Though evidence shows that Mobile health (mHealth) interventions can improve adherence and viral load in HIV-positive persons, few have studied the health care providers' (HCP) perspective. We conducted a prospective mixed methods pilot study using the WelTel intervention wherein HIV-positive participants (n = 25) received weekly interactive text messages for 6 months. Text message response rate and topic data were collected to illustrate the HCP experience. The aim of this study is to explore intervention acceptability and feasibility from the HCP perspective through a baseline focus group and end of study interviews with HCP impacted by the intervention. Interview data were thematically coded using the Technology Acceptance Model. HCPs identified that the WelTel intervention engaged patients in building relationships, while organizing and streamlining existing mHealth efforts and dealing with privacy issues. HCPs recognized that although workload would augment initially, intervention benefits were many, and went beyond simply improving HIV viral load.

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We introduce the term “relational activism” to call attention to the way that relationship-building work contributes to conventional activism (re-activism) and constitutes activism in and of itself. In so doing, we unravel Mohai’s paradox – a long-standing “ironic contrast” that notes that women’s environmental concern is not reflected in greater contributions to activism than men’s. We position relational activism as a bridging concept between re-activism and social capital. Relational activism differs from re-activism in four key areas: the role of the individual, effectiveness, motivating values, and temporal scale. To support these claims, we draw upon 26 ethnographic interviews conducted with families in Edmonton, Alberta, who strive to reduce their environmental impact.

Introduction to the Special Issue