Tailored SMS-Based Intervention for People Living with HIV: Proof-of-C

Slide Presentation from the AHRQ 2009 Annual Conferenc

On September 16, 2009, Jennifer Uhrig made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (1.2 MB) (Plugin Software Help).

Slide 1

Tailored SMS-Based Intervention for People Living with HIV: Proof-of-Concept

Jennifer Uhrig, Robert Furberg, Megan Lewis, Curtis Coomes, Carla Bann, Lisa Kuhns, Peyton Williams and Andre Blackman
3040 Cornwallis Road  P.O. Box 12194  Research Triangle Park, NC 27709

Research to Reform: Achieving Health System Change. Agency for Healthcare Research and Quality 2009 Annual Conference, September 13-16, 2009.
 

Slide 2

The Continued HIV Epidemic in the United States

• 56,300 people infected with HIV in 2006
• Anti-retroviral therapy has changed the course of the epidemic for infected individuals
• An estimated 1 million people are currently living with HIV

Slide 3

Cell Phones and SMS

• In 2008, 87% of Americans had cell phones
• SMS is rapidly becoming a common mode of communication
• SMS may offer promise as a medium for implementing health interventions outside of a clinic setting
• Of 53 health intervention studies that evaluated the use of SMS interventions, only 9 were conducted in North America

Slide 4

Tailored Health Communication

• SMS messages can be tailored to address an individual's needs, interests and concerns
• Tailored health messages have been shown to be more effective than non-tailored messages
• Tailored messages can promote patient-centered care by promoting
  • Adoption and maintenance of healthier, safer sexual behaviors
  • Medication and appointment adherence
  • Interaction with credible health information sources
  • General health and wellness
  • Social support

Slide 5

Unique Partnership to Test Proof-of-Concept

RTI International: Independent, non-profit, research and development organization.
Howard Brown: One of the nation's largest lesbian, gay, bisexual and transgender ambulatory health care organizations

Slide 6

Project Design

• Literature review/environmental scan (completed)
• Develop implementation and evaluation plan (completed)
• Design intervention (in progress)
• Implement intervention (upon receiving IRB approval and OMB clearance)
• Evaluate
• Disseminate findings

Slide 7

Conceptual Model

Image: The image is a visual representation of the conceptual model. On the left are five boxes: Social Support, Patient Involvement, Health & Wellness, Risk Behaviors and lastly Adherence. On the right are two boxes: Health Care Quality and Health Outcomes. The illustration has arrows pointing from "Social Support" and "Patient Involvement" to "Health Care Quality"; by doing so it describes how "Social Support" and "Patient Involvement" affects "Health Care Quality". Additionally, there are arrows from "Health & Wellness", "Risk Behaviors" and "Adherence" pointing towards "Health Outcomes"; by doing so it describes how "Health & Wellness", "Risk Behaviors" and "Adherence" affect "Health Outcomes". There is an arrow from "Health Care Quality" to "Health Outcomes", demonstrating the impact of "Health Care Quality" on "Health Outcomes".

Slide 8

Evaluation Design

Image: This image describes the evaluation design. There are seven boxes, ordered from left to right, that describe the evaluation design's sequence. The left is the beginning and the right the end. The seven boxes, in order of sequence, are as follows:

1. Recruitment
2. Enrollment
3. Medical Record Review and Post-Intervention Survey
4. Assignment to Message Cluster
5. Exposure to Intervention
6. Patient Interviews and Clinic Staff Interviews
7. Medical Record Review and Post-Intervention Survey

Concurrently with all phases, the illustration says the following data will be collected throughout the entire evaluation: Input from the study implementation team; Text message archives; and feedback from site study coordinator.

Slide 9

Questions?

For more information, please contact:

Jennifer Uhrig
uhrig@rti.org
919.316.3311