Evaluation of a technology-enhanced intervention for older women with HIV infection: a proof of concept study

Veronica P.S. Njie-Carr; Shijun Zhu; Geoffrey C. Williams; Inge B. Corless; Seth Himelhoch

doi:10.1080/09540121.2020.1810617

Evaluation of a technology-enhanced intervention for older women with HIV infection: a proof of concept study

Veronica P.S. Njie-Carr
, Shijun Zhu
, Geoffrey C. Williams
, Inge B. Corless
, Seth Himelhoch

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

The syndemic effects of HIV infection, side effects of highly active antiretroviral medications, and age-related changes lead to increased risk for comorbidities and functional decline for older people with HIV. This proof of concept (PoC) study evaluated perceived usefulness, satisfaction, acceptability, intervention processes, resource management, and outcome effect variances of ThE CARE Intervention guided by the Self-Determination Theory. To test the utility of ThE CARE, we conducted a one-group pre/posttest intervention design with a convenience sample of 20 women, 50 years and older. The mean age was 56 years (SD = 11) and years since HIV diagnosis was 23.7 (SD = 8.6). ThE CARE intervention was found useful and participants “felt empowered” utilizing the app. Fourteen participants (70%) reported high-intensity distress and negative impact on life from neuropathic pain, anxiety (55%), fatigue (50%), and depressive symptoms (35%). Self-awareness and self-regulation also improved. Modest results of acceptability, usability, and positive trends in the outcome measures suggest possible effects. The interactivity and cultural relevance of ThE CARE would enhance women’s autonomous motivation and perceived competence to actively engage in self-care. The PoC study provides important foundational information to advance science in mHealth interventions for older women with HIV.

Original language	English
Pages (from-to)	983-992
Number of pages	10
Journal	AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume	33
Issue number	8
DOIs	https://doi.org/10.1080/09540121.2020.1810617
State	Published - 2021

Bibliographical note

Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.

Funding

We acknowledge funding support from the University of Maryland School of Nursing (UMSON) Dean’s Research Scholar’s Program (PI: Njie-Carr, 2016–2018) and the University of Maryland, Baltimore, ICTR and the National Center for Advancing Translational Sciences (NCATS) Clinical Translational Science Award (CTSA) grant number 1UL1TR003098-01.

Funders	Funder number
University of Maryland School of Nursing
Institute for Clinical and Translational Research, University of Wisconsin, Madison
National Center for Advancing Translational Sciences (NCATS)	UL1TR003098
University of Maryland, Baltimore County

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Community-informed
ORBIT model
mHealth application
self-determination theory

ASJC Scopus subject areas

Health(social science)
Social Psychology
Public Health, Environmental and Occupational Health

Access to Document

10.1080/09540121.2020.1810617

Cite this

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title = "Evaluation of a technology-enhanced intervention for older women with HIV infection: a proof of concept study",

abstract = "The syndemic effects of HIV infection, side effects of highly active antiretroviral medications, and age-related changes lead to increased risk for comorbidities and functional decline for older people with HIV. This proof of concept (PoC) study evaluated perceived usefulness, satisfaction, acceptability, intervention processes, resource management, and outcome effect variances of ThE CARE Intervention guided by the Self-Determination Theory. To test the utility of ThE CARE, we conducted a one-group pre/posttest intervention design with a convenience sample of 20 women, 50 years and older. The mean age was 56 years (SD = 11) and years since HIV diagnosis was 23.7 (SD = 8.6). ThE CARE intervention was found useful and participants “felt empowered” utilizing the app. Fourteen participants (70\%) reported high-intensity distress and negative impact on life from neuropathic pain, anxiety (55\%), fatigue (50\%), and depressive symptoms (35\%). Self-awareness and self-regulation also improved. Modest results of acceptability, usability, and positive trends in the outcome measures suggest possible effects. The interactivity and cultural relevance of ThE CARE would enhance women{\textquoteright}s autonomous motivation and perceived competence to actively engage in self-care. The PoC study provides important foundational information to advance science in mHealth interventions for older women with HIV.",

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Evaluation of a technology-enhanced intervention for older women with HIV infection: a proof of concept study

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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