Galindo Carla A, Freeman Arin, Abdallah Iddrisu, Courtenay-Quirk Cari
Centers for Disease Control and Prevention, Atlanta, GA, USA.
ICF, Atlanta, GA, USA.
AIDS Care. 2023 Jan;35(1):35-40. doi: 10.1080/09540121.2022.2094311. Epub 2022 Jun 28.
Positive Health Check (PHC), an interactive, web-based intervention, provides tailored behavioral health messages to support people with HIV in their HIV care. Users interact with a virtual doctor and based on responses to tailoring questions, PHC delivers relevant content modules addressing treatment initiation, medication adherence, retention in care, sexual risk reduction, mother-to-child transmission, and injection drug use. During a one-month feasibility pilot of PHC, patients in four HIV primary care clinics were invited to use PHC and tool usage metrics were collected and assessed. Descriptive analyses were conducted to characterize how the tool was used based on behavioral risk scenarios presented.Ninety-seven patients accessed PHC as part of the pilot, with 68 (70.1%) completing the intervention on average in 15 min. Out of 85 patients who viewed behavioral tips and commitments, 66 (77.7%) selected at least one tip to practice and 41 (48.2%) made at least one commitment to ask their provider a question. Patients spent the most time with adherence and sexual risk reduction content. The high level of tool engagement suggests that PHC was acceptable to patients regardless of length of time since diagnosis. PHC can be completed within a single visit and is a promising tool for PWH.
积极健康检查（PHC）是一种基于网络的交互式干预措施，它提供量身定制的行为健康信息，以支持感染艾滋病毒的患者接受艾滋病毒护理。用户与虚拟医生进行互动，根据对定制问题的回答，PHC提供相关的内容模块，涉及治疗启动、药物依从性、持续接受护理、降低性风险、母婴传播以及注射吸毒等方面。在对PHC进行的为期一个月的可行性试点期间，邀请了四家艾滋病毒初级保健诊所的患者使用PHC，并收集和评估了工具使用指标。根据呈现的行为风险情景进行描述性分析，以了解该工具的使用方式。97名患者作为试点的一部分使用了PHC，其中68名（70.1%）平均在15分钟内完成了干预。在85名查看行为提示和承诺的患者中，66名（77.7%）选择了至少一条提示来实践，41名（48.2%）至少做出了一项承诺，即向他们的医疗服务提供者提问。患者在依从性和降低性风险内容上花费的时间最多。工具参与度较高表明，无论诊断后时间长短，PHC对患者来说都是可以接受的。PHC可以在一次就诊时完成，对艾滋病毒感染者来说是一种很有前景的工具。
