CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa

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dc.contributor.authorClouse, Kate
dc.contributor.authorPhillips, Tamsin K
dc.contributor.authorCamlin, Carol
dc.contributor.authorNoholoza, Sandisiwe
dc.contributor.authorMogoba, Phepo
dc.contributor.authorNaidoo, Julian
dc.contributor.authorLangford, Richard
dc.contributor.authorWeiss, Martin
dc.contributor.authorSeebregts, Christopher J
dc.contributor.authorMyer, Landon
dc.date.accessioned2020-04-15T09:01:29Z
dc.date.available2020-04-15T09:01:29Z
dc.date.issued2020-03-12
dc.date.updated2020-03-16T15:05:11Z
dc.description.abstractAbstract Background South Africa is home to the world’s largest antiretroviral therapy program but sustaining engagement along the HIV care continuum has proven challenging in the country and throughout the wider region. Population mobility is common in South Africa, but there are important research gaps in describing this mobility and its impact on engagement in HIV care. Postpartum women and their infants in South Africa are known to be at high risk of dropping out of HIV care after delivery and are frequently mobile. Methods In 2017, we developed a beta version of a smartphone application (app) - CareConekta - that detects a user’s smartphone location to allow for prospective characterization of mobility. Now we will adapt and test CareConekta to conduct essential formative work on mobility and evaluate an intervention - the CareConekta app plus text notifications and phone calls and/or WhatsApp messages - to facilitate engagement in HIV care during times of mobility. During the 3-year project period, our first objective is to evaluate the feasibility, acceptability, and initial efficacy of using CareConekta as an intervention to improve engagement in HIV care. Our second objective is to characterize mobility among South African women during the peripartum period and its impact on engagement in HIV care. We will enroll 200 eligible pregnant women living with HIV and receiving care at the Gugulethu Midwife Obstetric Unit in Cape Town, South Africa. Discussion This work will provide critical information about mobility during the peripartum period and the impact on engagement in HIV care. Simultaneously, we will pilot test an intervention to improve engagement with rigorously assessed outcomes. If successful, CareConekta offers tremendous potential as a research and service tool that can be adapted and evaluated in multiple geographic regions, study contexts, and patient populations. Trial registration ClinicalTrials.gov: NCT03836625. Registered on 8 February 2019.en_US
dc.identifier.apacitationClouse, K., Phillips, T. K., Camlin, C., Noholoza, S., Mogoba, P., Naidoo, J., ... Myer, L. (2020). CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa. <i>Trials</i>, 21(1), 258. en_ZA
dc.identifier.chicagocitationClouse, Kate, Tamsin K Phillips, Carol Camlin, Sandisiwe Noholoza, Phepo Mogoba, Julian Naidoo, Richard Langford, Martin Weiss, Christopher J Seebregts, and Landon Myer "CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa." <i>Trials</i> 21, 1. (2020): 258. en_ZA
dc.identifier.citationClouse, K., Phillips, T.K., Camlin, C., Noholoza, S., Mogoba, P., Naidoo, J., Langford, R. & Weiss, M. et al. 2020. CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa. <i>Trials.</i> 21(1):258. en_ZA
dc.identifier.issn1745-6215
dc.identifier.ris TY - Journal Article AU - Clouse, Kate AU - Phillips, Tamsin K AU - Camlin, Carol AU - Noholoza, Sandisiwe AU - Mogoba, Phepo AU - Naidoo, Julian AU - Langford, Richard AU - Weiss, Martin AU - Seebregts, Christopher J AU - Myer, Landon AB - Abstract Background South Africa is home to the world’s largest antiretroviral therapy program but sustaining engagement along the HIV care continuum has proven challenging in the country and throughout the wider region. Population mobility is common in South Africa, but there are important research gaps in describing this mobility and its impact on engagement in HIV care. Postpartum women and their infants in South Africa are known to be at high risk of dropping out of HIV care after delivery and are frequently mobile. Methods In 2017, we developed a beta version of a smartphone application (app) - CareConekta - that detects a user’s smartphone location to allow for prospective characterization of mobility. Now we will adapt and test CareConekta to conduct essential formative work on mobility and evaluate an intervention - the CareConekta app plus text notifications and phone calls and/or WhatsApp messages - to facilitate engagement in HIV care during times of mobility. During the 3-year project period, our first objective is to evaluate the feasibility, acceptability, and initial efficacy of using CareConekta as an intervention to improve engagement in HIV care. Our second objective is to characterize mobility among South African women during the peripartum period and its impact on engagement in HIV care. We will enroll 200 eligible pregnant women living with HIV and receiving care at the Gugulethu Midwife Obstetric Unit in Cape Town, South Africa. Discussion This work will provide critical information about mobility during the peripartum period and the impact on engagement in HIV care. Simultaneously, we will pilot test an intervention to improve engagement with rigorously assessed outcomes. If successful, CareConekta offers tremendous potential as a research and service tool that can be adapted and evaluated in multiple geographic regions, study contexts, and patient populations. Trial registration ClinicalTrials.gov: NCT03836625. Registered on 8 February 2019. DA - 2020-03-12 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Trials KW - HIV/AIDS KW - Pregnancy KW - Postpartum KW - Women KW - Retention KW - Mobile health KW - mHealth KW - Smartphone KW - South Africa LK - https://open.uct.ac.za PY - 2020 SM - 1745-6215 T1 - CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa TI - CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa UR - ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s13063-020-4190-x
dc.identifier.urihttps://hdl.handle.net/11427/31632
dc.identifier.vancouvercitationClouse K, Phillips TK, Camlin C, Noholoza S, Mogoba P, Naidoo J, et al. CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa. Trials. 2020;21(1):258. .en_ZA
dc.language.rfc3066en
dc.publisher.departmentDepartment of Public Health and Family Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s).
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceTrialsen_US
dc.source.journalissue1en_US
dc.source.journalvolume21en_US
dc.source.pagination258en_US
dc.source.urihttps://trialsjournal.biomedcentral.com/
dc.subjectHIV/AIDSen_US
dc.subjectPregnancyen_US
dc.subjectPostpartumen_US
dc.subjectWomenen_US
dc.subjectRetentionen_US
dc.subjectMobile healthen_US
dc.subjectmHealthen_US
dc.subjectSmartphoneen_US
dc.subjectSouth Africaen_US
dc.titleCareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africaen_US
dc.typeJournal Articleen_US
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