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presentation prepared June 2010 for border HIV providers
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Using Technology to Keep Patients Engaged in Care
Nicolé Mandel
AETC National Resource Center
Which best describes your Internet use?
A. What’s the Internet?
B. Some access at work
C. Regular work access
D. Home only
E. I’m always plugged in!
Which best describes your clients’ Internet use?
A. Are you kidding???
B. Some are online
C. Most seem to be online
D. I don’t know
Which best describes your cell phone use?
A. Don’t have one
B. I mostly just use it to call
C. I text and call
D. I couldn’t live without my smart phone (iPhone, Blackberry, etc) and all the apps!
Which best describes your clients’ cell phone use?
A. Most don’t have them
B. More and more have them
C. Some ONLY have cell phones
D. All of the above
E. I don’t know
What contact information do you request from clients?
A. Email address
B. Cell phone numbers
C. Neither
D. Both
Aspects of patient engagement
Testing / entry into care Showing up for visits Taking medications as prescribed Well being / other
Social support Healthy behaviors (diet, drugs, sexual, exercise)
How do your patients typically enter care?
A. Emergency room or urgent care referral
B. Street outreach testing
C. Community clinic / test site referral
D. 2 or more of the above
E. None of the above
F. Not applicable
Technology-based tools to support entry into care
Email-based partner notification sites Text and web-based service directories Patient education websites Clinic website/orientation Online training for staff
Text-based Service Directories
Clinic Orientation Video
Clinic Orientation Video
Online Education
What are you doing to minimize missed visits?
A. Reminder calls
B. Postcards
C. Appointment cards
D. 2 or more of the above
E. None of the above
F. Not applicable
Technology-based approaches to missed visits
Online self-schedule system / medical home
Computer-generated reminder calls Email reminders Text message reminders (SMS)
Medical Home
Phone/Text/Email Reminders
What are you doing now to improve medication adherence?
A. Counseling and education
B. Link with pharmacy to capture missed refills
C. Directly observed therapy
D. 2 or more of the above
E. None of the above
F. Not applicable
Technology-based approaches to adherence
A. Email, phone, and text reminders
B. Web-based patient education
C. Smart pill boxes
D. Video-based directly observed therapy
E. Robots!
What are you doing to support patient well being?
A. Support groups
B. Healthy lifestyle (food, stress) counseling
C. Referrals for addiction treatment
D. 2 or more of the above
E. None of the above
F. Not applicable
Technology-based approaches to improving patient well-being and behavior change
Online support groups and communities Patient education websites Online self-assessments Educational messages delivered via text or
Online communities
