Bridging the digital divide in HIV care: a pilot study of an iPod personal health record

J Int Assoc Provid AIDS Care. 2013 Mar-Apr;12(2):117-21. doi: 10.1177/1545109712457712. Epub 2012 Sep 10.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cohort Studies
  • Feasibility Studies
  • Female
  • HIV Infections / psychology*
  • HIV Infections / therapy*
  • Health Records, Personal*
  • Humans
  • MP3-Player*
  • Male
  • Medication Adherence*
  • Middle Aged
  • Patient Satisfaction
  • Pilot Projects
  • Self Care*
  • Self Efficacy