Adherence, Medication, Hiv
Conditions
Brief summary
The purpose of this study is to pilot a mobile health intervention, originally designed for HIV retention in care, for use in aiding patients with medication refills. The study will implement the PositiveLinks Rx app with the Henrico Health department. The study will assess user engagement and satisfaction with the app as well as preliminary impact on patient refill compliance.
Detailed description
The study will enrolled provider and patient participants at the Henrico Health Department in Virginia who either receive or provide medication refills through the AIDS Drug Assistance Program (ADAP). Patient participants will be provided access to a mobile app that allows them to track their mood, stress, and medication adherence, access an anonymous online community, securely message providers, and receive medication refill alerts. Provider participants will be able to view the information entered by enrolled clients, securely message clients, and track medication refill processes. Study participants will be asked to provide feedback on usability, utility, impact, and effectiveness of the program. Additional assessments will evaluate for impact on medication refill adherence and patient-provider communication.
Interventions
OTHERPositiveLinks RX Mobile App
A mobile app designed with tools to facilitate patient self-monitoring, patient-provider communication, medication refills, and social support.
OTHERPositiveLinks RX Portal
An online portal that interacts with the mobile app to enable users to engage with participants though messaging and medication refill tracking.
Sponsors
Virginia Department of Health
University of Virginia
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patient Inclusion Criteria: * Currently picking up of receiving medications through ADAP from the Henrico Health Department; Able to read in English; Able to speak English; Able to sign informed consent Provider Inclusion Criteria: * Current Henrico Health Department employee working with the ADAP pharmacy; Able to read in English; Able to speak English; Able to sign informed consent
Exclusion criteria
* Severe cognitive impairment that interferes with a subjects ability to consent; non-English speaking; Prisoners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Medication Refill Compliance | Assessed at baseline and 6-months | Primary variable analysis will include examination of patient medication refill compliance at baseline and at the 6-month follow-up to assess for any change in refill compliance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant Check-In Engagement | Assessed at 6-months | Examining participant app engagement through assessment of check-in response rates |
| Participant Messaging Engagement | Assessed at 6-months | Examining participant app engagement through assessment of messages sent and received |
| Participant Community Engagement | Assessed at 6-months | Examining participant app engagement through assessment of community posts |
| App Usability | 30-days after enrollment | Assessed through the system usability scale (SUS), a validated ten item scale. Additional usability factors will be assessed through qualitative methods. |
| Change in Patient Refill Satisfaction | Assessed at baseline and 6-months | Assessment of change in patient satisfaction with the refill process at their local health department. Utilizes a patient satisfaction with pharmaceutical services scale. |
| Change in Provider Communication | Assessed at baseline and 6-months | Assessment of change in patient perception of provider (local health department staff) communication. Utilizes the Consultation and Relational Empathy (CARE) scale. |
| Program Alignment with Health Department Workflow | Assessed at 30-days and 6-months | Assessing alignment with health department workflow through provider end-of-study and usability interviews |
| Participant Feature Engagement | Assessed at 6-months | Examining participant app engagement through assessment of page views |
Countries
United States
Outcome results
None listed