Jennifer K. Carroll|Jonathan N. Tobin|Amneris E. Luque|Subrina Farah|Mechelle Sanders|Andrea Cassells|Steven M. Fine|Wendi Cross|Michele Boyd|Tameir Holder|Marie Thomas|Cleo Clarize Overa|Kevin Fiscella
“Get Ready and Empowered About Treatment” (GREAT) Study: a Pragmatic Randomized Controlled Trial of Activation in Persons Living with HIV
University of Colorado Anschutz Medical Campus|University of Colorado Denver|Clinical Directors Network|The University of Texas Southwestern Medical Center|University of Rochester|University of Rochester|Clinical Directors Network|University of Rochester|University of Rochester|University of Rochester|Clinical Directors Network|University of Rochester|Clinical Directors Network|University of Rochester
little known strategies improve patient activation particularly among persons living hiv plwh assess impact group intervention individual coaching patient activation plwh pragmatic randomized controlled trial eight practices new york two new jersey serving plwh three hundred sixty plwh received care participating practices least limited english proficiency basic literacy six 90min group training sessions covering use epersonal health record loaded onto handheld mobile device single 2030 min individual previsit coaching session primary outcome change patient activation measure pam secondary outcomes changes ehealth literacy eheals decision selfefficacy dses perceived involvement care scale pics health sf12 receipt hivrelated care change hiv viral load vl intervention group showed significantly greater improvement control group primary outcome pam difference 282 95 confidence interval ci 032532 effects largest among participants lowest quartile pam baseline p 005 intervention doubled odds improving one level pam odds ratio 196 95 ci 116331 intervention group also significantly greater improvement eheals difference 267 95 ci 13839 pics 127 95 ci 041213 control group intervention effects similar raceethnicity low education exception ehealth literacy effects stronger minority participants statistically significant effects observed decision selfefficacy health status adherence receipt hiv relevant care hiv viral load patient activation intervention modestly improved several domains related patient empowerment effects patient activation largest among lowest levels baseline patient activation study registered clinical trialsgov nct02165735