HIV, Mental Health, Substance Use
Conditions
Keywords
Adherence, mHealth, Care engagement
Brief summary
The objective of the proposed research is to conduct formative work to develop, pilot and refine a smartphone delivered intervention for violence affected people living with HIV utilizing a novel spatial-temporal methodology, geographical ecological momentary assessment (GEMA), to first identify the activity spaces and daily psychosocial experiences (mental health symptoms, substance use, self-efficacy, coping) impacting adherence and viral suppression, and apply them to intervention. Guided by an ecological perspective, the investigators will adapt Living in the Face of Trauma to a mobile platform with GEMA informed intervention targets. The resulting app shall be referred to as NOLA GEM. Our long-term goal is delivering accessible interventions informed by daily experiences that affect health for PLWH. The investigators will test feasibility, acceptability and preliminary efficacy of the GEMA-informed NOLA GEM app against GEMA alone on adherence and care, and secondary outcomes of mental health and substance use.
Interventions
BEHAVIORALNOLA GEM
This is a mobile application that has 6 psychoeducational sessions and related skills, local resources, and a way for participants to track their progress. Further information is in the arm descriptions.
Sponsors
Tulane University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Having a reported HIV infection and being on ART.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of intervention | 30 day post-assessment | App usage paradata |
| Adherence | 30 day post-assessment | Self report taking all HIV-related medication and treatment in past 30 days |
| Viral Load | 90 days post assessment | Self report last blood draw was under 50 copies of HIV/mL in past 90 days |
| Care Engagement | 90 days post assessment | Self report % of missed appointments in past 90 days |
| Acceptability of intervention | 30 day post-assessment | User Experience Questionnaire-Short Form |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PTSD | 30 day post-assessment | PTSD Checklist for DSM-5; higher scores indicate higher levels of PTSD symptomology |
| Depression, anxiety | 30 day post-assessment | Hospital Anxiety Depression Scale; 0-21; higher scores indicate higher levels of anxiety and/or depression |
| Stress | 30 day post-assessment | Study generated daily stressors severity checklist |
| Coping | 30 day post-assessment | Brief-COPE; higher scores indicate higher levels of emotion focused, problem focused, and avoidant coping styles |
| Substance use | 30 day post-assessment | Adapted Addiction Severity Index |
Countries
United States
Outcome results
None listed