Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care

Canan, Chelsea E.; Waselewski, Marika; Waldman, Ava Lena; Reynolds, George; Flickinger, Tabor; Cohn, Wendy F.; Ingersoll, Karen S.; Dillingham, Rebecca

doi:10.1371/journal.pone.0226870

Cited by 36 publications

(31 citation statements)

References 33 publications

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“…Sending SMS has been significantly used in the health area, mainly to improve quality of life and attendance in primary care, and to reduce non-adherence and improve health results at low cost, as well as the possibility of wide dissemination of information in real time for the entire target population of the intervention ( 8 , 13 - 14 , 18 - 19 , 29 ) . Additionally, the use of SMS reminders is an accessible, adequate, and more cost-effective tool compared to those already spent on medication ( 26 , 30 - 31 ) .…”

Section: Discussionmentioning

confidence: 99%

Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus

Santos

Primeira

Paiva

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the cost-effectiveness ratio and the budget impact of sending text messages associated with medical consultations in order to reduce the viral load of patients infected with the Human Immunodeficiency Virus. Method: a randomized clinical trial, basis for the development of a dynamic cohort model with Markov states in order to compare medical appointments for adults infected with the Human Immunodeficiency Virus versus the alternative strategy that associated medical consultations to sending text messages through telephone. Results: 156 adults participated in the study. As for the viral load, it was verified that in the control group there was an increase, in the intervention group A (weekly messages) there was a reduction (p = 0.002) and in group B (biweekly messages) there was no statistically significant difference. Sending text messages would prevent 286,538 new infections by the Human Immunodeficiency Virus and 282 deaths in the 20-year period, compared to the standard treatment. The alternative strategy would result in saving R$ 14 billion in treatment costs. Conclusion: weekly sending messages in association with the standard treatment can reduce the circulating viral load due to its effect in decreasing new infections, in addition to reducing health costs.

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Section: Discussionmentioning

confidence: 99%

Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus

Santos

Primeira

Paiva

et al. 2020

Rev. Latino-Am. Enfermagem

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“…Similarly, one intervention focused on MSM adults [74]. The other three interventions were focused on adults, two of them [72,75] exclusively for women living with HIV (WLWHA) and one with no specific gender [68]. Regarding location, 4 of the 9 studies were conducted in the U.S [68,71,73,74], one in Kenya [69], one in South Africa [76], one in the UK [75], one in Canada [72] and one in Nigeria [70].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…As shown in Table 2, most of the interventions were delivered through smartphone applications; three used a preexisting social network (e.g., Facebook), and two were provided through a website. Regarding the intervention's aims, the most common goals were to increase treatment adherence [68][69][70]73,74] and to foster social support [70,75,76]. Only one intervention [72] was tailored specifically to address stress and stigma, and one intervention [71] was intended to decrease risky sexual behaviors.…”

Section: Characteristics Of the Interventionsmentioning

confidence: 99%

“…Technology Used Smartphone Applications. Four interventions were delivered through specifically tailored smartphone applications (Apps): Positive Links [68]; AllyQuest [73]; HealthMpowerment (HMP) [71] and Peer-mentor messaging [74]. Positive Links, AllyQuest and HMP, included support groups with message boards or forums for discussion.…”

Section: Characteristics Of the Interventionsmentioning

confidence: 99%

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Internet-based peer support interventions for people living with HIV: A Scoping Review

Costa-Cordella¹,

Grasso-Cladera²,

Rossi³

et al. 2021

Preprint

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Peer support interventions for people living with HIV and AIDS (PLWHA) are widely effective, but their associated time and material costs for the recipient and the health system make them reachable for only a small proportion of PLWHA. Internet-based interventions are an effective alternative for delivering psychosocial interventions for PLWHA as they are more accessible and offer anonymity.Currently, no reviews are focusing on internet-based interventions with peer support components. This study aims to map the existing literature on psychosocial interventions for PLWHA based on peer support and delivered through the internet. We conducted a systematic scoping review of academic literature following PRISMA guidelines. Nine articles met our criteria, and we summarized them using a narrative synthesis method. We found internet-based peer support interventions for PLWHA are feasible and acceptable to participants and healthcare workers. We conclude that internet-based peer support interventions for PLWHA are a promising alternative to those in person.

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“…PL improves long-term engagement in care and viral suppression among a general sample of PLWH at a university-affiliated Ryan White clinic. 16 PL was developed based on best practices for chronic disease management 17 and user-centered design. 18 The developers employ benchmarking as a summative method of evaluating user experience by collecting analytic, quantitative, and usability feedback from PLWH who use the program, to make ongoing improvements to the PL platform and features.…”

Section: Introductionmentioning

confidence: 99%

Adapting an m-Health Intervention for Spanish-Speaking Latinx People Living with HIV in the Nonurban Southern United States

Flickinger

Sherbuk

Guex

et al. 2021

Telemedicine Reports

Self Cite

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Background: Latinx people in the United States are disproportionately diagnosed with HIV and are more likely to experience worse HIV-related health outcomes. Although m-health has demonstrated success in improving HIV care, a gap remains in the development of m-health platforms tailored to Latinx populations. Methods: We conducted formative study to guide the adaptation of an evidence-based m-health intervention, PositiveLinks (PL), for Spanish-speaking Latinx people living with HIV (PLWH). Spanish-speaking Latinx PLWH in the nonurban Southern United States completed semistructured interviews and viewed a demo version of the m-health intervention. Qualitative analysis was performed using a grounded theory approach. Emerging themes were identified in four topic areas: (1) prior experiences with technology, (2) desired m-health features, (3) experiences with prototype app, and (4) iteration of prototype. Results: All PLWH who participated ( n = 22) were born outside the continental United States. Participants included 10 men, 10 women, and 2 transgender participants. Mean age was 41.1 years (standard deviation 11.6 years). Participants expressed concerns about privacy, a need for reliable information, and interest in practical m-health features such as appointment and medication reminders. After trialing the Spanish-language PL prototype, participants reported that peer support and positive reinforcement were strong motivators to use the app. The ability to individualize the app to meet one's own needs was also considered important. Conclusion: This formative study provides baseline attitudes about m-health among Latinx PLWH as well as desired m-health features. m-Health interventions are acceptable to Spanish-speaking PLWH and involving the target population in a user-centered formative process led to improvements in app accessibility and usability.

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Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care

Cited by 36 publications

References 33 publications

Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus

Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus

Internet-based peer support interventions for people living with HIV: A Scoping Review

Adapting an m-Health Intervention for Spanish-Speaking Latinx People Living with HIV in the Nonurban Southern United States

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