PositiveLinks: A Mobile Health Intervention for Retention in HIV Care and Clinical Outcomes with 12-Month Follow-Up

AIDS Patient Care and STDs
Rebecca DillinghamWendy F Cohn

Abstract

Mobile health interventions may help People Living with HIV (PLWH) improve engagement in care. We designed and piloted PositiveLinks, a clinic-affiliated mobile intervention for PLWH, and assessed longitudinal impact on retention in care and viral suppression. The program was based at an academic Ryan White Clinic serving a nonurban population in Central Virginia. The PL intervention included a smartphone app that connected participants to clinic staff and provided educational resources, daily queries of stress, mood and medication adherence, weekly quizzes, appointment reminders, and a virtual support group. Outcomes were analyzed using McNemar's tests for HRSA-1, visit constancy, and viral suppression and nonparametric Wilcoxon signed-rank tests for CD4 counts and viral loads. Of 77 participants, 63% were male, 49% black non-Hispanic, and 72% below the federal poverty level. Participants' achievement of a retention in care benchmark (HRSA-1) increased from 51% at baseline to 88% at 6 months (p < 0.0001) and 81% at 12 months (p = 0.0003). Visit constancy improved from baseline to 6 months (p = 0.016) and 12 months (p = 0.0004). Participants' mean CD4 counts increased from baseline to 6 months (p = 0.0007) and 12 months (p = 0....Continue Reading

Associated Clinical Trials

Aug 10, 2021·Amanda D. Castel

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Citations

Feb 6, 2019·Expert Review of Anti-infective Therapy·Breanna R CampbellRebecca Dillingham
Mar 21, 2019·JMIR Formative Research·Colleen LaurenceRebecca Dillingham
Dec 10, 2019·Translational Behavioral Medicine·Chelsea E CananRebecca Dillingham
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Mar 23, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Tabor E FlickingerRebecca Dillingham
Jun 23, 2020·JMIR MHealth and UHealth·Stephen B Lee, Joanne Valerius
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Dec 29, 2020·HIV Research & Clinical Practice·Ana VentuneacJudith A Aberg
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Nov 3, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Madellena ConteAngelo Clemenzi-Allen
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