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Implementing a Digital HIV Care Navigation Intervention (Health eNav): Protocol for a Feasibility Study
Sean Arayasirikul1,2,3, Dillon Trujillo3, Caitlin M Turner3
1Department of Pediatrics, University of California San Francisco, San Francisco, CA, United States.
JMIR Research Protocols
|November 9, 2019
Summary
Digital HIV care navigation using mobile technology improved engagement for young minority men who have sex with men (MSM) and trans women. This intervention addresses barriers to HIV testing and care linkage, crucial for reducing transmission.
Area of Science:
- Public Health
- Digital Health
- HIV/AIDS Research
Background:
- Young racial and ethnic minority men who have sex with men (MSM) and trans women face disproportionately high rates of HIV/AIDS in the U.S.
- Low HIV testing uptake and poor linkage to care drive ongoing HIV transmission in these populations.
- Internet and mobile technologies offer potential to overcome care barriers and disseminate interventions.
Purpose of the Study:
- To describe Health eNavigation (Health eNav), a digital HIV care navigation intervention.
- To extend supportive care structures beyond clinic walls for youth and young adults living with HIV.
- To serve individuals newly diagnosed, not linked to care, out of care, or not virally suppressed.
Main Methods:
- Utilized ecological momentary assessments for 90 days.
- Employed person-delivered short message service (SMS) text messages for digital HIV care navigation over 6 months.
- Intervention components included HIV care navigation, health promotion, motivational interviewing, and digital social support.
Main Results:
- Presents baseline sample characteristics of participants enrolled between November 2016 and May 2018.
- Intervention delivery and follow-up evaluations were completed by November 2019.
- This paper focuses on the initial participant data.
Conclusions:
- Discusses real-world strategies for delivering digital HIV care navigation.
- Highlights challenges encountered in a city-level, public health setting.
- Emphasizes the potential of digital interventions to improve HIV care engagement and outcomes.
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