TY - JOUR
T1 - Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes
AU - Stonbraker, Samantha
AU - Liu, Jianfang
AU - Sanabria, Gabriella
AU - George, Maureen
AU - Cunto-Amesty, Silvia
AU - Alcántara, Carmela
AU - Abraído-Lanza, Ana F.
AU - Halpern, Mina
AU - Rowell-Cunsolo, Tawandra
AU - Bakken, Suzanne
AU - Schnall, Rebecca
N1 - Funding Information:
The research reported in this publication and the first author were supported by the National Institute of Nursing Research of the National Institutes of Health under award number K99NR017829. The mentorship of RS was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number K24NR018621. The contributions of SB, TRC, and MG were supported by the Precision in Symptom Self-Management Center which is supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number P30NR016587. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/12
Y1 - 2021/12
N2 - We designed an infographic intervention to help clinicians provide health information to persons living with HIV. In this study, we assessed the extent to which our intervention may improve objectively and subjectively measured health outcomes (CD4 count, viral load, and engagement with clinician among others) when integrated into routine visits in the Dominican Republic. In this pretest–posttest study, we followed participants for 9 months at 3-month intervals. Physicians administered the intervention during participants’ first 3 visits. Outcome measures, selected using a conceptual model, were assessed at 4 time points. We assessed changes in outcomes over time with general linear regressions and Wilcoxon Signed-Rank tests. Participants (N = 50) were mostly female (56%) and had been living with HIV for a mean of 6.3 years (SD = 6.1). All outcomes, except CD4 count, demonstrated statistically significant improvements by study end. This provides preliminary evidence our intervention may improve outcomes, but further testing is needed.
AB - We designed an infographic intervention to help clinicians provide health information to persons living with HIV. In this study, we assessed the extent to which our intervention may improve objectively and subjectively measured health outcomes (CD4 count, viral load, and engagement with clinician among others) when integrated into routine visits in the Dominican Republic. In this pretest–posttest study, we followed participants for 9 months at 3-month intervals. Physicians administered the intervention during participants’ first 3 visits. Outcome measures, selected using a conceptual model, were assessed at 4 time points. We assessed changes in outcomes over time with general linear regressions and Wilcoxon Signed-Rank tests. Participants (N = 50) were mostly female (56%) and had been living with HIV for a mean of 6.3 years (SD = 6.1). All outcomes, except CD4 count, demonstrated statistically significant improvements by study end. This provides preliminary evidence our intervention may improve outcomes, but further testing is needed.
KW - Clinician-patient communication
KW - HIV/AIDS care
KW - Information visualization
KW - Nursing informatics
KW - Patient education
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U2 - 10.1007/s10461-021-03331-8
DO - 10.1007/s10461-021-03331-8
M3 - Article
C2 - 34129143
AN - SCOPUS:85107965431
SN - 1090-7165
VL - 25
SP - 4061
EP - 4073
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 12
ER -