{"id":194,"date":"2020-02-01T16:50:02","date_gmt":"2020-02-01T21:50:02","guid":{"rendered":"https:\/\/sites.temple.edu\/tomkinss\/?p=194"},"modified":"2022-08-30T17:53:20","modified_gmt":"2022-08-30T21:53:20","slug":"take-charge-get-cured-pilot-testing-a-targeted-mhealth-treatment-decision-support-tool-for-methadone-patients-with-hepatitis-c-virus-for-acceptability-and-promise-of-efficacy","status":"publish","type":"post","link":"https:\/\/sites.temple.edu\/turiskcommlab\/2020\/02\/01\/take-charge-get-cured-pilot-testing-a-targeted-mhealth-treatment-decision-support-tool-for-methadone-patients-with-hepatitis-c-virus-for-acceptability-and-promise-of-efficacy\/","title":{"rendered":"\u201cTake Charge, Get Cured\u201d: Pilot testing a targeted mHealth treatment decision support tool for methadone patients with hepatitis C virus for acceptability and promise of efficacy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"194\" class=\"elementor elementor-194\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c0fb34 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c0fb34\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3756687\" data-id=\"3756687\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b5e9189 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"b5e9189\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0740547219303769\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-external-link-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">View the Article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e1b9b0a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e1b9b0a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-975d097\" data-id=\"975d097\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c678bb6 elementor-widget elementor-widget-heading\" data-id=\"c678bb6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Highlights:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c61163 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c61163\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f3d8aef\" data-id=\"f3d8aef\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f9d7f28 elementor-widget elementor-widget-text-editor\" data-id=\"f9d7f28\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><span style=\"color: #333333\">An mHealth tool for HCV+ methadone patients is feasible, acceptable and effective in affecting decisions about treatment.<\/span><\/li><li><span style=\"color: #333333\">The tool is equivalent or superior to a non-targeted tool in a pilot RCT.<\/span><\/li><li><span style=\"color: #333333\">The tool is acceptable and recommended more by users compared to the non-targeted tool.<\/span><\/li><li><span style=\"color: #333333\">Results are significant, indicating decision support can affect discussion about HCV treatment and decision about treatment.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cbc8238 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cbc8238\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4234be3\" data-id=\"4234be3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-21afbab elementor-widget elementor-widget-heading\" data-id=\"21afbab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Abstract:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ac7f316 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ac7f316\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a3db525\" data-id=\"a3db525\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-71a48f4 elementor-widget elementor-widget-text-editor\" data-id=\"71a48f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #333333\">Hepatitis C (HCV) is a highly prevalent infection in current and former IV drug users. Current estimates indicate that over 70% of those in methadone maintenance treatment programs (MMTs) have HCV, but only 11% have initiated treatments despite availability of new treatments that are easily tolerated and can cure infection in about 8\u202fweeks. We conducted a pilot randomized trial at four Philadelphia, PA MMTs to test acceptability, feasibility and promise of efficacy of our \u201cTake Charge, Get Cured\u201d mobile health (mHealth) treatment decision tool, developed through extensive formative work that included methadone patients&#8217; input and targeted directly to concerns of methadone patients with Hepatitis C (HCV). We compared its impact on perceptions and knowledge about HCV and HCV treatment, decisional conflict, intention to and actual initiation of HCV care to a web-based Cochrane-reviewed, non-targeted HCV decision tool. Subjects (n\u202f=\u202f122) were randomized, administered baseline questionnaires, interacted with the targeted or non-targeted decision tool on an electronic tablet, and answered post-test questions. After 3-months subjects (n\u202f=\u202f93; 76%) were surveyed for follow up. \u201cTake Charge, Get Cured\u201d users were more likely to report the tool helped with decision making and demonstrated greater improvement in knowledge, decisional conflict, and intention to be treated for their HCV infections than users of the non-targeted decision tool. They were significantly more likely to say the targeted tool was helpful and that they would recommend it to others. At three month follow up, targeted group participants were more likely to say the tool helped them make a better decision about treatment and prepared them to talk to their doctor about what matters most to them about treatment. No differences were seen in actions to initiate HCV care, but more targeted group participants reported talking to their doctors about HCV treatment. Results indicate a highly targeted mHealth decision tool is an important strategy to affect perceptions and knowledge of HCV treatment that lowers decisional conflict about initiating treatment, key components in decision making. We believe this highly acceptable and feasible intervention could be utilized in clinical settings to address the important barriers to initiating HCV treatment in a vulnerable population.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c09932 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5c09932\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9fbf27a\" data-id=\"9fbf27a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d3a454 elementor-widget elementor-widget-text-editor\" data-id=\"1d3a454\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #333333\">Jessop A, Bass SB, Gashat M, Guttierez M. Perceptions of barriers and benefits of HCV treatment and correlates to treatment intention in methadone patients. J Healthcare Poor Underserved, 2019. 30(4):1433-1454.<\/span><\/p><p>Jessop AB, Bass SB, Brajuha J, et al. \u201cTake Charge, Get Cured\u201d: Pilot testing a targeted mHealth treatment decision support tool for methadone patients with hepatitis C virus for acceptability and promise of efficacy.\u00a0<i>Journal of Substance Abuse Treatment<\/i>. February 2020;109:23-33. doi:10.1016\/j.jsat.2019.11.001<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>View the Article Highlights: An mHealth tool for HCV+ methadone patients is feasible, acceptable and effective in affecting decisions about treatment. The tool is equivalent&#8230;<\/p>\n<div class=\"more-link-wrapper\"><a class=\"more-link\" href=\"https:\/\/sites.temple.edu\/turiskcommlab\/2020\/02\/01\/take-charge-get-cured-pilot-testing-a-targeted-mhealth-treatment-decision-support-tool-for-methadone-patients-with-hepatitis-c-virus-for-acceptability-and-promise-of-efficacy\/\">Continue reading<span class=\"screen-reader-text\">\u201cTake Charge, Get Cured\u201d: Pilot testing a targeted mHealth treatment decision support tool for methadone patients with hepatitis C virus for acceptability and promise of efficacy<\/span><\/a><\/div>\n","protected":false},"author":16905,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[13,8],"tags":[],"class_list":["post-194","post","type-post","status-publish","format-standard","hentry","category-2020-publications","category-publications","entry"],"featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"","author_link":"https:\/\/sites.temple.edu\/turiskcommlab\/author\/"},"_links":{"self":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/194","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/users\/16905"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/comments?post=194"}],"version-history":[{"count":0,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/posts\/194\/revisions"}],"wp:attachment":[{"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/media?parent=194"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/categories?post=194"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.temple.edu\/turiskcommlab\/wp-json\/wp\/v2\/tags?post=194"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}