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Positive Health Check evaluation: A type 1 hybrid design randomized trial to decrease HIV viral loads in patients
Megan A Lewis1, Camilla Harshbarger2, Carla Bann1
1RTI International, Research Triangle Park, NC, United States of America.
Contemporary Clinical Trials
|August 2, 2020
Summary
A video doctor intervention effectively reduces HIV viral load and improves healthcare retention for patients with HIV. This digital health strategy supports medication adherence and clinical care engagement.
Area of Science:
- Public Health
- Digital Health Interventions
- HIV/AIDS Research
Background:
- Effective HIV management requires early antiretroviral therapy (ART) initiation, adherence, and retention in care to minimize viral loads.
- Innovative strategies are crucial for engaging and retaining people with HIV (PWH) in healthcare to support ART adherence.
- Current gaps exist in utilizing digital tools to enhance patient engagement and clinical outcomes in HIV care.
Purpose of the Study:
- To evaluate the effectiveness of a tailored video doctor intervention in reducing HIV viral load.
- To assess the intervention's impact on retaining people with HIV in clinical care.
- To explore the implementation potential and costs of integrating digital interventions into HIV primary care.
Main Methods:
- A type 1 hybrid randomized trial design was employed.
- Participants were recruited from four HIV primary care clinics.
- Patients were randomly assigned to receive the Positive Health Check video doctor intervention plus standard care or standard care alone.
Main Results:
- The study aims to determine the effectiveness of the video doctor intervention.
- Secondary aims focus on implementation potential within clinic workflows.
- Cost-effectiveness of the intervention will also be assessed.
Conclusions:
- Findings will inform the use of digital interventions like video doctors in HIV care.
- The study seeks to demonstrate how technology can decrease viral load and improve retention.
- Results will have significant real-world applicability for diverse patient populations in HIV primary care clinics.
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