Reliability and validity of daily self-monitoring by smartphone application for health-related quality-of-life, antiretroviral adherence, substance use, and sexual behaviors among people living with HIV

AIDS Behav. 2015 Feb;19(2):330-40. doi: 10.1007/s10461-014-0923-8.

Abstract

This paper examines inter-method reliability and validity of daily self-reports by smartphone application compared to 14-day recall web-surveys repeated over 6 weeks with people living with HIV (PLH). A participatory sensing framework guided participant-centered design prioritizing external validity of methods for potential applications in both research and self-management interventions. Inter-method reliability correlations were consistent with prior research for physical and mental health quality-of-life (r = 0.26-0.61), antiretroviral adherence (r = 0.70-0.73), and substance use (r = 0.65-0.92) but not for detailed sexual encounter surveys (r = 0.15-0.61). Concordant and discordant pairwise comparisons show potential trends in reporting biases, for example, lower recall reports of unprotected sex or alcohol use, and rounding up errors for frequent events. Event-based reporting likely compensated for modest response rates to daily time-based prompts, particularly for sexual and drug use behaviors that may not occur daily. Recommendations are discussed for future continuous assessment designs and analyses.

Publication types

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

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Cell Phone*
  • Female
  • Focus Groups
  • HIV Infections / drug therapy*
  • HIV Infections / psychology
  • Health Status Indicators
  • Humans
  • Internet
  • Male
  • Medication Adherence*
  • Middle Aged
  • Quality of Life*
  • Reminder Systems
  • Reproducibility of Results
  • Retrospective Studies
  • Self Care*
  • Sexual Behavior / psychology*
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / psychology*

Substances

  • Anti-HIV Agents