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Publication Profiles

Using the Positive Peers Mobile App to Improve Clinical Outcomes for Young People With HIV: Prospective Observational Cohort Comparison

Citation

Step MM, McMillen Smith J, Lewis SA, Avery AK. Using the Positive Peers Mobile App to Improve Clinical Outcomes for Young People With HIV: Prospective Observational Cohort Comparison. JMIR Mhealth Uhealth. 2022;10(9):e37868. doi:10.2196/37868

Implementation stage:

Implementation

Implementation outcomes reported:

Adoption

Continuum target addressed:

Engagement in treatment (including retention and re-engagement), Viral suppression

Geography:

Cuyahoga County-OH

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers examined how young people with HIV used the Positive Peers support app and whether app users had different HIV care outcomes from young people who chose not to use it.

Plain Language Abstract

Young people with HIV can face difficulty staying in care and reducing HIV in the blood to a very low level, known as viral suppression. Positive Peers is a mobile support app designed with young adults receiving HIV care in Northeast Ohio. Researchers compared 114 people who chose to use the app with 145 nonusers from the same clinical population, for 259 participants total. Surveys, app activity, and medical records were collected over 12 months. Among participants aged 13–24, app users had higher adjusted odds of completing HIV laboratory tests than nonusers (2.85; 95% confidence interval, 1.03–7.90) and higher adjusted odds of sustained viral suppression (4.2; 95% confidence interval, 1.2–13.9). This was an observational comparison based on self-selected app use, so it cannot establish that the app caused the differences. The authors considered the results preliminary and called for a larger evaluation of acceptability and effectiveness while the app continues to be used in other communities.

Key Takeaways

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