scholarly journals Interactive Mobile Phone HIV Adherence Support for Men who Have Sex with Men in the Philippines: Intervention Development and Pilot Testing in the Philippines Connect for Life Study (Preprint)

10.2196/30811 ◽  
2021 ◽  
Author(s):  
Cara O'Connor ◽  
Katerina Leyritana ◽  
Aoife M Doyle ◽  
James J Lewis ◽  
Randeep Gill ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Intervention Development ◽  
The Philippines ◽  
Pilot Testing ◽  
Life Study ◽  
Adherence Support ◽  
Sex With Men

scholarly journals Interactive Mobile Phone HIV Adherence Support for Men who Have Sex with Men in the Philippines: Intervention Development and Pilot Testing in the Philippines Connect for Life Study (Preprint)

2021 ◽  
Author(s):  
Cara O'Connor ◽  
Katerina Leyritana ◽  
Aoife M Doyle ◽  
James J Lewis ◽  
Randeep Gill ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Focus Group ◽  
Mobile Phone ◽  
The Philippines ◽  
Art Adherence ◽  
Pilot Phase ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Adherence Support ◽  
Sex With Men

BACKGROUND The Philippines HIV epidemic is one of the fastest growing globally, and infections among men who have sex with men (MSM) are rising at an alarming rate. The World Health Organization (WHO) recommends use of mobile phone health technologies (mHealth) to engage patients in care and ensure high levels of adherence to antiretroviral therapy (ART). Existing mHealth interventions can be adapted and tailored to the context and population served. OBJECTIVE To create a locally tailored intervention using a mobile phone platform to support treatment adherence for HIV patients on antiretroviral therapy (ART) in the Philippines. METHODS A mixed-methods approach guided by the Behavior Change Wheel (BCW) framework was used to adapt an existing mHealth adherence support platform for the local setting and target population. Literature review, retrospective clinical record review, and focus group discussions with patients were conducted to understand the drivers of ART adherence and tailor the intervention accordingly. The resulting intervention was pilot tested for eight weeks, followed by focus group discussions with patients who received the intervention to assess the acceptability of the design. RESULTS Key issues contributing to nonadherence included side effects, lack of behavioral skills for pill taking, social support, metal health, and substance use. Patients identified mHealth as an acceptable mode of intervention delivery, and wanted the mHealth services to be highly personalizable. The study team, clinicians, and software developers integrated these findings into the intervention, which included a menu of services: pill reminders, health tips, adherence feedback, appointment reminders, and symptom reporting. During the pilot phase, technical issues in the interactive voice response system (IVRS) were identified and addressed. Patients who participated in the pilot phase expressed a preference for short message service (SMS) over IVRS. Patients responded positively to the appointment reminders and health tips, while patient feedback on daily/weekly pill reminders and adherence feedback was mixed. CONCLUSIONS The mobile phone-based SMS and IVRS intervention was acceptable to MSM in Manila, Philippines, and qualitative analysis suggested the intervention helped promote ART adherence and appointment attendance.

scholarly journals Development and Pilot Testing of the Eating4two Mobile Phone App to Monitor Gestational Weight Gain

2015 ◽  
Vol 3 (2) ◽  
pp. e44 ◽  
Author(s):  
Catherine Knight-Agarwal ◽  
Deborah Lee Davis ◽  
Lauren Williams ◽  
Rachel Davey ◽  
Robert Cox ◽  
...  
Keyword(s):  
Weight Gain ◽  
Mobile Phone ◽  
Gestational Weight Gain ◽  
Pilot Testing ◽  
Gestational Weight

scholarly journals The Characteristics and Quality of Mobile Phone Apps Targeted at Men Who Have Sex With Men in China: A Window of Opportunity for Health Information Dissemination?

10.2196/12573 ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. e12573 ◽  
Author(s):  
Guoli Yang ◽  
Jian Long ◽  
Dan Luo ◽  
Shuiyuan Xiao ◽  
Atipatsa Chiwanda Kaminga
Keyword(s):  
Mobile Phone ◽  
Health Information ◽  
Information Dissemination ◽  
Window Of Opportunity ◽  
Sex With Men

scholarly journals Using structural equation modelling to characterise multilevel socioecological predictors and mediators of condom use among transgender women and cisgender men who have sex with men in the Philippines

2020 ◽  
Vol 5 (7) ◽  
pp. e002463
Author(s):  
Arjee Restar ◽  
Adedotun Ogunbajo ◽  
Alexander Adia ◽  
Jennifer Nazareno ◽  
Laufred Hernandez ◽  
...  
Keyword(s):  
Social Capital ◽  
Condom Use ◽  
Self Efficacy ◽  
Latent Variables ◽  
Structural Equation ◽  
The Philippines ◽  
Transgender Women ◽  
Health Crisis ◽  
Hiv Services ◽  
Sex With Men

BackgroundRisks for condomless sex among transgender women and cisgender men who have sex with men (trans-WSM and cis-MSM, respectively) in the Philippines, where HIV recently became a national public health crisis, are shaped and exacerbated by various risk factors across multiple levels.MethodsBetween June 2018 and August 2019, we conducted a cross-sectional online study with 318 trans-WSM and cis-MSM respondents from Manila and Cebu cities. Structural equational modelling procedures were performed to determine direct, indirect and overall effects between condom use and latent variables across multiple socioecological levels: personal (ie, condom self-efficacy), social (ie, social capital), environmental (ie, barriers to condom and HIV services) and structural (ie, structural violence, antidiscrimination policies).ResultsAdjusted for gender, age, location and income, our model showed that: (1) all latent variables at the structural and environmental levels were significantly positively associated with each other (all ps<0.05); (2) barriers to condom and HIV services were significantly negatively associated with social capital (p<0.001) as well as condom self-efficacy (p<0.001); and (3) there were significantly positive associations between social capital and condom self-efficacy (p<0.001), and between condom self-efficacy and condom use (p<0.001). Moreover, social capital and condom self-efficacy fully mediated and buffered the negative effects between environmental and structural barriers and condom use.ConclusionThis is the first known study pointing to multiple relationships and pathways across multiple socioecological levels that can potentially be leveraged for future interventions aimed at improving condom use among Filipinx trans-WSM and cis-MSM. Such interventions should be multicomponent and build and/or strengthen social capital and condom self-efficacy, as well as intentionally target prominent structural and environmental barriers to condom use.

scholarly journals Tonse Pamodzi: Developing a combination strategy to support adherence to antiretroviral therapy and HIV pre-exposure prophylaxis during pregnancy and breastfeeding

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253280
Author(s):  
Lauren M. Hill ◽  
Friday Saidi ◽  
Kellie Freeborn ◽  
K. Rivet Amico ◽  
Nora E. Rosenberg ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Intervention Development ◽  
Hiv Treatment ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Combination Strategy ◽  
Antiretroviral Adherence ◽  
Treatment And Prevention ◽  
Adherence Support ◽  
Exposure Prophylaxis

To eliminate mother-to-child transmission of HIV (EMTCT), scalable strategies to enhance antiretroviral adherence for both antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) are needed as part of integrated HIV and maternal-child health services. We developed Tonse Pamodzi (“all of us together”), an adaptable intervention integrating biomedical and behavioral components to support HIV treatment and prevention. We describe our intervention development process, which comprised formative qualitative research, a review of the literature, and technical input from stakeholders representing the community, health systems, and policymakers. The resulting intervention, described herein, integrates patient-centered counseling and engagement of a patient-selected adherence supporter for pregnant and breastfeeding women initiating ART or PrEP. Patients receiving the intervention engage in Integrated Next Step Counseling (iNSC) sessions delivered by trained counselors to build and maintain adherence skills. Each patient also has the option of selecting an adherence supporter (partner, family member, or friend) who may participate in iNSC sessions and provide adherence support outside of these sessions. This flexible intervention is adaptable not only to ART or PrEP use, but also to the needs and preferences of each woman and the clinical context. If shown to be acceptable and feasible, the Tonse Pamodzi intervention may be an important tool in continuing efforts for EMTCT.

scholarly journals Characterizing Awareness of Pre-Exposure Prophylaxis for HIV Prevention in Manila and Cebu, Philippines: Web-Based Survey of Filipino Cisgender Men Who Have Sex With Men (Preprint)

2020 ◽  
Author(s):  
Arjee Restar ◽  
Anthony Surace ◽  
Alexander Adia ◽  
William Goedel ◽  
Adedotun Ogunbajo ◽  
...  
Keyword(s):  
Public Health ◽  
Hiv Prevention ◽  
Multivariable Analysis ◽  
College Education ◽  
The Philippines ◽  
Web Based ◽  
Hiv Test ◽  
Sex With Men ◽  
Prep Awareness ◽  
Exposure Prophylaxis

BACKGROUND The Philippines is experiencing an HIV crisis and is considering implementing pre-exposure prophylaxis (PrEP) as a national public health strategy for HIV prevention for cisgender men who have sex with men (cis-MSM). However, critical information on the awareness of PrEP among cis-MSM is needed to roll out this public health initiative. OBJECTIVE This study aims to assess PrEP awareness and related correlates (ie, sociodemographic variables, social factors, and health care access and use) among Filipino cis-MSM. METHODS We conducted a web-based survey with Filipino cis-MSM (n=179) residing in the cities of Manila and Cebu, Philippines. Multivariable analysis procedures were performed to examine the factors associated with PrEP awareness. RESULTS Our sample demonstrated high awareness (134/179, 74.9%) and interest (159/179, 88.8%) in taking PrEP. The adjusted model showed that greater odds of PrEP awareness were associated with having a college education or higher versus a high school education or lower (adjusted odds ratio [aOR] 7.30, 95% CI 1.01-52.47), earning between PHP 10,000 (US $198.6) and PHP 20,000 (US $397.2) versus &lt;PHP 10,000 (US $198.60; aOR 9.32, 95% CI 1.41-6.22), having had a prior HIV test (aOR 6.06, 95% CI 1.20-13.55), having high HIV knowledge (aOR 3.50, 95% CI 1.11-10.98), and having friends who discussed PrEP (aOR 11.17, 95% CI 2.73-14.5). CONCLUSIONS Our findings demonstrate that Filipino cis-MSM are aware of and interested in taking PrEP, but there is currently an unmet need for such biomedical HIV prevention technologies among this population. Incorporating PrEP education into routine HIV screening and leveraging cis-MSM social networks may be useful in optimizing potential PrEP implementation in the Philippines.

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