Department of Medicine, University of Virginia, Charlottesville, VA, USA.
School of Medicine, University of Virginia, Charlottesville, VA, USA.
AIDS Behav. 2021 Nov;25(11):3519-3527. doi: 10.1007/s10461-021-03294-w. Epub 2021 May 11.
PositiveLinks (PL) is an evidence-based mobile health intervention promoting engagement in care for people living with HIV. PL offers secure, in-app patient-provider messaging. We investigated messaging during the early COVID-19 pandemic, comparing messages exchanged between 01/13/2020 and 03/01/2020 ("Pre-COVID") to messages exchanged between 03/02/2020 and 04/19/2020 ("early COVID") using Poisson regression. We performed qualitative analysis on a subset of messages exchanged between 02/01/2020 and 03/31/2020. Between "Pre-COVID" and "early COVID" periods, weekly member and provider messaging rates increased significantly. Of the messages analyzed qualitatively, most (53.3%) addressed medical topics, and more than a fifth (21.3%) addressed social issues. COVID-related messages often focused on care coordination and risk information; half of COVID messages contained rapport-building. PL patients ("members") and providers used in-app secure messaging to reach out to one another, identifying needs, organizing receipt of healthcare resources, and strengthening patient-care team relationships. These findings underscore the importance of low-barrier messaging during a crisis.
PositiveLinks (PL) 是一种基于证据的移动健康干预措施，可促进艾滋病毒感染者参与治疗。PL 提供安全的应用内医患通讯。我们调查了 COVID-19 大流行早期的通讯情况，使用泊松回归比较了 2020 年 1 月 13 日至 3 月 1 日（“COVID-19 前”）期间与 2020 年 3 月 2 日至 4 月 19 日（“早期 COVID”）期间交换的消息。我们对 2020 年 2 月 1 日至 3 月 31 日期间交换的一组消息进行了定性分析。在“COVID-19 前”和“早期 COVID”期间，每周成员和提供者的通讯率显著增加。在定性分析的消息中，大多数（53.3%）涉及医疗主题，超过五分之一（21.3%）涉及社会问题。与 COVID 相关的消息通常侧重于护理协调和风险信息；一半的 COVID 消息包含建立融洽关系。PL 患者（“成员”）和提供者使用应用内安全通讯与对方联系，确定需求，组织获得医疗资源，并加强患者护理团队的关系。这些发现强调了在危机期间低障碍通讯的重要性。
