College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
College of Public Health, University of South Florida, Tampa, Florida, USA.
J Am Med Inform Assoc. 2024 Jan 18;31(2):329-341. doi: 10.1093/jamia/ocad157.
To pilot test an infographic-based health communication intervention that our team rigorously designed and explore whether its implementation leads to better health outcomes among Latino persons with HIV (PWH).
Latino PWH (N = 30) living in New York City received the intervention during health education sessions at 3 study visits that occurred approximately 3 months apart. At each visit, participants completed baseline or follow-up assessments and laboratory data were extracted from patient charts. We assessed 6 outcomes (HIV-related knowledge, self-efficacy to manage HIV, adherence to antiretroviral therapy, CD4 count, viral load, and current and overall health status) selected according to a conceptual model that describes pathways through which communication influences health outcomes. We assessed changes in outcomes over time using quantile and generalized linear regression models controlling for the coronavirus disease 2019 (COVID-19) research pause and new patient status (new/established) at the time of enrollment.
Most participants were male (60%) and Spanish-speaking (60%); 40% of participants identified as Mixed Race/Mestizo, 13.3% as Black, 13.3% as White, and 33.3% as "other" race. Outcome measures generally improved after the second intervention exposure. Following the third intervention exposure (after the COVID-19 research pause), only the improvements in HIV-related knowledge and current health status were statistically significant.
Our infographic-based health communication intervention may lead to better health outcomes among Latino PWH, but larger trials are needed to establish efficacy. From this work, we contribute suggestions for effective infographic use for patient-provider communication to enhance patient education in clinical settings.
试点测试我们团队精心设计的基于信息图的健康传播干预措施，探索其实施是否能改善感染艾滋病毒的拉丁裔人群（PLWH）的健康结果。
居住在纽约市的感染艾滋病毒的拉丁裔人（PLWH）（N=30）在 3 次研究访问期间的健康教育课程中接受了干预措施，这 3 次访问大约相隔 3 个月。在每次访问中，参与者完成基线或随访评估，从患者图表中提取实验室数据。我们评估了根据描述沟通影响健康结果的途径的概念模型选择的 6 个结果（艾滋病毒相关知识、管理艾滋病毒的自我效能、抗逆转录病毒治疗的依从性、CD4 计数、病毒载量以及当前和总体健康状况）。我们使用分位数和广义线性回归模型评估随时间变化的结果，控制了 2019 年冠状病毒病（COVID-19）研究暂停和登记时新患者（新/已确立）的状态。
大多数参与者为男性（60%）和西班牙语裔（60%）；40%的参与者为混血/梅斯蒂索人，13.3%为黑人，13.3%为白人，33.3%为“其他”种族。在第二次干预接触后，大多数结果都有所改善。在第三次干预接触（COVID-19 研究暂停后）之后，只有艾滋病毒相关知识和当前健康状况的改善具有统计学意义。
我们基于信息图的健康传播干预措施可能会改善感染艾滋病毒的拉丁裔人的健康结果，但需要更大的试验来确定其疗效。从这项工作中，我们为在临床环境中增强患者教育的有效信息图使用提供了建议。
