HIV感染者および薬物使用障害者に対するデジタル医療支援の医療システムレベルでの実施:クラスターランダム化,ステップエッジ臨床試験のためのプロトコル
Ryan P Westergaard1,2, Hailey K Ballard1, Rachel E Gicquelais1,2
1Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.
JMIR research protocols
|August 29, 2025
まとめ
移動医療システムであるART-Cは,HIVと薬物使用障害を持つ人々のウイルス抑制を改善することを目的としています. この研究では 医療従事者への関わりと 医療成果の向上における 効果を評価しています
科学分野:
- デジタル・ヘルス
- HIV 医学
- 公衆衛生
背景:
- 薬物使用障害 (SUD) と社会的脆弱性に直面しているHIV (PLWH) の患者は,ウイルス抑制と闘っています.
- 移動医療システムは,HIVの治療結果を改善する 社会的・行動的支援の可能性を秘めています
研究 の 目的:
- 抗レトロウイルス療法ケアコーディネーション (ART-C) デジタルヘルスケアシステムの実施と評価
- マルチサイトHIVケアプログラムでHIVウイルスの抑制を改善し,診察を逃すのを減らす.
主な方法:
- 複数の州のVivent HealthのクリニックでART-Cが実施されています.
- スマートフォンのカスタマイズされたアプリ (Connections) を利用し,仲間からのサポートとSUD患者のための機能の強化を行いました.
- 効果を評価する段階的な臨床試験の設計と実施のための混合方法
主要な成果:
- 導入前のデータは,見逃した診察率 (45- 70%) とウイルスの非抑制率 (14- 37%) を示しています.
- 6710人の患者のうち,SUDは25. 68%,診察は42. 1%,ウイルス不抑制は20. 18%でした.
- 86人の参加者が募集され,データ収集は2027年まで続きます.
結論:
- この研究では,SUDのPLWHに対する移動医療介入の有効性を評価する.
- ART-Cの実施戦略は,ケアエンゲージメントとウイルス抑制を支援するために評価されます.
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