Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1093/ofid/ofad002
Background Hepatitis C virus (HCV) screening remains suboptimal. We assessed the efficacy of a mobile application and provider alert in enhancing HCV screening among Asian Americans. Methods A secondary analysis of a cluster-randomized clinical trial was performed during the birth cohort screening era to assess the efficacy of a Hepatitis App (intervention), a multilingual mobile application delivering interactive video education on viral hepatitis and creating a Provider Alert printout, at primary care clinics within 2 healthcare systems in San Francisco from 2015 to 2017. A comparison group received usual care and a similar intervention on nutrition and physical activity. The outcome was electronic health record (EHR) documentation of HCV screening along with patient-provider communication about testing and test ordering. Results Four hundred fifty-two participants (mean age 57 years, 36% male, 80% foreign-born) were randomized by provider clusters to the intervention (n = 270) or comparison groups (n = 182). At 3-month follow up, the intervention group was more likely than the comparison group to be aware of HCV (75% vs 59%, P = .006), to discuss HCV testing with their providers (63% vs 13%, P < .001), to have HCV testing ordered (39% vs 10%, P < .001), and to have EHR-verified HCV testing (30% vs 6%, P< .001). Within the intervention group, being born between 1945 and 1965 (odds ratio, 3.15; 95% confidence interval, 1.35–7.32) was associated with increased HCV testing. Conclusions The Hepatitis App delivered in primary care settings was effective in increasing HCV screening in a socioeconomically diverse Asian American cohort. This highlights the importance of mobile technology as a patient-centered strategy to address gaps in HCV care.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ofid/ofad002
- https://academic.oup.com/ofid/article-pdf/10/1/ofad002/48959325/ofad002.pdf
- OA Status
- gold
- Cited By
- 8
- References
- 44
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4313729232
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4313729232Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ofid/ofad002Digital Object Identifier
- Title
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Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical TrialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-01-01Full publication date if available
- Authors
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Mandana Khalili, Nicole J. Kim, Janice Y. Tsoh, Judith M. E. Walsh, Lee Goldman, Helen Park, Ivy Lau, Ching Wong, Ginny Gildengorin, Tung T. NguyenList of authors in order
- Landing page
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https://doi.org/10.1093/ofid/ofad002Publisher landing page
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https://academic.oup.com/ofid/article-pdf/10/1/ofad002/48959325/ofad002.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://academic.oup.com/ofid/article-pdf/10/1/ofad002/48959325/ofad002.pdfDirect OA link when available
- Concepts
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Medicine, Randomized controlled trial, Hepatitis C, Confidence interval, Odds ratio, Intervention (counseling), Internal medicine, Hepatitis C virus, Family medicine, Immunology, Nursing, VirusTop concepts (fields/topics) attached by OpenAlex
- Cited by
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8Total citation count in OpenAlex
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2024: 8Per-year citation counts (last 5 years)
- References (count)
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44Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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