Technology-Based Interventions Tools

AETC Engagement in Care Workgroup

Description

  • Information and communication technologies (ICTs), mobile health (mHealth) interventions, these include text messaging and Electronic games and "virtual care" (e-doc) to educate, link, engage PLWH 
  • EMR access programs (my medical record) to allow e-communication with providers/ and case managers, as well as request appointments
StrengthsChallenges
  • Allows engagement in a familiar, culturally acceptable, user-friendly format for many vulnerable populations of HIV+ (like adolescents and young adults)
  • Real-time
  • "Quick and easy" 
  • Convenience of use
  • Tool to facilitate relationship building for vulnerable persons
  • Allows for non-verbal communication
  • Meets meaningful use requirement for reimbursement
  • Increases patient satisfaction and communication with health care providers
  • Patient can access labs, notes, and task providers and case managers 
  • Patients can access secure/protected EMR from any computer (can use the library computers) or hand held devices 
  • Not available reliably for many due to costs
  • Relies on access and regular use of technological device
  • Inconsistent documented outcome evidence; technology use limitations (knowledge of use, familiarity and comfort level) of some providers
  • Training need for providers
  • Confidentiality risk associated with not logging off if using EMR access program on a public computer
  • Patients in rural areas may have access to computers at their support groups/PLWH meetings.
  • Provider(s) and Patients must both have cell to text and understand limitations 
  • Possible confidentiality issues (i.e. text is sent to patient, but friend/parent/partner reads message instead of patient)

Resources Required

  • Equipment, including computer, tablet, or cell phone.

Model Programs

  • Project STYLE, UNC – Chapel Hill 
    Contact: Lisa Hightow-Weidman, MD, MPH 
    Email: [email protected]
  • Epic program – University of Florida 
    Contact: Saniyyah Mahmoudi, MSN, ARNP
    Phone: (904) 244-4881
    Email: [email protected]

Evidence

Tools

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