HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV

BMC Infectious Diseases

Study Protocol

Levinia Crooks¹  Julie A. Simpson²  Paula Lorgelly³  Sean Slavin⁴  Andrew Tonkin⁵  Julian H. Elliott⁶  Tanya Millard⁶  Irith Williams⁶  Karalyn McDonald⁶  Karen M. Klassen⁶  Janine Roney⁶  Sharon R. Lewin⁷  Jasminka Sterjovski⁷  Michael R. Kidd⁸  Malcolm W. Battersby⁹  Christopher K. Fairley^1,10  Jo Watson^1,11  Richard H. Osborne^1,12  Sarity Dodson^1,13  Margot Brereton^1,14 

[1] Australasian Society for HIV Medicine, Sydney, Australia;Department of Public Health and Human Biosciences, La Trobe University, Melbourne, Australia;Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia;Centre for Health Economics, Monash University, Melbourne, Australia;Centre for Social Research in Health, University of New South Wales, Sydney, Australia;Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia;Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia;Department of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia;Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, Australia;Flinders Human Behaviour and Health Research Unit, Flinders University, Adelaide, Australia;Melbourne Sexual Health Centre and Department of Medicine, Central Clinical School, Monash University, Melbourne, Australia;National Association of People with HIV Australia, Sydney, Australia;School of Health and Social Development, Deakin University, Geelong, Australia;School of Health and Social Development, Deakin University, Geelong, Australia;Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia;Science and Engineering Faculty, Queensland University of Technology, Brisbane, Australia;

关键词: Self-management;    HIV;    Cardiovascular disease;    Health plans;    Internet;    Public health;    Health services;   

DOI  :  10.1186/s12879-016-1422-5

 received in 2015-07-19, accepted in 2016-02-09,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe leading causes of morbidity and mortality for people in high-income countries living with HIV are now non-AIDS malignancies, cardiovascular disease and other non-communicable diseases associated with ageing. This protocol describes the trial of HealthMap, a model of care for people with HIV (PWHIV) that includes use of an interactive shared health record and self-management support. The aims of the HealthMap trial are to evaluate engagement of PWHIV and healthcare providers with the model, and its effectiveness for reducing coronary heart disease risk, enhancing self-management, and improving mental health and quality of life of PWHIV.Methods/DesignThe study is a two-arm cluster randomised trial involving HIV clinical sites in several states in Australia. Doctors will be randomised to the HealthMap model (immediate arm) or to proceed with usual care (deferred arm). People with HIV whose doctors are randomised to the immediate arm receive 1) new opportunities to discuss their health status and goals with their HIV doctor using a HealthMap shared health record; 2) access to their own health record from home; 3) access to health coaching delivered by telephone and online; and 4) access to a peer moderated online group chat programme. Data will be collected from participating PWHIV (n = 710) at baseline, 6 months, and 12 months and from participating doctors (n = 60) at baseline and 12 months. The control arm will be offered the HealthMap intervention at the end of the trial. The primary study outcomes, measured at 12 months, are 1) 10-year risk of non-fatal acute myocardial infarction or coronary heart disease death as estimated by a Framingham Heart Study risk equation; and 2) Positive and Active Engagement in Life Scale from the Health Education Impact Questionnaire (heiQ).DiscussionThe study will determine the viability and utility of a novel technology-supported model of care for maintaining the health and wellbeing of people with HIV. If shown to be effective, the HealthMap model may provide a generalisable, scalable and sustainable system for supporting the care needs of people with HIV, addressing issues of equity of access.Trial registrationUniversal Trial Number (UTN) U111111506489; ClinicalTrial.gov Id NCT02178930 submitted 29 June 2014

【 授权许可】

CC BY   
© Dodson et al. 2016