HIV and people living without HIV. Most studies (4/10, 40%) had an average study period of about 12 months [36,37,40,43]. It is noteworthy that 6 of the 10 included studies were registered clinical trials that had unpublished results at the time of conducting this review [40][41][42][43][44][45].…”

Section: Included Studiesmentioning

confidence: 99%

mHealth Interventions for Treatment Adherence and Outcomes of Care for Cardiometabolic Disease Among Adults Living With HIV: Systematic Review

Odukoya¹,

Ohazurike²,

Akanbi³

et al. 2021

JMIR Mhealth Uhealth

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Background The success of antiretroviral therapy has led to an increase in life expectancy and an associated rise in the risk of cardiometabolic diseases (CMDs) among people living with HIV. Objective Our aim was to conduct a systematic review to synthesize the existing literature on the patterns of use and effects of mobile health (mHealth) interventions for improving treatment adherence and outcomes of care for CMD among people living with HIV. Methods A systematic search of multiple databases, including PubMed-MEDLINE, Embase, CINAHL, Scopus, Web of Science, African Journals online, ClinicalTrials.gov, and the World Health Organization Global Index Medicus of peer-reviewed articles, was conducted with no date or language restrictions. Unpublished reports on mHealth interventions for treatment adherence and outcomes of care for CMD among adults living with HIV were also included in this review. Studies were included if they had at least 1 component that used an mHealth intervention to address treatment adherence or 1 or more of the stated outcomes of care for CMD among people living with HIV. Results Our search strategy yielded 1148 unique records. In total, 10 articles met the inclusion criteria and were included in this review. Of the 10 studies, only 4 had published results. The categories of mHealth interventions ranged from short messaging, telephone calls, and wearable devices to smartphone and desktop web-based mobile apps. Across the different categories of interventions, there were no clear patterns in terms of consistency in the use of a particular intervention, as most studies (9/10, 90%) assessed a combination of mHealth interventions. Short messaging and telephone calls were however the most common interventions. Half of the studies (5/10, 50%) reported on outcomes that were indirectly linked to CMD, and none of them provided reliable evidence for evaluating the effectiveness of mHealth interventions for treatment adherence and outcomes of care for CMD among people living with HIV. Conclusions Due to the limited number of studies and the heterogeneity of interventions and outcome measures in the studies, no definitive conclusions could be drawn on the patterns of use and effects of mHealth interventions for treatment adherence and outcomes of care for CMD among people living with HIV. We therefore recommend that future trials should focus on standardized outcomes for CMD. We also suggest that future studies should consider having a longer follow-up period in order to determine the long-term effects of mHealth interventions on CMD outcomes for people living with HIV. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42018086940; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42018086940

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HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV

Cited by 15 publications

References 57 publications

Improving clean and healthy living behaviour through snakes and ladders board game among school children

Improving clean and healthy living behaviour through snakes and ladders board game among school children

The systematic development of a complex intervention: HealthMap, an online self-management support program for people with HIV

mHealth Interventions for Treatment Adherence and Outcomes of Care for Cardiometabolic Disease Among Adults Living With HIV: Systematic Review

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