HIV-infection/AIDS Clinical Trial
Official title:
Adherence Connection for Counseling, Education, and Support (ACCESS): A Proof of Concept Study
This Mentored Patient-Oriented Research Career Development Award - (K23) seeks to provide
the advanced knowledge, skills, and experience for the candidate's career transition to an
independent nurse scientist. Her long term goal is to become a leading nurse scientist in
designing, implementing, and evaluating technology supported behavioral interventions
targeted for improved disease self-management (i.e. medication adherence, retention in care)
among human immunodeficiency virus (HIV)-infected, ethnic minority adolescents and young
adults. With an extensive background in pediatric HIV nursing and completed NIH funded pre
and post-doctoral interdisciplinary research traineeships, the candidate has begun to
develop the knowledge-base and skills necessary for this goal.
This award details a 3-year scope of mentored career development through which she will gain
the foundation for future research endeavors. Specifically, the goals of this proposal are
to: 1) conduct a novel research project under the mentorship of an interdisciplinary team of
expert researchers; 2) acquire expertise in health informatics for implementation of
technology supported behavioral interventions, health disparities, and advanced qualitative
and mixed methods design and analysis through firsthand experience, didactic interactions
with mentors, and graduate level coursework; 3) build a network of colleagues and
collaborators within New York University and elsewhere through this research and
participation at national and international meetings; and 4) prepare and submit a federal
research grant (R-21) based upon the skills and findings from this award period.
The specific research project through which she will accomplish these goals is a proof of
concept study, Adherence Connection for Counseling, Education, and Support (ACCESS), and
addresses the challenge of adherence to antiretroviral treatment among HIV-infected
adolescents and young adults. A mixed method design is proposed and the specific aims are
to: 1) Characterize the feasibility and acceptability of a peer led, mHealth cognitive
behavioral intervention delivered via remote videoconferencing using smartphones; 2) Obtain
initial estimates of the biobehavioral impact of ACCESS on HIV virologic outcomes and
self-reported ART adherence, beliefs and knowledge about antiretroviral treatment, adherence
self-efficacy, and healthcare utilization (retention in HIV care). In summary, the ACCESS
adherence intervention is consistent with the National Institute of Nursing Research (NINR)
call for the development of novel interventions to deliver personalized care and real-time
health information for patients.
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