The YGetIt? Program : A Mobile Application, PEEP, and Digital Comic Intervention to Improve HIV Care Outcomes for Young Adults

INTRODUCTION: In New York State (NYS), young adults account for the largest number of new human immunodeficiency virus (HIV) infections and struggle to seek and remain in HIV care. Digital interventions and access to peer support have demonstrated positive influences on the HIV care continuum and health outcomes. The New York State Department of Health (NYS DOH) developed YGetIt? (YGI) that combines a mobile application, GET!, peer navigation (PEEPs), and a compelling digital comic series, "Tested," to facilitate the timely entry of young people into HIV care, to prevent vulnerable youth from dropping out of care, and to achieve sustained viral load suppression among those in care. This article describes the development and early implementation of the YGI digital intervention. Intervention Design. GET! provided a high level of confidentiality and security, ease of access, and Wi-Fi accessibility. YGI enrolled 113 HIV-positive participants from a clinical setting who were individually randomized at a 1:1 ratio to receive access to GET! plus PEEPs (n = 53) or the app alone (n = 60).

LESSONS LEARNED: For recruitment, staff and organization buy-in was essential to the success of the intervention, and building relationships was critical. GET! development was an iterative process. Peer Engagement Educator Professionals (PEEPs) who were tech savvy, representative of the priority population, and had shared life experience with participants were most impactful. Interest in apps declines over time and participants in the APP alone arm were less engaged.

CONCLUSION: GET! is a communication and engagement tool that supports HIV care and may serve as a model for like digital interventions.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Health promotion practice - 24(2023), 4 vom: 24. Juli, Seite 658-668

Sprache:

Englisch

Beteiligte Personen:

Aladin, Beatrice [VerfasserIn]
Thompson, Mark [VerfasserIn]
Addison, Diane [VerfasserIn]
Havens, Jessica [VerfasserIn]
McGowan, Joseph [VerfasserIn]
Nash, Denis [VerfasserIn]
Smith, Cheryl [VerfasserIn]

Links:

Volltext

Themen:

HIV/AIDS
Health equity
Health promotion
Journal Article
Minority health
Patient education
Program planning and evaluation
Research Support, U.S. Gov't, P.H.S.
Sexual health
Social determinants of health
Social marketing/health communication
Technology

Anmerkungen:

Date Completed 07.07.2023

Date Revised 18.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/15248399221150789

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354298046