{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T23:08:28Z","timestamp":1773529708078,"version":"3.50.1"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01NR019758"],"award-info":[{"award-number":["R01NR019758"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To identify demographic, social, and clinical factors associated with HIV self-management and evaluate whether the CHAMPS intervention is associated with changes in an individual\u2019s HIV self-management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>This study was a secondary data analysis from a randomized controlled trial evaluating the effects of the CHAMPS, a mHealth intervention with community health worker sessions, on HIV self-management in New York City (NYC) and Birmingham. Group comparisons and linear regression analyses identified demographic, social, and clinical factors associated with HIV self-management. We calculated interactions between groups (CHAMPS intervention and standard of care) over time (6 and 12 months) following the baseline observation, indicating a difference in the outcome scores from baseline to each time across groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Our findings indicate that missing medical appointments, uncertainty about accessing care, and lack of adherence to antiretroviral therapy are associated with lower HIV self-management. For the NYC site, the CHAMPS showed a statistically significant positive effect on daily HIV self-management (estimate\u2009=\u20090.149, SE\u2009=\u20090.069, 95% CI [0.018 to 0.289]). However, no significant effects were observed for social support or the chronic nature of HIV self-management. At the Birmingham site, the CHAMPS did not yield statistically significant effects on HIV self-management outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Our study suggests that CHAMPS intervention enhances daily self-management activities for people with HIV at the NYC site, indicating a promising improvement in routine HIV care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Further research is necessary to explore how various factors influence HIV self-management over time across different regions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocae322","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T20:04:39Z","timestamp":1736625879000},"page":"510-517","source":"Crossref","is-referenced-by-count":5,"title":["The 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York, NY 10032,","place":["United States"]},{"name":"Columbia University, Department of Biostatistics , New York, NY 10032,","place":["United States"]}]},{"given":"Olivia R","family":"Wood","sequence":"additional","affiliation":[{"name":"Columbia University, School of Nursing , New York, NY 10032,","place":["United States"]}]},{"given":"Joseph A","family":"Abua","sequence":"additional","affiliation":[{"name":"Magic City Research Institute, Birmingham AIDS Outreach , Birmingham, AL 35222,","place":["United States"]}]},{"given":"Susan A","family":"Olender","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center , New York, NY 10032,","place":["United States"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2184-4045","authenticated-orcid":false,"given":"Rebecca","family":"Schnall","sequence":"additional","affiliation":[{"name":"Columbia University, School of Nursing , New York, NY 10032,","place":["United 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