Abstract:
BACKGROUND:Young people are disproportionately impacted by HIV infection and exhibit poor HIV care continuum outcomes. Mobile health (mHealth) interventions are promising approaches to meet the unique needs of young people living with HIV. Youth-focused interventions are needed to improve HIV care continuum outcomes. OBJECTIVE:This study assessed the preliminary efficacy and impact of a digital HIV care navigation intervention among young people living with HIV in San Francisco. Health electronic navigation (eNavigation or eNav) is a 6-month, text message-based, digital HIV care navigation intervention, in which young people living with HIV are connected to their own HIV care navigator through text messaging to improve engagement in HIV primary care. METHODS:This study had a single-arm, prospective, pre-post design. The analysis included 120 young men who have sex with men or transwomen living with HIV aged between 18 and 34 years. We analyzed self-reported sociobehavioral information pre- and postintervention at baseline and 6 months, which was collected using computer-assisted self-interviewing surveys. We characterized the sample and built generalized estimating equation (GEE) models to assess differences in HIV care continuum outcomes at baseline and 6 months. RESULTS:The characteristics according to the intervention completion status were not different from those of the overall sample. The mean age of the participants was 27.75 years (SD 4.07). Most participants (103/120, 85.8%) identified as men, and the sample was racially/ethnically diverse. At baseline, majority (99/120, 82.5%) of the participants had recently received primary HIV care, yet this was more likely in those who completed the intervention than in those who did not (54/60, 90% vs 45/60, 75%; χ21=4.68, P=.03). More than half of the sample reported taking antiretroviral therapy (92/120, 76.7%) and having an undetectable viral load (65/120, 54.2%). The 6-month follow-up surveys were completed by 73.3% (88/120) of participants, and these participants were not characteristically different from the overall sample at baseline. GEE models indicated that participants had increased odds of viral suppression at 6 months as compared with baseline. No relevant additive or multiplicative interactions were noted on comparing outcome effects over time according to intervention completion. CONCLUSIONS:Digital HIV care navigation fills a critical gap in public health and HIV care systems, making these systems more responsive and accountable to the needs of the most vulnerable individuals. Our intervention bridges the time between primary care visits with interactive, tailored, personalized, and peer-delivered social support; information; and motivational interviewing to scaffold behavioral change. This study is part of the next wave of system-informed mHealth intervention research that will offer potentially disruptive solutions to traditional in-person delivered interventions and improve the health of the most vulnerable individuals. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID):RR2-10.2196/16406.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Arayasirikul S,Turner C,Trujillo D,Le V,Wilson ECdoi
10.2196/18597subject
Has Abstractpub_date
2020-05-08 00:00:00pages
e18597issue
5issn
2291-5222pii
v8i5e18597journal_volume
8pub_type
杂志文章abstract:BACKGROUND:For patients with sickle cell disease (SCD), effective management of vaso-occlusive crises (VOCs) is integral to provision of care, as nearly all affected individuals will suffer from VOCs in their lifetime. A recent systematic review of technological interventions to improve self-management in the care of S...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13501
更新日期:2019-06-20 00:00:00
abstract:BACKGROUND:A primary concern for governments and health care systems is the rapid growth of the aging population. To provide a better quality of life for the elderly, researchers have explored the use of wearables, sensors, actuators, and mobile health technologies. The term AAL can be referred to as active assisted li...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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abstract:BACKGROUND:Nonadherence among patients with chronic disease continues to be a significant concern, and the use of text message refill reminders has been effective in improving adherence. However, questions remain about how differences in patient characteristics and demographics might influence the likelihood of refill ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-11-18 00:00:00
abstract:BACKGROUND:In many clinics, patients now have the option to make Web-based appointments but doing so according to their own judgment may lead to wrong registration and delayed medical services. We hypothesized that smartphone-based triage in outpatient services is superior to Web-based self-appointment registration gui...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:There is a limited understanding of components that should be included in digital interventions for 24-hour movement behaviors (physical activity [PA], sleep, and sedentary behavior [SB]). For intervention effectiveness, user engagement is important. This can be enhanced by a user-centered design to, for exa...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-12-20 00:00:00
abstract:BACKGROUND:Measuring physical activity with commercially available activity trackers is gaining popularity. People with a chronic disease can especially benefit from knowledge about their physical activity pattern in everyday life since sufficient physical activity can contribute to wellbeing and quality of life. Howev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8524
更新日期:2018-04-02 00:00:00
abstract:BACKGROUND:Cancer is highly prevalent worldwide and can cause high levels of distress in patients, which is often neglected in medical care. Smartphone apps are readily available and therefore seem promising to deliver distress-reducing interventions such as mindfulness and relaxation programs. OBJECTIVE:This study ai...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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abstract:BACKGROUND:The proportion of people in the United States who are members of at least two ethnic groups is projected to increase to 10% by the year 2050. This makes addressing health disparities and health inequities in minority populations increasingly more difficult. Minority populations, including those who classify ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2018-06-18 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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abstract:BACKGROUND:Most adults do not engage in sufficient physical activity to maintain good health. Smartphone apps are increasingly used to support physical activity but typically focus on tracking behaviors with no support for the complex process of behavior change. Tracking features do not engage all users, and apps could...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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abstract:BACKGROUND:Evidence of effectiveness of mobile health (mHealth) apps as well as their usability as non-drug interventions in primary care are emerging around the globe. OBJECTIVE:This study aimed to explore the feasibility of mHealth app prescription by general practitioners (GPs) and to evaluate the effectiveness of ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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abstract:BACKGROUND:Evidence has shown that breast cancer self-management support from mobile health (mHealth) apps can improve the quality of life of survivors. Although many breast cancer self-management support apps exist, few papers have documented the procedure for the development of a user-friendly app from the patient's ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-04-30 00:00:00
abstract:BACKGROUND:End-of-day symptom diaries are recommended by drug regulatory authorities to assess treatment response in patients with irritable bowel syndrome. We developed a smartphone app to measure treatment response. OBJECTIVE:Because the employment of an app to measure treatment response in irritable bowel syndrome ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-11-02 00:00:00
abstract:BACKGROUND:Using a mobile health (mHealth) intervention, consisting of a smartphone and compatible medical device, has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes while mitigating health care costs. OBJECTIVE:The aim of this study was to explore the potential facilitators a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-06-10 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Digital health usability assessments can help explain how well mobile health (mHealth) apps targeting young people with sexual and reproductive health (SRH) information performed and whether the intended purpose was achieved. However, few digital health assessments have been conducted to evaluate young peopl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2021-01-15 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-03-13 00:00:00
abstract:BACKGROUND:Smartphone and Web technology can improve the health care process, especially in chronic diseases. OBJECTIVE:The aim of this study was to investigate whether the use of blood glucose (BG) data management system, which enables connection to smartphones, the Web, the cloud, and downloading, can improve glycem...
journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-08-04 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2017-10-06 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-05-29 00:00:00
abstract:BACKGROUND:Gameful designs (gamification), using design pieces and concepts typically found in the world of games, is a promising approach to increase users' engagement with, and adherence to, electronic health and mobile health (mHealth) tools. Even though both identifying and addressing users' requirements and needs ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2018-12-14 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-02-12 00:00:00
abstract:BACKGROUND:Cardiovascular diseases are the deadliest diseases worldwide, with 17.3 million deaths in 2008 alone. Among them, heart-related deaths are of the utmost relevance; a fact easily proven by the 7.25 million deaths caused by ischemic heart disease alone in that year. The latest advances in smartphones and mHeal...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
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journal_title:JMIR mHealth and uHealth
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更新日期:2019-05-03 00:00:00