Acceptability, feasibility, and preliminary efficacy of a theorybased relational embodied conversational agent mobile phone intervention to promote HIV medication adherence in young hivpositive African American MSM

Mark S. Dworkin, Sangyoon Lee, Apurba Chakraborty, Colleen Monahan, Lisa Hightow-Weidman, Robert Garofalo, Dima M. Qato, Li Liu, Antonio Jimenez

Research output: Contribution to journalArticle

Abstract

An embodied conversational agent can serve as a relational agent and provide information, motivation, and behavioral skills. To evaluate the feasibility, acceptability, and preliminary efficacy of My Personal Health Guide, a theory-based mobile-delivered embodied conversational agent intervention to improve adherence to antiretroviral therapy in young African American men who have sex with men, we conducted this prospective pilot study using a 3-month pre-post design. Outcome measures included adherence, acceptability, feasibility, pre versus post health literacy, and pre versus post self-efficacy. There were 43 participants. Pill count adherence < 80% improved from 62% at baseline to 88% at follow-up (p = .05). The acceptability of the app was high. Feasibility issues identified included loss of usage data from unplanned participant app deletion. Health literacy improved whereas self-efficacy was high at baseline and follow-up. This pilot study of My Personal Health Guide demonstrated acceptability and preliminary efficacy in improving adherence in this important population.

Original languageEnglish (US)
Pages (from-to)17-37
Number of pages21
JournalAIDS Education and Prevention
Volume31
Issue number1
DOIs
StatePublished - Feb 1 2019

Fingerprint

Health Literacy
Cell Phones
Medication Adherence
Self Efficacy
African Americans
medication
HIV
Health
health
self-efficacy
Motivation
literacy
Outcome Assessment (Health Care)
Prospective Studies
Population
American
Therapeutics

Keywords

  • Adherence
  • African American MSM
  • Avatar
  • HIV
  • mhealth

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Dworkin, Mark S. ; Lee, Sangyoon ; Chakraborty, Apurba ; Monahan, Colleen ; Hightow-Weidman, Lisa ; Garofalo, Robert ; Qato, Dima M. ; Liu, Li ; Jimenez, Antonio. / Acceptability, feasibility, and preliminary efficacy of a theorybased relational embodied conversational agent mobile phone intervention to promote HIV medication adherence in young hivpositive African American MSM. In: AIDS Education and Prevention. 2019 ; Vol. 31, No. 1. pp. 17-37.
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Acceptability, feasibility, and preliminary efficacy of a theorybased relational embodied conversational agent mobile phone intervention to promote HIV medication adherence in young hivpositive African American MSM. / Dworkin, Mark S.; Lee, Sangyoon; Chakraborty, Apurba; Monahan, Colleen; Hightow-Weidman, Lisa; Garofalo, Robert; Qato, Dima M.; Liu, Li; Jimenez, Antonio.

In: AIDS Education and Prevention, Vol. 31, No. 1, 01.02.2019, p. 17-37.

Research output: Contribution to journalArticle

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