The Promise of Patient-Centered Text Messages for Encouraging HIV Testing in an Underserved Population

Arya, Monisha; Huang, Anna; Kumar, Disha; Hemmige, Vagish; Street, Richard L.; Giordano, Thomas P.

doi:10.1016/j.jana.2017.07.002

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…Various telehealth interventions have been used to improve HIV continuum of care and to promote HIV prevention including behavioral interventions, facilitator-led videoconferencing groups, text messaging to increase HIV testing, medication counseling sessions with pharmacists through videoconferencing, and telehealth collaborative approaches to address mental health needs for PLWH. Most of these studies showed promising results and high patient satisfaction rates 37–41. However, some studies could not demonstrate an added benefit to the standard of care.…”

Section: Clinical Usementioning

confidence: 99%

Integration of Telehealth Services in the Healthcare System: With Emphasis on the Experience of Patients Living with HIV

Dandachi

Lee

Morgan

et al. 2019

Journal of Investigative Medicine

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The US Health Resources and Services Administration defines telehealth as the use of electronic information and telecommunications technologies to support long-distance clinical healthcare, patient and professional health-related education, public health and health administration. Many studies have supported the use of telehealth to increase convenience to patients, improve patient satisfaction, diminish healthcare disparities, and reduce cost that will ultimately lead to improvement in clinical outcomes and quality of care. However, guaranteeing confidentiality, educating patients and providers, and obtaining insurance reimbursement are some of the challenges that face the implementation of telehealth program. The use of telehealth has been investigated in acute infections, such as endocarditis and chronic infections as in hepatitis C, and HIV. The purpose of this review is to focus on the use of telehealth services for people living with HIV (PLWH). For PLWH, telehealth could be particularly useful by connecting specialty providers to an underserved population and addressing many of the factors identified as barriers to HIV care. To date, the literature supports the use of telehealth for the management of chronic diseases including HIV. Most of the studies showed a high acceptability and positive experience with telehealth services among PLWH. However, fewer studies have evaluated telemedicine for chronic direct care of PLWH. Well-designed studies are needed to show that the implementation of telehealth could improve the HIV care continuum. In addition, future research should focus on identifying the group of patients that could benefit the most from such intervention.

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Section: Clinical Usementioning

confidence: 99%

Integration of Telehealth Services in the Healthcare System: With Emphasis on the Experience of Patients Living with HIV

Dandachi

Lee

Morgan

et al. 2019

Journal of Investigative Medicine

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“…6,10 Various telehealth interventions have been used to provide online based sexual health outreach, 11 to promote HIV testing and to address specific interventions among PWH, such as smoking cessation, or treatment of depression. 12,13 Most of these studies have shown promising results and high rates of patient satisfaction. [12][13][14][15][16][17] Fewer studies have evaluated telehealth for chronic direct care of PWH.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 Most of these studies have shown promising results and high rates of patient satisfaction. [12][13][14][15][16][17] Fewer studies have evaluated telehealth for chronic direct care of PWH. Research indicates that telemedicine could be an acceptable, safe, feasible, costeffective, and effective alternative to in-clinic visits to manage HIV.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care

Dandachi

Dang

Lucari

et al. 2020

AIDS Patient Care and STDs

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Telehealth could address many of the factors identified as barriers for retention in HIV care. In this study, we explore people with HIV (PWH)'s attitudes about using telemedicine for HIV care instead of face-to-face clinic visits. We administered a one-time survey to PWH presenting to an outpatient HIV center in Houston, Texas, from February to June 2018. The survey items were used to assess PWH's attitudes toward and concerns for telehealth and explanatory variables; 371 participants completed the survey; median age was 51, 36% and were female, and 63% was African American. Overall 57% of respondents were more likely to use telehealth for their HIV care if available, as compared with one-on-one in-person care, and 37% would use telehealth frequently or always as an alternative to clinic visits. Participants reported many benefits, including ability to fit better their schedule, decreasing travel time, and privacy but expressed concerns about the ability to effective communication and examination and the safety of personal information. Factors associated with likelihood of using telehealth include personal factors (US-born, men who have sex with men, higher educational attainment, higher HIV-related stigma perception), HIV-related factors (long-standing HIV), and structural factors (having difficulty attending clinic visits, not knowing about or not having the necessary technology). There was no association between participants with uncontrolled HIV, medication adherence, and likelihood of using telehealth. Telehealth programs for PWH can improve retention in care. Availability and confidence using various telehealth technologies need to be addressed to increase acceptability and usage of telehealth among PWH.

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“…[5] EHealth has strengthened in the field of HIV research as more interventions are adopting these techniques due to eHealth's many benefits. [6][7][8] Published reports suggested that individuals are more comfortable using computers while addressing sensitive topics, such as HIV. [9] EHealth interventions can often be disseminated and implemented more easily than peerdelivered interventions.…”

Section: Introductionmentioning

confidence: 99%

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey (Preprint)

Bond¹,

Ramos²

2018

Preprint

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Background: EHealth technology has significantly impacted HIV prevention strategies, but reach to African American women has been scarce. Objectives:To explore the feasibility, acceptability, and preference of an avatar-led, eHealth video to increase awareness and knowledge of HIV post and pre-exposure prophylaxis (PEP and PrEP) in a sample of African American women. Methods:A cross-sectional, descriptive, online study was conducted with 116 African American women ages 18 to 61. We explored: 1) consumer-awareness, 2) intention to use, and 3) preference for post and pre-exposure prophylaxis after watching the eHealth video.Results: Eighty-nine percent rated the video as good or higher. A higher rating of the educational video was significantly predicted by: no current use of drugs/alcohol (β = -.814, p = .004); not having unprotected sex in the last 3 months (β =-.488, p = .025); higher income (β =.149, p = . 026); lower level of education (β =-.267, p = .005); and, a lower exposure to sexual assault since age 18 (β =-.313, p = .004). After watching the eHealth video, interest in both, PEP and PrEP was high, with intentions to use PEP and PrEP being 96.7% and 75.6% respectively. Ninety-three percent reported recommending PEP and 90.1% PrEP to other women. Conclusions:Utilization of an avatar-led, eHealth, online video fostered education about PEP and PrEP. We can leverage this approach to increase awareness and usage among African American women.

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The Promise of Patient-Centered Text Messages for Encouraging HIV Testing in an Underserved Population

Cited by 7 publications

References 11 publications

Integration of Telehealth Services in the Healthcare System: With Emphasis on the Experience of Patients Living with HIV

Integration of Telehealth Services in the Healthcare System: With Emphasis on the Experience of Patients Living with HIV

Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care

Utilization of an Animated Electronic Health Video to Increase Knowledge of Post- and Pre-Exposure Prophylaxis for HIV Among African American Women: Nationwide Cross-Sectional Survey (Preprint)

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