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

Dodson, Sarity, Klassen, Karen M., McDonald, Karalyn, Millard, Tanya, Osborne, Richard H., Battersby, Malcolm W., Fairley, Christopher K.., Simpson, Julie A., Lorgelly, Paula, Tonkin, Andrew, Roney, Janine, Slavin, Sean, Sterjovski, Jasminka, Brereton, Margot, Lewin, Sharon R., Crooks, Levinia, Watson, Jo, Kidd, Michael R., Williams, Irith and Elliott, Julian H. 2016, HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV, BMC infections diseases, vol. 16, Article number: 114, pp. 1-11, doi: 10.1186/s12879-016-1422-5.

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Title HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV
Author(s) Dodson, Sarity
Klassen, Karen M.
McDonald, Karalyn
Millard, Tanya
Osborne, Richard H.ORCID iD for Osborne, Richard H. orcid.org/0000-0002-9081-2699
Battersby, Malcolm W.
Fairley, Christopher K..
Simpson, Julie A.
Lorgelly, Paula
Tonkin, Andrew
Roney, Janine
Slavin, Sean
Sterjovski, Jasminka
Brereton, Margot
Lewin, Sharon R.
Crooks, Levinia
Watson, Jo
Kidd, Michael R.
Williams, Irith
Elliott, Julian H.
Journal name BMC infections diseases
Volume number 16
Season Article number: 114
Start page 1
End page 11
Total pages 11
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-03-05
ISSN 1471-2334
Keyword(s) self-management
HIV
cardiovascular disease
health plans
internet
public health
health services
Summary BACKGROUND: The 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/DESIGN: The 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).

DISCUSSION: The 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.
Language eng
DOI 10.1186/s12879-016-1422-5
Field of Research 111712 Health Promotion
0605 Microbiology
1103 Clinical Sciences
1108 Medical Microbiology
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082398

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.