Rebecca Dillingham|Karen S. Ingersoll|Tabor Flickinger|Ava Lena Waldman|Marika Waselewski|Colleen Laurence|Erin Wispelwey|George Reynolds|Mark R. Conaway|Wendy F. Cohn
PositiveLinks: A Mobile Health Intervention for Retention in HIV Care and Clinical Outcomes with 12-Month Follow-Up
University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|Health Decision Technologies (United States)|University of Virginia|University of Virginia
mobile health interventions may help people living hiv plwh improve engagement care designed piloted positivelinks clinicaffiliated mobile intervention plwh assessed longitudinal impact retention care viral suppression program based academic ryan white clinic serving nonurban population central virginia pl intervention included smartphone app connected participants clinic staff provided educational resources daily queries stress mood medication adherence weekly quizzes appointment reminders virtual support group outcomes analyzed using mcnemars tests hrsa1 visit constancy viral suppression nonparametric wilcoxon signedrank tests cd4 counts viral loads 77 participants 63 male 49 black nonhispanic 72 federal poverty level participants achievement retention care benchmark hrsa1 increased 51 baseline 88 6 months p 00001 81 12 months p 00003 visit constancy improved baseline 6 months p 0016 12 months p 00004 participants mean cd4 counts increased baseline 6 months p 00007 12 months p 00005 percentage participants suppressed viral loads increased 47 baseline 87 6 months p 00001 79 12 months p 00007 study one first demonstrate mobile health intervention positive impact retention care clinical outcomes vulnerable plwh next steps include integration clinical practice dissemination