Brin Maeve, Michaels Claudia, Veihman Patrick, Wood Olivia R, Abua Joseph, Kay Emma Sophia, Batey D Scott, Schnall Rebecca
Columbia University School of Nursing, 560 W 168th St., New York, NY 10032, United States.
Birmingham AIDS Outreach, 205 32nd St. South, Birmingham, AL 35233, United States.
Int J Med Inform. 2025 Sep;201:105959. doi: 10.1016/j.ijmedinf.2025.105959. Epub 2025 May 5.
BACKGROUND: Antiretroviral therapy allows people with HIV to manage the disease as a chronic illness rather than a fatal diagnosis as regular adherence can lead to viral suppression. It is estimated, however, that less than two-thirds of people with HIV in the United States sustain viral suppression. Community Health Workers and mHealth to Improve Viral Suppression (CHAMPS) is useful for improving and personalizing care and may help promote medication adherence among people with HIV. OBJECTIVE: We aimed to understand acceptability and perceived usefulness of the CHAMPS intervention. METHODS: In-depth interviews were carried out with a total of 42 intervention participants from the RCT of the CHAMPS intervention versus standard of care on ART adherence and viral suppression among PWH, which enrolled participants between May 2021 and May 2023 in the NYC and Birmingham, AL areas, to obtain feedback on the CHAMPS intervention, a combination of CHW sessions, and the CleverCap app and device. Interviews were transcribed and coded using a codebook guided by the Unified Theory of Acceptance and Use of Technology framework. RESULTS: Participants ranged from 19 to 65 years old with a mean of 47 years. Most participants (62 %) identified as cisgender female, 33 % as cisgender male, 2 % as transgender male, and 2 % as transgender female. Participants believed the CleverCap app and device and CHW sessions were useful for medication adherence and, consequently, reducing viral load. Participants identified varying levels of difficulty with using the intervention, and varying levels of comfort with using the intervention in public settings. Overall, participants felt they could integrate the intervention into their daily lives and that it was instrumental in achieving improved health status and quality of life. CONCLUSION: Despite some complexities associated with use of the intervention, participants overwhelmingly demonstrated interest in and were pleased with the CleverCap app and device and CHW sessions for improvement of viral load and overall health status. Positive feedback during the interviews supports future testing of the CHAMPS mHealth and CHW intervention.
背景：抗逆转录病毒疗法使感染艾滋病毒的人能够将这种疾病作为慢性病来管理，而非致命诊断，因为持续规律服药可实现病毒抑制。然而，据估计，在美国，不到三分之二的艾滋病毒感染者实现了病毒抑制。社区卫生工作者与移动健康促进病毒抑制项目（CHAMPS）有助于改善护理并实现个性化护理，可能有助于促进艾滋病毒感染者的药物依从性。 目的：我们旨在了解CHAMPS干预措施的可接受性和感知有用性。 方法：对CHAMPS干预措施与标准护理对照试验中的42名干预参与者进行了深入访谈，该试验针对艾滋病毒感染者的抗逆转录病毒治疗依从性和病毒抑制情况，于2021年5月至2023年5月在纽约市和阿拉巴马州伯明翰地区招募参与者，以获取关于CHAMPS干预措施（社区卫生工作者培训课程与CleverCap应用程序及设备的组合）的反馈。访谈内容经转录后，依据技术接受与使用统一理论框架指导的编码手册进行编码。 结果：参与者年龄在19岁至65岁之间，平均年龄47岁。大多数参与者（62%）认定为顺性别女性，33%为顺性别男性，2%为跨性别男性，2%为跨性别女性。参与者认为CleverCap应用程序及设备和社区卫生工作者培训课程对药物依从性有用，因此有助于降低病毒载量。参与者指出使用该干预措施存在不同程度的困难，在公共场合使用该干预措施时也有不同程度的不适感。总体而言，参与者觉得他们可以将该干预措施融入日常生活，且该措施有助于改善健康状况和生活质量。 结论：尽管使用该干预措施存在一些复杂情况，但参与者对CleverCap应用程序及设备和社区卫生工作者培训课程表现出极大兴趣，并对其有助于降低病毒载量和改善整体健康状况感到满意。访谈期间的积极反馈支持对CHAMPS移动健康和社区卫生工作者干预措施进行未来测试。
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