Using Smart Phone Technology to Support HIV Medication Refill Adherence in Virginia
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Other: Provider Participants Employees who work with medication refills through the AIDS Drug Assistance Program at the Henrico Health Department will be invited to participate in the study as providers. Provider participants will receive access to a web based system that allows them to view information for their enrolled clients, securely message clients, and track medication refills. Providers will be asked to participate in a 30-day usability interview and a end-of-study assessment. |
Other: PositiveLinks RX Portal
An online portal that interacts with the mobile app to enable users to engage with participants though messaging and medication refill tracking.
|
| Other: Patient Participants Clients who receive medication refills through the AIDS Drug Assistance Program at the Henrico Health Department will be invited to participate in the study as patients. 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 |
Other: PositiveLinks RX Mobile App
A mobile app designed with tools to facilitate patient self-monitoring, patient-provider communication, medication refills, and social support.
|
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- 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.
- 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
- Participant Feature Engagement [Assessed at 6-months]
Examining participant app engagement through assessment of page views
- 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
Eligibility Criteria
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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Henrico Health Department | Richmond | Virginia | United States | 23228 |
Sponsors and Collaborators
- University of Virginia
- Virginia Department of Health
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 21185