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Epic Allies: A Gamified Mobile App to Improve Engagement in HIV Care and Antiretroviral Adherence among Young Men Who have Sex with Men.
AIDS Behav. 2021 Aug; 25(8):2599-2617.AB

Abstract

HIV incidence among young men who have sex with men (YMSM) is disproportionally high. Youth living with HIV demonstrate low rates of sustained virologic suppression (VS). Epic Allies, a theory-based behavioral intervention mobile app, utilizes self-management tools, gamification, and social support to improve engagement in care and antiretroviral adherence among YMSM living with HIV. A two-arm individually randomized-controlled trial enrolled 146 participants aged 16 to 24 years old to test the efficacy of Epic Allies to achieve VS. Both study arms showed improved VS at 26-weeks (62.9% intervention; 73.5% control; ARR = 0.93 (95% CI 0.73, 1.18)) and antiretroviral adherence; intervention effects were amplified in regular app users. Issues with recruitment and app usage metrics limit the ability to definitively say that the app was effective in causing behavior changes resulting in improved health outcomes. (ClinicalTrials.gov Identifier: NCT02782130).

Authors+Show Affiliations

Institute for Global Health and Infectious Diseases, University of North Carolina, 130 Mason Farm Road, CB# 7030, Chapel Hill, NC, 27599, USA. lisa_hightow@med.unc.edu. Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina, Chapel Hill, NC, USA. lisa_hightow@med.unc.edu.Institute for Global Health and Infectious Diseases, University of North Carolina, 130 Mason Farm Road, CB# 7030, Chapel Hill, NC, 27599, USA. Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina, Chapel Hill, NC, USA.Duke Global Health Institute, Duke University, Durham, NC, USA.Institute for Global Health and Infectious Diseases, University of North Carolina, 130 Mason Farm Road, CB# 7030, Chapel Hill, NC, 27599, USA.Duke Global Health Institute, Duke University, Durham, NC, USA.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

33740213

Citation

Hightow-Weidman, Lisa, et al. "Epic Allies: a Gamified Mobile App to Improve Engagement in HIV Care and Antiretroviral Adherence Among Young Men Who Have Sex With Men." AIDS and Behavior, vol. 25, no. 8, 2021, pp. 2599-2617.
Hightow-Weidman L, Muessig KE, Egger JR, et al. Epic Allies: A Gamified Mobile App to Improve Engagement in HIV Care and Antiretroviral Adherence among Young Men Who have Sex with Men. AIDS Behav. 2021;25(8):2599-2617.
Hightow-Weidman, L., Muessig, K. E., Egger, J. R., Vecchio, A., & Platt, A. (2021). Epic Allies: A Gamified Mobile App to Improve Engagement in HIV Care and Antiretroviral Adherence among Young Men Who have Sex with Men. AIDS and Behavior, 25(8), 2599-2617. https://doi.org/10.1007/s10461-021-03222-y
Hightow-Weidman L, et al. Epic Allies: a Gamified Mobile App to Improve Engagement in HIV Care and Antiretroviral Adherence Among Young Men Who Have Sex With Men. AIDS Behav. 2021;25(8):2599-2617. PubMed PMID: 33740213.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epic Allies: A Gamified Mobile App to Improve Engagement in HIV Care and Antiretroviral Adherence among Young Men Who have Sex with Men. AU - Hightow-Weidman,Lisa, AU - Muessig,Kathryn E, AU - Egger,Joseph R, AU - Vecchio,Alyssa, AU - Platt,Alyssa, Y1 - 2021/03/19/ PY - 2021/03/08/accepted PY - 2021/3/20/pubmed PY - 2021/3/20/medline PY - 2021/3/19/entrez KW - ART adherence KW - Adolescents KW - HIV KW - Linkage to care KW - Smartphone technology SP - 2599 EP - 2617 JF - AIDS and behavior JO - AIDS Behav VL - 25 IS - 8 N2 - HIV incidence among young men who have sex with men (YMSM) is disproportionally high. Youth living with HIV demonstrate low rates of sustained virologic suppression (VS). Epic Allies, a theory-based behavioral intervention mobile app, utilizes self-management tools, gamification, and social support to improve engagement in care and antiretroviral adherence among YMSM living with HIV. A two-arm individually randomized-controlled trial enrolled 146 participants aged 16 to 24 years old to test the efficacy of Epic Allies to achieve VS. Both study arms showed improved VS at 26-weeks (62.9% intervention; 73.5% control; ARR = 0.93 (95% CI 0.73, 1.18)) and antiretroviral adherence; intervention effects were amplified in regular app users. Issues with recruitment and app usage metrics limit the ability to definitively say that the app was effective in causing behavior changes resulting in improved health outcomes. (ClinicalTrials.gov Identifier: NCT02782130). SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/33740213/Epic_Allies:_A_Gamified_Mobile_App_to_Improve_Engagement_in_HIV_Care_and_Antiretroviral_Adherence_among_Young_Men_Who_have_Sex_with_Men_ L2 - https://doi.org/10.1007/s10461-021-03222-y DB - PRIME DP - Unbound Medicine ER -