Bridging the digital divide in HIV care: A pilot study of an iPod personal health record

Amneris E. Luque, Roberto Corales, Richard J. Fowler, Jamie DiMarco, Adjuah Van Keken, Paul Winters, Michael C. Keefer, Kevin Fiscella

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Background: Persons living with HIV (PLWH) need practical tools to self-manage their condition. Methods: We conducted a proof-of-concept study among PLWH to assess whether patients could learn to use a personal health record (PHR) on a handheld device (iPod Touch) to manage their condition. We began individual trainings and later adapted this to group training. We assessed usability, acceptability and also effects on self-efficacy for treatment adherence using the HIV Treatment Adherence Self- Efficacy Scale (HIV-ASES). Results: Nine PLWH participated in the individual training and 29 participated in the group sessions. The participants were largely middle aged, low-income and of racial/ethnic minorities. The sessions were well attended and participants fully engaged in tasks and shared learning. Most participants stated they intended to use the PHR and reported improved self-efficacy in treatment adherence (P = .05) particularly on the integration of treatment adherence into one's routine (P < .02). Conclusions: Training PLWH in use of a handheld PHR shows promise.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalJournal of the International Association of Providers of AIDS Care
Issue number2
StatePublished - Mar 2013


  • HIV self-care health records
  • Personal medical informatics education of patients

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases


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