Cohort profile: CareConekta: a pilot study of a smartphone application to improve engagement in postpartum HIV care in South Africa.
Epidemiology
HIV & AIDS
Maternal medicine
PUBLIC HEALTH
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
22 11 2022
22 11 2022
Historique:
entrez:
22
11
2022
pubmed:
23
11
2022
medline:
25
11
2022
Statut:
epublish
Résumé
Pregnant and postpartum women living with HIV in South Africa are at high risk of dropping out of care, particularly after delivery. Population mobility may contribute to disruptions in HIV care, and postpartum women are known to be especially mobile. To improve engagement in HIV care during the peripartum period, we developed CareConekta, a smartphone application (app) that uses GPS coordinates to characterise mobility and allow for real-time intervention. We conducted a randomised controlled pilot study to assess feasibility, acceptability and initial efficacy of the app intervention to improve engagement in HIV care. This cohort profile describes participant enrolment and follow-up, describes the data collected and provides participant characteristics. We enrolled 200 pregnant women living with HIV attending routine antenatal care at the Gugulethu Midwife Obstetric Unit in Cape Town, South Africa. Eligible women must have owned smartphones that met the app's technical requirements. Seven participants were withdrawn near enrolment, leaving 193 in the cohort. Data were collected from detailed participant questionnaires at enrolment and follow-up (6 months after delivery), as well as GPS data from the app, and medical records. Follow-up is complete; initial analyses have explored smartphone ownership, preferences and patterns of use among women screened for eligibility and those enrolled in the study. Additional planned analyses will characterise mobility in the population using the phone GPS data and participant self-reported data. We will assess the impact of mobility on engagement in care for the mother and infant. We also will describe the acceptability and feasibility of the study, including operational lessons learnt. By linking this cohort to the National Health Laboratory Service National HIV Cohort in South Africa, we will continue to assess engagement in care and mobility outcomes for years to come. Collaborations are welcome. NCT03836625.
Identifiants
pubmed: 36414286
pii: bmjopen-2022-064946
doi: 10.1136/bmjopen-2022-064946
pmc: PMC9685000
doi:
Banques de données
ClinicalTrials.gov
['NCT03836625']
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e064946Subventions
Organisme : NICHD NIH HHS
ID : R01 HD103466
Pays : United States
Organisme : NIMH NIH HHS
ID : R34 MH118028
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
AIDS. 2008 Aug 20;22(13):1679-81
pubmed: 18670232
Trials. 2020 Mar 12;21(1):258
pubmed: 32164771
J Immigr Minor Health. 2018 Feb;20(1):91-100
pubmed: 27909937
J Acquir Immune Defic Syndr. 2017 Apr 1;74(4):383-389
pubmed: 28225717
Biomed Res Int. 2015;2015:153402
pubmed: 26380263
S Afr Med J. 2011 Apr;101(4):253-7
pubmed: 21786730
PLoS One. 2013;8(1):e54523
pubmed: 23336005
J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25136
pubmed: 30027588
AIDS. 2013 Feb 20;27(4):645-50
pubmed: 23169326
PLoS One. 2021 May 21;16(5):e0250844
pubmed: 34019556
J Acquir Immune Defic Syndr. 2008 Jan 1;47(1):101-7
pubmed: 17971708
AIDS. 2007 Nov;21 Suppl 7:S29-38
pubmed: 18040162
Trop Med Int Health. 2010 Jun;15 Suppl 1:98-104
pubmed: 20586967
J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25114
pubmed: 30027583
Int J Qual Health Care. 2016 Jun;28(3):415-9
pubmed: 27029590
AIDS Care. 2019 Jun;31(6):723-729
pubmed: 30596261
J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25121
pubmed: 30027665
AIDS. 2015 Nov;29(17):2361-2
pubmed: 26258526
Matern Child Health J. 2019 Sep;23(9):1260-1270
pubmed: 31218606
PLoS One. 2016 May 04;11(5):e0154664
pubmed: 27144393
JMIR Form Res. 2021 Feb 8;5(2):e19243
pubmed: 33555261
Lancet HIV. 2017 Mar;4(3):e113-e121
pubmed: 27956187
Sex Transm Dis. 2010 Apr;37(4):240-3
pubmed: 19959971
Open AIDS J. 2016 Apr 08;10:34-48
pubmed: 27347270
Science. 2013 Feb 22;339(6122):961-5
pubmed: 23430655
Glob Health Action. 2015 Feb 16;8:26769
pubmed: 25697233
BMC Med Inform Decis Mak. 2016 Jul 07;16:84
pubmed: 27387548
J Med Internet Res. 2016 Aug 19;18(8):e226
pubmed: 27543152
AIDS Patient Care STDS. 2014 Jun;28(6):284-95
pubmed: 24839872
BMC Infect Dis. 2018 Apr 13;18(1):175
pubmed: 29653510
PLoS Med. 2020 Mar 31;17(3):e1003085
pubmed: 32231390
Trop Med Int Health. 2010 Jun;15 Suppl 1:82-9
pubmed: 20586965
Curr HIV/AIDS Rep. 2019 Aug;16(4):314-323
pubmed: 31256348
PLoS One. 2020 Apr 28;15(4):e0231952
pubmed: 32343742
BMC Public Health. 2018 May 29;18(1):668
pubmed: 29843667
PLoS Med. 2018 Jun 11;15(6):e1002589
pubmed: 29889844