532. Using a Mobile-Health System to Monitor and Provide Support along the Hepatitis C Virus Continuum of Care for People with Opioid Use Disorders: Experience from a Randomized Trial
Session: Poster Abstract Session: Hepatitis B and C in Varied Settings
Thursday, October 5, 2017
Room: Poster Hall CD
Posters
  • IDWeek 2017 Poster_A-CHESS.pdf (753.4 kB)
  • Background: Opioid use disorders are increasingly driving new hepatitis C virus (HCV) infections. Mobile health applications delivered by smartphones represent a promising innovative strategy to promote HCV prevention and improve engagement in care for substance using populations.

    Methods: We analyzed preliminary data from a randomized trial of a mobile health intervention designed to improve retention in medication-assisted treatment for people with opioid use disorder. Services designed to help prevent HCV infection and improve care were incorporated into an existing evidence-based smartphone application, called A-CHESS, to capture data on risk behaviors and HCV screening and care. We used weekly survey data to measure movement across the HCV care continuum of screening, linkage to care, and treatment initiation.

    Results: To date, 170 individuals have been enrolled and completed the baseline survey (87 control, 83 intervention). 976 weekly surveys were taken by 72 participants enrolled in the intervention group. At baseline, 26 of the 72 individuals (36%) were HCV at-risk/untested, 21 (29%) were HCV-negative, 22 (31%) had active HCV and had never received treatment, and 3 (4%) had active HCV infection and had received treatment. Based on weekly data collected by A-CHESS, 20 of the 72 participants (28%) were noted to change to a different stage in the HCV care continuum after a median of 13.6 weeks of follow-up. These included: 14 individuals had advanced to a later stage in the HCV care continuum (e.g. from HCV positive/untreated to HCV positive/treated), and 6 individuals had reported engaging in risky drug use behaviors and reverted to the stage of at-risk/untested (e.g. from HCV-negative to HCV at-risk/untested).

    Conclusion: Delivering HCV prevention and care information and collecting survey data through smart-phone applications provide a novel approach to increase screening, link people to care, and measure movement across the HCV care continuum among people with opioid use disorders.

    Karli Hochstatter, MPH1, Gina Landucci, BS2, David Gustafson, PhD2 and Ryan Westergaard, MD, PhD, MPH1, (1)Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, (2)University of Wisconsin Center for Health Enhancement Systems Studies, Madison, WI

    Disclosures:

    K. Hochstatter, None

    G. Landucci, None

    D. Gustafson, None

    R. Westergaard, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 4th with the exception of research findings presented at the IDWeek press conferences.