Using Smart Phone Technology to Support HIV Medication Refill Adherence in Virginia
- Conditions
- HivAdherence, Medication
- Interventions
- Other: PositiveLinks RX Mobile AppOther: PositiveLinks RX Portal
- Registration Number
- NCT03876626
- Lead Sponsor
- University of Virginia
- Brief Summary
The purpose of this study is to pilot a mobile health intervention, originally designed for HIV retention in care, for use in aiding patients with medication refills. The study will implement the PositiveLinks Rx app with the Henrico Health department. The study will assess user engagement and satisfaction with the app as well as preliminary impact on patient refill compliance.
- Detailed Description
The study will enrolled provider and patient participants at the Henrico Health Department in Virginia who either receive or provide medication refills through the AIDS Drug Assistance Program (ADAP). Patient participants will be provided access to a mobile app that allows them to track their mood, stress, and medication adherence, access an anonymous online community, securely message providers, and receive medication refill alerts. Provider participants will be able to view the information entered by enrolled clients, securely message clients, and track medication refill processes. Study participants will be asked to provide feedback on usability, utility, impact, and effectiveness of the program. Additional assessments will evaluate for impact on medication refill adherence and patient-provider communication.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 26
- Currently picking up of receiving medications through ADAP from the Henrico Health Department; Able to read in English; Able to speak English; Able to sign informed consent
Provider Inclusion Criteria:
- Current Henrico Health Department employee working with the ADAP pharmacy; Able to read in English; Able to speak English; Able to sign informed consent
- Severe cognitive impairment that interferes with a subjects ability to consent; non-English speaking; Prisoners
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Patient Participants PositiveLinks RX Mobile App Clients who receive medication refills through the AIDS Drug Assistance Program at the Henrico Health Department will be invited to participate in the study as patients. Patient participants will be provided access to a mobile app that allows them to track their mood, stress, and medication adherence, access an anonymous online community, securely message providers, and receive medication refill alerts Provider Participants PositiveLinks RX Portal Employees who work with medication refills through the AIDS Drug Assistance Program at the Henrico Health Department will be invited to participate in the study as providers. Provider participants will receive access to a web based system that allows them to view information for their enrolled clients, securely message clients, and track medication refills. Providers will be asked to participate in a 30-day usability interview and a end-of-study assessment.
- Primary Outcome Measures
Name Time Method Change in Patient Medication Refill Compliance Assessed at baseline and 6-months Primary variable analysis will include examination of patient medication refill compliance at baseline and at the 6-month follow-up to assess for any change in refill compliance.
- Secondary Outcome Measures
Name Time Method Participant Community Engagement Assessed at 6-months Examining participant app engagement through assessment of community posts
Participant Feature Engagement Assessed at 6-months Examining participant app engagement through assessment of page views
Change in Patient Refill Satisfaction Assessed at baseline and 6-months Assessment of change in patient satisfaction with the refill process at their local health department. Utilizes a patient satisfaction with pharmaceutical services scale.
Program Alignment with Health Department Workflow Assessed at 30-days and 6-months Assessing alignment with health department workflow through provider end-of-study and usability interviews
App Usability 30-days after enrollment Assessed through the system usability scale (SUS), a validated ten item scale. Additional usability factors will be assessed through qualitative methods.
Participant Check-In Engagement Assessed at 6-months Examining participant app engagement through assessment of check-in response rates
Change in Provider Communication Assessed at baseline and 6-months Assessment of change in patient perception of provider (local health department staff) communication. Utilizes the Consultation and Relational Empathy (CARE) scale.
Participant Messaging Engagement Assessed at 6-months Examining participant app engagement through assessment of messages sent and received
Trial Locations
- Locations (1)
Henrico Health Department
🇺🇸Richmond, Virginia, United States