The objective of the proposed research is to conduct formative work to develop, pilot and refine a smartphone delivered intervention for violence affected people living with HIV utilizing a novel spatial-temporal methodology, geographical ecological momentary assessment (GEMA), to first identify the activity spaces and daily psychosocial experiences (mental health symptoms, substance use, self-efficacy, coping) impacting adherence and viral suppression, and apply them to intervention. Guided by an ecological perspective, the investigators will adapt Living in the Face of Trauma to a mobile platform with GEMA informed intervention targets. The resulting app shall be referred to as NOLA GEM. Our long-term goal is delivering accessible interventions informed by daily experiences that affect health for PLWH. The investigators will test feasibility, acceptability and preliminary efficacy of the GEMA-informed NOLA GEM app against GEMA alone on adherence and care, and secondary outcomes of mental health and substance use.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
32
This is a mobile application that has 6 psychoeducational sessions and related skills, local resources, and a way for participants to track their progress. Further information is in the arm descriptions.
Access Health Louisiana
New Orleans, Louisiana, United States
Women With A Vision
New Orleans, Louisiana, United States
CrescentCare
New Orleans, Louisiana, United States
Institute of Women & Ethnic Studies
New Orleans, Louisiana, United States
Adherence
Self report taking all HIV-related medication and treatment in past 30 days
Time frame: 30 day post-assessment
Viral Load
Self report last blood draw was under 50 copies of HIV/mL in past 90 days
Time frame: 90 days post assessment
Care Engagement
Self report % of missed appointments in past 90 days
Time frame: 90 days post assessment
Care Engagement
HIV Treatment Adherence Self-Efficacy Scale; 0-120; higher score means more self-efficacy for care engagement
Time frame: 30 days post assessment
Acceptability of intervention
User Experience Questionnaire-Short Form
Time frame: 30 day post-assessment
Acceptability of intervention
Net Promotor Score; 0-10; higher score means more likely to recommend to a friend
Time frame: 30 day post-assessment
Feasibility of intervention
App usage paradata
Time frame: 30 day post-assessment
Feasibility of intervention
Participation rates
Time frame: 30 day post-assessment
PTSD
PTSD Checklist for DSM-5; higher scores indicate higher levels of PTSD symptomology
Time frame: 30 day post-assessment
Depression, anxiety
Hospital Anxiety Depression Scale; 0-21; higher scores indicate higher levels of anxiety and/or depression
Time frame: 30 day post-assessment
Stress
Study generated daily stressors severity checklist
Time frame: 30 day post-assessment
Stress
Perceived Stress Scale 4; 0-16; higher score is correlated to more stress
Time frame: 30 day post-assessment
Coping
Brief-COPE; higher scores indicate higher levels of emotion focused, problem focused, and avoidant coping styles
Time frame: 30 day post-assessment
Coping
adapted Coping Self-Efficacy Scale; higher score means more coping self-efficacy
Time frame: 30 day post-assessment
Substance use
Adapted Addiction Severity Index
Time frame: 30 day post-assessment
Substance use
Alcohol Use Disorders Identification Test-C; 0-12; higher score indicates more problematic drinking
Time frame: 30 day post-assessment
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