Video Information Provider for HIV-Associated Non-AIDS (VIP-HANA) Symptoms

Not Applicable

Completed

Conditions: AIDS (Acquired Immunodeficiency Syndrome)
HIV (Human Immunodeficiency Virus)

Interventions: Behavioral: VIP app that delivers HIV-related symptom strategies.
Behavioral: VIP app without HIV-related symptom strategies.

Brief Summary: The purpose of this study is to use technology to improve symptom status and ultimately improve patient centered outcomes in people living with HIV/AIDS (PLWHA). The primary purpose of the intervention (VIP-HANA) is to improve symptom status. The investigators hypothesize that VIP-HANA will improve symptom frequency and intensity.

Detailed Description: As PLWHA age, they are developing chronic illnesses and co-morbid conditions that are often seen in older HIV negative patients. HANA conditions (e.g., cardiovascular disease, liver disease, diabetes, and asthma) are becoming more common as PLWHA age.

An individual's ability to identify and self-manage symptoms of HIV illness has been shown to improve patient outcomes and quality of life. The investigators will develop and pilot test the Video Information Provider (VIP), a web application (app) that delivered HIV-related symptom self-care strategies for PLWHA for 13 common (non-HANA) HIV/AIDS symptoms. There is a need to identify the symptom experience of PLWHA with HANA conditions.

The aim is to compare the efficacy of VIP-HANA to a control arm for ameliorating symptom frequency and intensity and secondary health outcomes in 100 PLWHA with HANA conditions over 6 months.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

HIV-negative
under age 18
Unwilling to provide key data (i.e., age, information about symptoms) on the online survey.

Arm && Interventions

Group	Intervention	Description
Intervention	VIP app that delivers HIV-related symptom strategies.	VIP app that delivers HIV-related symptom strategies
Control	VIP app without HIV-related symptom strategies.	VIP app without HIV-related symptom strategies

Primary Outcome Measures

Name	Time	Method
Symptom Burden Score	Baseline, 3 months and 6 months; period 1 = 1-6 weeks (baseline), period 2 = 6-18 weeks (3 months), period 3 = >18 weeks (6 months)	The Symptom Burden Score is an expanded version of the 20-item HIV symptom index. The score is calculated for the 28 most common symptoms in persons living with HIV. Each symptom is given a score ranging from 0 to 4 with the scores indicating the following: 0 (not experienced) , 1 (It doesn't bother me), 2 (It bothers me a little), 3 (It bothers me), or 4 (It bothers me a lot). The higher the score (closer to 4), the greater the symptom burden (worse outcome).

Secondary Outcome Measures

Name	Time	Method
Score on Patient-Reported Outcomes Measurement Information System® (PROMIS)-29	Baseline, 3 months, and 6 months	The PROMIS-29 includes seven health related quality of life domains (Physical Functioning, Anxiety, Depression, Fatigue, Sleep Disturbance, Social Functioning, and Pain), and the pain domain has two subdomains (interference and intensity). Each of the 7 domains has four 5-level items (i.e., 16 decrements each). In addition to these items, pain intensity is assessed using a single 11-point numeric rating scale anchored between no pain (0) and worse imaginable pain. Raw scores, except pain intensity, are transformed using the T-score metric based on the item response theory calibrations in which scores have a mean of 50 and standard deviation of 10 for the general population in the US. T-scores can be estimated using scoring tables listed in the PROMIS manuals. A higher PROMIS T-score implies more of the concept being measured; i.e., a higher PROMIS score on physical function indicates better functioning, whereas a higher score on depression indicates more severe depressive symptoms.

Locations (1): Columbia University School for Nursing
🇺🇸
New York, New York, United States