Bridging the Digital Divide in HIV Care

• Main Authors: Amneris E. Luque MD, Roberto Corales DO, Richard J. Fowler, Jamie DiMarco MSW, Adjuah van Keken MA, Paul Winters MS, Michael C. Keefer MD, Kevin Fiscella MD, MPH
• Format: Article
• Language: English
• Published: SAGE Publishing 2013-03-01
• Series: Journal of the International Association of Providers of AIDS Care
• Online Access: https://doi.org/10.1177/1545109712457712

Background: Persons living with HIV (PLWH) need practical tools to self-manage their condition. Methods: We conducted a proof-of-concept study among PLWH to assess whether patients could learn to use a personal health record (PHR) on a hand-held device (iPod Touch) to manage their condition. We began individual trainings and later adapted this to group training. We assessed usability, acceptability and also effects on self-efficacy for treatment adherence using the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES). Results: Nine PLWH participated in the individual training and 29 participated in the group sessions. The participants were largely middle aged, low-income and of racial/ethnic minorities. The sessions were well attended and participants fully engaged in tasks and shared learning. Most participants stated they intended to use the PHR and reported improved self-efficacy in treatment adherence ( P = .05) particularly on the integration of treatment adherence into one's routine ( P < .02). Conclusions: Training PLWH in use of a handheld PHR shows promise.