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RESEARCH ARTICLE
Contents Vol 8(2)

Evaluation of Health Map: a patient-centred web-based service for supporting HIV-infected patients

Deepa G. Gamage A B , Mohsin Sidat C , Tim Read A D , Rosey Cummings A , Catriona S. Bradshaw A E , Kerri Howley A , Glenda Fehler A , Jun Kit Sze A , Marcus Chen A D and Christopher K. Fairley A D F
+ Author Affiliations
- Author Affiliations

A Melbourne Sexual Health Centre, 580 Swanston Street, Carlton, Vic. 3053, Australia.

B Epidemiology Unit, Ministry of Health, 231 De Saram Place, Colombo 10, Sri Lanka.

C Faculty of Medicine, University Eduardo Mondlane, Maputo, Mozambique.

D School of Population Health, University of Melbourne, Melbourne, Vic. 3053, Australia.

E Epidemiology and Preventive Medicine, University of Monash, Clayton, Vic. 3800, Australia.

F Corresponding author. Email: cfairley@mshc.org.au

Sexual Health 8(2) 194-198 https://doi.org/10.1071/SH10072
Submitted: 16 June 2010  Accepted: 4 August 2010   Published: 18 May 2011

Abstract

Background: Our aim was to describe the use of and responses to a self-management website, ‘Health Map’, established to address the key chronic health issues of HIV-positive people. Methods: Health Map assessed health issues against current recommendations for: treatment adherence, monitoring CD4 counts and viral load, psychological health and physical activity, vaccination, cholesterol, fasting blood sugar, blood pressure, alcohol consumption, smoking, body mass index, and cervical screening for women and sexually transmissible infection (STI) screening for men who have sex with men (MSM). Results: A total of 552 people, with a mean age of 37 years, completed the full ‘Health Map’ program, of whom 536 (97%) were Australian, 425 (77%) were male, including 268 (63%) MSM. Online responses to several health indices were of concern: 49% missed at least one dose of antiretroviral therapy per month and only 41% had had an HIV viral load test in the 4 months prior. Only 43% reported regular physical activity, and 49% and 61% reported vaccination for hepatitis A and B. The proportion tested within the recommended periods for fasting cholesterol (40%), fasting blood sugar (35%) and cervical screening (43%) in women or STI screening for MSM (53%) were low. Conclusions: A substantial proportion of individuals completing the online survey reported information that would suggest their HIV and more general health care is suboptimal. These data are consistent with community surveys and indicate the need for improvement in the chronic management of HIV.

Graphical Abstract Image

Additional keywords: AIDS, Australia, chronic disease, diabetes, hepatitis, self-management.


Acknowledgements

We are grateful to Afrizal and Mark Chung from the Melbourne Sexual Health Centre for extracting the data, and the Department of Human Services Victoria for the HIV community grant to set up this website. We are also grateful for the advice from people living with HIV and AIDS.


References


[1] Christensen K,  Doblhammer G,  Rau R,  Vaupel JW. Ageing populations: the challenges ahead. Lancet 2009; 374 1196–208.
| Crossref | GoogleScholarGoogle Scholar | PubMed | [verifed 22 April 2010].

[7] Chesney M , Ickovics J . ACTG Adherence baseline questionnaire. San Francisco: AIDS clinical Trial Group Recruitments, Adherence and Retention Sub Committee; 1997.

[8] World Health Organization. Management of HIV infection and anti retroviral therapy in adults and adolescents. A clinical manual. WHO Technical publication. Geneva: WHO; 2007.

[9] AIDS Org. Information, education, action fact sheets. Viral load tests. 2009. Available online at: http://www.aids.org/factSheets/125-Viral-Load-Tests.html [verified 7 April 2010].

[10] French T,  Weiss L,  Waters M,  Tesoriero J,  Finkelstein R,  Agins B. Correlation of a brief perceived stress measure with non-adherence to antiretroviral therapy over time. J Acquir Immune Defic Syndr 2005; 38 590–7.
| Crossref | GoogleScholarGoogle Scholar | PubMed | [verified 3 April 2010].

[13] Saunders JB,  Aasland OG,  Babor TF,  de le Fuente JR,  Grant M. Development of the alcohol use disorders identification test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption – II. Addiction 1993; 88 791–804.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed | [verified 6 April 2010].

[15] Australasian Chapter of Sexual Health Medicine, Royal Australasian College of Physicians and the Royal Australian College Of General Practitioners. Sexually transmitted infection testing guidelines. Melbourne: ACSHM, RACP and RACGP; 2009. Available online at: http://stigma.net.au/resources/STIGMA_MSM_Guidelines_RACGP_updated_Feb_09.pdf [verified 22 April 2010].

[16] Australian Institute of Health and Welfare. Cervical screening in Australia 2006–2007. Cancer series 47. Canberra: Department of Health and Aging for the Cervical Cancer Screening Program, Australian Government; 2009.

[17] Smith RJ. Adherance to antiretroviral HIV drugs: how many doses can you miss before resistance emerges. Proc R Soc B 2006; 273 617–4.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed | [verified 10 March 2010].

[21] Hurley S , Spital M , Scollo M , Durkin S , Wakefield M . Predicted impact of proposed tobacco control strategies. Melbourne: Victoria Health Centre for Tobacco Control; 2009. Available online at: http://www.health.gov.au/internet/preventativehealth/publishing.nsf/Content/ 0FBE203C1C547A82CA257529000231BF/$File/commpaper-imp-tob-cont-strat.pdf [verified 10 March 2010].

[22] Australian Bureau of Statistics. National health survey. Summary results 2007–2008. Canberra: ABS; 2009.

[23] Proude EM,  Britt H,  Valenti L,  Conigrave KM. The relationship between self-reported alcohol intake and the morbidities managed by GPs in Australia. BMC Fam Pract 2006; 7 17.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[24] Mc Donald A . HIV/AIDS, viral hepatitis and sexually transmissible infections in Australia. Annual surveillance report. Sydney: National Centre in HIV Epidemiology and Clinical Research; 2009.

[25] Fairley CK,  Permana A,  Read TRH. Long-term utility of measuring adherence by self-report compared to pharmacy in a routine clinic setting. HIV Med 2005; 6 366–9.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[26] Samaranayake A,  Chen M,  McNeil J,  Read T,  Hocking JS,  Bradshaw CS, et al. Definitions of reporting viral load responses to antiretroviral treatment for measuring quality outcomes. HIV Med 2010; 11 427–31.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |