Interest in using Mobile Technology to Help Self-Manage Alcohol use among Persons Living with the Human Immunodeficiency Virus: A Florida Cohort Cross-Sectional Study
Open accessAbstract
Background: Alcohol consumption at hazardous levels is more prevalent and associated with poor health outcomes among persons living with the human immunodeficiency virus (HIV; PLWH). Although PLWH are receptive to using technology to manage health issues, it is unknown whether a cell phone app to self-manage alcohol use would be acceptable among PLWH who drink. The objectives of this study were to determine factors associated with interest in an app to self-manage drinking and to identify differences in baseline mobile technology use among PLWH by drinking level. Methods: The study population included 757 PLWH recruited from 2014 to 2016 into the Florida Cohort, an ongoing cohort study investigating the utilization of health services and HIV care outcomes among PLWH. Participants completed a questionnaire examining demographics, substance use, mobile technology use, and other health behaviors. Multivariable logistic regression was used to identify factors significantly associated with interest in an app to self-manage drinking. We also determined whether mobile technology use varied by drinking level. Results: Of the sample, 40% of persons who drink at hazardous levels, 34% of persons who drink at nonhazardous levels, and 19% of persons who do not drink were interested in a self-management app for alcohol use. Multivariable logistic regression analysis indicated that nonhazardous drinking (adjusted odds ratio [AOR] = 1.78; confidence interval [CI 95%]: 1.10–2.88) and hazardous drinking (AOR = 2.58; CI: 1.60–4.16) were associated with interest, controlling for age, gender, education, and drug use. Regarding mobile technology use, most of the sample reported smartphone ownership (56%), text messaging (89%), and at least one cell phone app (69%). Conclusions: Regardless of drinking level, overall mobile technology use among PLWH was moderate, whereas PLWH who consumed alcohol expressed greater interest in a cell phone app to self-manage alcohol use. This indicates that many PLWH who drink would be interested in and prepared for a mobile technology–based intervention to reduce alcohol consumption.
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A large study conducted on engagement with a weight loss app found that 16% of the most engaged group used reminders, compared with 1% of the least engaged group.
“A large study conducted on engagement with a weight loss app found that 16% of the most engaged group used reminders, compared with 1% of the least engaged group [64].”
From Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review (2020) · cites this paper as [64]
The Methods (Study Measures; page unavailable) say participants were asked how often they would use a potential alcohol self-management app, not observed using a weight-loss app. The Results (Factors Associated with Interest; page unavailable) compare interest in that alcohol app and do not report reminder use by engagement group or the claimed 16% and 1% figures. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredBeing younger than 44 years was associated with a higher level of uptake and engagement than older adults.
“Being younger than 44 years was associated with a higher level of uptake and engagement [38,41,42,44,49,53,55,63,64] than older adults.”
From Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review (2020) · cites this paper as [64]
The Results section reports that participants aged 18–34 were more likely to express interest in using an alcohol self-management app. It does not establish the claim for everyone younger than 44, and it measured interest rather than actual uptake or engagement. (LLM, conf=0.88)
Experimental — accuracy not yet measuredHaving a better education level, such as high school education or higher and college degree or higher, was associated with better engagement with health and well-being apps.
“Living in an urban area [42,44,55]; having a better education level, such as having high school education or higher [41,42,44,64] and college degree or higher [41,53]; and having a higher income [44] were also associated with better engagement with health and well-being apps.”
From Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review (2020) · cites this paper as [64]
The Results section reports that, among people living with HIV, education beyond high school was associated with greater interest in using an app to self-manage alcohol use. It does not establish greater engagement with health and well-being apps generally, nor does it report this association for people whose highest education was high school. (LLM, conf=0.87)
Experimental — accuracy not yet measuredA large study found that the most engaged group had a mean number of 24 friends within the app, as opposed to the least engaged group (1 friend).
“A large study found that the most engaged group had a mean number of 24 friends within the app, as opposed to the least engaged group (1 friend) [64].”
From Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review (2020) · cites this paper as [64]
The Methods (Study Measures; page unavailable) measure interest in using a potential alcohol self-management app, not engagement with an app already in use. The Results (Factors Associated with Interest; page unavailable) report characteristics associated with that interest. Searches for app friends and engagement groups found no comparison of 24 versus 1 friend in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
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- Authors
- Sharpe, J. D., Zhou, Z., Escobar-Viera, C. G., Morano, J. P., Lucero, R. J., Ibañez, G. E., Hart, M., Cook, C. L., & Cook, R. L.
- Affiliations
- Emory University (US)
- University of Florida Health (US)
- University of Pittsburgh (US)
- Florida Department of Health (US)
- Florida International University (US)
- Corresponding author
- Sharpe, J. Danielle
- ORCID
- Venue
- Substance Abuse
- Publisher
- SAGE Publications
- Published
- 2018-01
- Volume
- 39
- Issue
- 1
- Pages
- 77-82
- ISSN
- 0889-7077 (ISSN-L)
- 1547-0164
- PMC
- PMC5775061
- OpenAlex
- W2736893111
- Cited by
- 19
- References
- 31
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 6 · 2018: 3
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Substance Abuse (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Alcohol Abuse and Alcoholism (NIAAA) (U24022002)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- HIV, alcohol consumption, mobile health apps, self-management, mobile technology use, mobile application, hazardous drinking, technology acceptance, substance use interventions
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Cross-Sectional Studies, Female, Florida, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Self Care, Cohort Studies, Health Behavior, HIV Infections, Young Adult, Mobile Applications
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