Electronic Dose Monitoring Feedback (EMF) with Youth Living with HIV: Qualitative Exploration of Reactions to Viewing Dosing Calendars.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Eamonn McGonigle, Megan Mueller Johnson, Heather Tucker, Michael Hudgens, Ronald Dallas, Keith J Horvath, Rachel Goolsby, Elizabeth Secord, Murli Purswani, Daniel Reirden, Mobeen Rathore, Lisa-Gaye Robinson, Aditya H Gaur, K Rivet Amico
{"title":"Electronic Dose Monitoring Feedback (EMF) with Youth Living with HIV: Qualitative Exploration of Reactions to Viewing Dosing Calendars.","authors":"Eamonn McGonigle, Megan Mueller Johnson, Heather Tucker, Michael Hudgens, Ronald Dallas, Keith J Horvath, Rachel Goolsby, Elizabeth Secord, Murli Purswani, Daniel Reirden, Mobeen Rathore, Lisa-Gaye Robinson, Aditya H Gaur, K Rivet Amico","doi":"10.1007/s10461-025-04820-w","DOIUrl":null,"url":null,"abstract":"<p><p>Electronic dose monitoring with feedback (EMF) offers an opportunity to visualize daily dosing behaviors that can otherwise be difficult to appreciate. Visual displays, including early, on-time, late, or missed doses over time, can foster insights around patterns of dosing. Reactions to seeing these patterns among youth with HIV (YWH) who struggle with adherence are important to consider with EMF. YWH (ages 14-25) participating in the ATN152 TERA intervention were presented withsmart-bottle-generated 1-month EMF calendars as part of their sessions with a remote 'coach'. To characterize how youth reacted to these visualizations, transcripts from this portion of the coaching sessions were thematically analyzed. A total of 64 youth-coach discussions were characterized across 37 unique participants (22 years old on average, 81% Black/African American, 46% acquired HIV vertically). Six main reactions to EMF calendars were identified: feelings of pride/satisfaction, empowerment/motivation, positive surprise, negative surprise, shame/guilt, and/or neutral reactions. Although most reactions were positive, those with negative reactions tended to be in response to calendars showing low adherence. Over a quarter (28%) of youth ranked the EMF as one of the most beneficial/helpful aspects of the intervention when asked about experiences with intervention tools within the coaching session. A calendar EMF appeared to offer unique opportunities to explore adherence in the context of a supportive counseling session.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AIDS and Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10461-025-04820-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Electronic dose monitoring with feedback (EMF) offers an opportunity to visualize daily dosing behaviors that can otherwise be difficult to appreciate. Visual displays, including early, on-time, late, or missed doses over time, can foster insights around patterns of dosing. Reactions to seeing these patterns among youth with HIV (YWH) who struggle with adherence are important to consider with EMF. YWH (ages 14-25) participating in the ATN152 TERA intervention were presented withsmart-bottle-generated 1-month EMF calendars as part of their sessions with a remote 'coach'. To characterize how youth reacted to these visualizations, transcripts from this portion of the coaching sessions were thematically analyzed. A total of 64 youth-coach discussions were characterized across 37 unique participants (22 years old on average, 81% Black/African American, 46% acquired HIV vertically). Six main reactions to EMF calendars were identified: feelings of pride/satisfaction, empowerment/motivation, positive surprise, negative surprise, shame/guilt, and/or neutral reactions. Although most reactions were positive, those with negative reactions tended to be in response to calendars showing low adherence. Over a quarter (28%) of youth ranked the EMF as one of the most beneficial/helpful aspects of the intervention when asked about experiences with intervention tools within the coaching session. A calendar EMF appeared to offer unique opportunities to explore adherence in the context of a supportive counseling session.

电子剂量监测反馈(EMF)与青少年艾滋病毒感染者:观察剂量日历反应的定性探索。
带反馈的电子剂量监测(EMF)提供了将日常剂量行为可视化的机会,否则很难理解。视觉显示,包括早、准时、晚或错过一段时间的剂量,可以促进对剂量模式的了解。在努力坚持治疗的青年艾滋病毒感染者(YWH)中看到这些模式的反应对EMF来说很重要。参与ATN152 TERA干预的青年妇女(14-25岁)在与远程“教练”的会议中获得了智能瓶生成的1个月EMF日历。为了描述年轻人对这些可视化的反应,我们对这部分教练课程的记录进行了主题分析。共有64个青年教练讨论,涉及37个不同的参与者(平均年龄22岁,81%是黑人/非裔美国人,46%是垂直感染艾滋病毒的)。确定了对EMF日历的六种主要反应:自豪感/满足感、授权/动机、积极惊喜、消极惊喜、羞耻/内疚和/或中性反应。尽管大多数反应都是积极的,但那些有消极反应的人往往是对低依从性日历的反应。当被问及在辅导期间使用干预工具的经验时,超过四分之一(28%)的青年将EMF列为干预措施中最有益/最有帮助的方面之一。日历EMF似乎提供了独特的机会来探索支持咨询会议背景下的依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信