A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence
Mobile health (mHealth) interventions that are integrated in HIV clinical settings to facilitate ongoing patient-provider communication between primary care visits are garnering evidence for their potential in improving HIV outcomes. Rango is an mHealth intervention to support engagement in HIV care...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2020-12-01
|
| Series: | HIV Research & Clinical Practice |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/25787489.2020.1862972 |
| _version_ | 1797661074278842368 |
|---|---|
| author | Ana Ventuneac Emma Kaplan-Lewis Jessamine Buck Randi Roy Caitlin E. Aberg Bianca A. Duah Emily Forcht Michelle Cespedes Judith A. Aberg |
| author_facet | Ana Ventuneac Emma Kaplan-Lewis Jessamine Buck Randi Roy Caitlin E. Aberg Bianca A. Duah Emily Forcht Michelle Cespedes Judith A. Aberg |
| author_sort | Ana Ventuneac |
| collection | DOAJ |
| description | Mobile health (mHealth) interventions that are integrated in HIV clinical settings to facilitate ongoing patient-provider communication between primary care visits are garnering evidence for their potential in improving HIV outcomes. Rango is an mHealth intervention to support engagement in HIV care and treatment adherence. This study used a single-arm prospective design with baseline and 6-month assessments for pre-post comparisons, as well as a matched patient sample for between-group comparisons to test Rango’s preliminary efficacy in increasing viral suppression. The Rango sample (n = 406) was predominantly 50 years of age or older (63%; M = 50.67; SD = 10.97, 23–82), Black/African-American (44%) or Hispanic/Latinx (38%), and male (59%). At baseline, 18% reported missing at least one dose of ART in the prior three days and chart reviews of recent VL showed that nearly 82% of participants were virally suppressed. Overall 95% of the patients enrolled in Rango returned for a medical follow-up visit. Of the 65 unsuppressed patients at baseline who returned for a medical visit, 38 (59%) achieved viral suppression and only 5% of the suppressed group at baseline had an increase in viral load at 6 months despite being at risk for ART non-adherence. While viral suppression was similar between Rango participants and patients receiving treatment as usual over the same time period, it is unknown whether those patients were similarly at risk for non-adherence. Our findings support efforts to formally test this innovative approach in addressing ART non-adherence and viral suppression particularly to reach HIV treatment goals. |
| first_indexed | 2024-03-11T18:40:03Z |
| format | Article |
| id | doaj.art-af9acb6f86cb4f44a76b6c9b91d5a3bb |
| institution | Directory Open Access Journal |
| issn | 2578-7470 |
| language | English |
| last_indexed | 2024-03-11T18:40:03Z |
| publishDate | 2020-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | HIV Research & Clinical Practice |
| spelling | doaj.art-af9acb6f86cb4f44a76b6c9b91d5a3bb2023-10-12T13:43:53ZengTaylor & Francis GroupHIV Research & Clinical Practice2578-74702020-12-0121514015010.1080/25787489.2020.18629721862972A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherenceAna Ventuneac0Emma Kaplan-Lewis1Jessamine Buck2Randi Roy3Caitlin E. Aberg4Bianca A. Duah5Emily Forcht6Michelle Cespedes7Judith A. Aberg8Division of Infectious Diseases, Icahn School of Medicine at Mount SinaiDivision of Infectious Diseases, Icahn School of Medicine at Mount SinaiVillageCareVillageCareDivision of Infectious Diseases, Icahn School of Medicine at Mount SinaiDivision of Infectious Diseases, Icahn School of Medicine at Mount SinaiDivision of Infectious Diseases, Icahn School of Medicine at Mount SinaiDivision of Infectious Diseases, Icahn School of Medicine at Mount SinaiDivision of Infectious Diseases, Icahn School of Medicine at Mount SinaiMobile health (mHealth) interventions that are integrated in HIV clinical settings to facilitate ongoing patient-provider communication between primary care visits are garnering evidence for their potential in improving HIV outcomes. Rango is an mHealth intervention to support engagement in HIV care and treatment adherence. This study used a single-arm prospective design with baseline and 6-month assessments for pre-post comparisons, as well as a matched patient sample for between-group comparisons to test Rango’s preliminary efficacy in increasing viral suppression. The Rango sample (n = 406) was predominantly 50 years of age or older (63%; M = 50.67; SD = 10.97, 23–82), Black/African-American (44%) or Hispanic/Latinx (38%), and male (59%). At baseline, 18% reported missing at least one dose of ART in the prior three days and chart reviews of recent VL showed that nearly 82% of participants were virally suppressed. Overall 95% of the patients enrolled in Rango returned for a medical follow-up visit. Of the 65 unsuppressed patients at baseline who returned for a medical visit, 38 (59%) achieved viral suppression and only 5% of the suppressed group at baseline had an increase in viral load at 6 months despite being at risk for ART non-adherence. While viral suppression was similar between Rango participants and patients receiving treatment as usual over the same time period, it is unknown whether those patients were similarly at risk for non-adherence. Our findings support efforts to formally test this innovative approach in addressing ART non-adherence and viral suppression particularly to reach HIV treatment goals.http://dx.doi.org/10.1080/25787489.2020.1862972art adherenceviral load suppressionehealth interventionsmartphone app |
| spellingShingle | Ana Ventuneac Emma Kaplan-Lewis Jessamine Buck Randi Roy Caitlin E. Aberg Bianca A. Duah Emily Forcht Michelle Cespedes Judith A. Aberg A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence HIV Research & Clinical Practice art adherence viral load suppression ehealth intervention smartphone app |
| title | A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence |
| title_full | A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence |
| title_fullStr | A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence |
| title_full_unstemmed | A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence |
| title_short | A mobile health intervention in HIV primary care: supporting patients at risk for ART non-adherence |
| title_sort | mobile health intervention in hiv primary care supporting patients at risk for art non adherence |
| topic | art adherence viral load suppression ehealth intervention smartphone app |
| url | http://dx.doi.org/10.1080/25787489.2020.1862972 |
| work_keys_str_mv | AT anaventuneac amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT emmakaplanlewis amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT jessaminebuck amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT randiroy amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT caitlineaberg amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT biancaaduah amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT emilyforcht amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT michellecespedes amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT judithaaberg amobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT anaventuneac mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT emmakaplanlewis mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT jessaminebuck mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT randiroy mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT caitlineaberg mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT biancaaduah mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT emilyforcht mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT michellecespedes mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence AT judithaaberg mobilehealthinterventioninhivprimarycaresupportingpatientsatriskforartnonadherence |