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

Sarity Dodson; Karen Klassen; Karalyn McDonald; Tanya Millard; Richard Harry Osborne; Malcolm Battersby; Christopher K Fairley; Julie A Simpson; Paula Kate Lorgelly; Andrew Maxwell Tonkin; Janine Roney; Sean Slavin; Jasminka Sterjovski; Margot Brereton; Sharon Ruth Lewin; Levinia Crooks; Jo Watson; Michael R Kidd; Irith Williams; Julian Elliott

doi:10.1186/s12879-016-1422-5

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

Sarity Dodson, Karen Klassen, Karalyn McDonald, Tanya Millard, Richard Harry Osborne, Malcolm Battersby, Christopher K Fairley, Julie A Simpson, Paula Kate Lorgelly, Andrew Maxwell Tonkin, Janine Roney, Sean Slavin, Jasminka Sterjovski, Margot Brereton, Sharon Ruth Lewin, Levinia Crooks, Jo Watson, Michael R Kidd, Irith Williams, Julian Elliott

Research output: Contribution to journal › Article › Other › peer-review

15 Citations (Scopus)

Abstract

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.

Original language	English
Article number	114
Number of pages	11
Journal	BMC Infectious Diseases
Volume	16
DOIs	https://doi.org/10.1186/s12879-016-1422-5
Publication status	Published - 2016

Keywords

Self-management
HIV
Cardiovascular disease
Health Plans
Internet
Public Health
Health Services

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1186/s12879-016-1422-5

Cite this

Dodson, S., Klassen, K., McDonald, K., Millard, T., Osborne, R. H., Battersby, M., Fairley, C. K., Simpson, J. A., Lorgelly, P. K., Tonkin, A. M., Roney, J., Slavin, S., Sterjovski, J., Brereton, M., Lewin, S. R., Crooks, L., Watson, J., Kidd, M. R., Williams, I., & Elliott, J. (2016). HealthMap: A cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV. BMC Infectious Diseases, 16, Article 114. https://doi.org/10.1186/s12879-016-1422-5

@article{6e865a378cef4caaa0b9a576af12b236,

title = "HealthMap: A cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV",

abstract = "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.",

keywords = "Self-management, HIV, Cardiovascular disease, Health Plans, Internet, Public Health, Health Services",

author = "Sarity Dodson and Karen Klassen and Karalyn McDonald and Tanya Millard and Osborne, \{Richard Harry\} and Malcolm Battersby and Fairley, \{Christopher K\} and Simpson, \{Julie A\} and Lorgelly, \{Paula Kate\} and Tonkin, \{Andrew Maxwell\} and Janine Roney and Sean Slavin and Jasminka Sterjovski and Margot Brereton and Lewin, \{Sharon Ruth\} and Levinia Crooks and Jo Watson and Kidd, \{Michael R\} and Irith Williams and Julian Elliott",

year = "2016",

doi = "10.1186/s12879-016-1422-5",

language = "English",

volume = "16",

journal = "BMC Infectious Diseases",

issn = "1471-2334",

publisher = "BioMed Central",

}

Dodson, S, Klassen, K, McDonald, K, Millard, T, Osborne, RH, Battersby, M, Fairley, CK, Simpson, JA, Lorgelly, PK, Tonkin, AM, Roney, J, Slavin, S, Sterjovski, J, Brereton, M, Lewin, SR, Crooks, L, Watson, J, Kidd, MR, Williams, I & Elliott, J 2016, 'HealthMap: A cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV', BMC Infectious Diseases, vol. 16, 114. https://doi.org/10.1186/s12879-016-1422-5

TY - JOUR

T1 - HealthMap

T2 - A cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV

AU - Dodson, Sarity

AU - Klassen, Karen

AU - McDonald, Karalyn

AU - Millard, Tanya

AU - Osborne, Richard Harry

AU - Battersby, Malcolm

AU - Fairley, Christopher K

AU - Simpson, Julie A

AU - Lorgelly, Paula Kate

AU - Tonkin, Andrew Maxwell

AU - Roney, Janine

AU - Slavin, Sean

AU - Sterjovski, Jasminka

AU - Brereton, Margot

AU - Lewin, Sharon Ruth

AU - Crooks, Levinia

AU - Watson, Jo

AU - Kidd, Michael R

AU - Williams, Irith

AU - Elliott, Julian

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

KW - Self-management

KW - HIV

KW - Cardiovascular disease

KW - Health Plans

KW - Internet

KW - Public Health

KW - Health Services

UR - http://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-016-1422-5

U2 - 10.1186/s12879-016-1422-5

DO - 10.1186/s12879-016-1422-5

M3 - Article

SN - 1471-2334

VL - 16

JO - BMC Infectious Diseases

JF - BMC Infectious Diseases

M1 - 114

ER -

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

Abstract

Keywords

UN SDGs

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Other files and links

Health Map: a cluster randomised trial of interactive self-care plans to prevent and manage chronic conditions by people living with HIV.

Cite this

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

Abstract

Keywords

UN SDGs

Access to Document

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Projects

Health Map: a cluster randomised trial of interactive self-care plans to prevent and manage chronic conditions by people living with HIV.

Cite this