A Digital Counselor-Delivered Intervention for Substance Use Among People With HIV: Development and Usability Study.
Heidi Elizabeth HuttonSaavitri AggarwalAfroza GillaniGeetanjali ChanderPublished in: JMIR formative research (2023)
CDIs show promise in extending access to care and improving health outcomes but their development necessarily requires integration from multiple disciplines including behavioral medicine and computer science. We developed a cross-platform compatible CDI led by a digital counselor that interacts in a motivational interviewing style and (1) uses evidence-based behavioral change methods, (2) is culturally adapted to people with HIV who use drugs, (3) has an engaging and interactive user interface, and (4) presents personalized content based on participants' ongoing responses to a series of menu-driven conversations. To advance the continued development of this and other CDIs, we recommend expanded testing, standardized measures to evaluate user experience, integration with clinician-delivered substance use treatment, and if effective, implementation into HIV clinical care.
Keyphrases
- antiretroviral therapy
- hiv positive
- hiv infected
- hiv testing
- human immunodeficiency virus
- healthcare
- hepatitis c virus
- hiv aids
- men who have sex with men
- quality improvement
- palliative care
- primary care
- health information
- machine learning
- high throughput
- social media
- pain management
- combination therapy
- big data
- electronic health record