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PrE(P)Conception: creating and implementing a smartphone application for serodiscordant couples to support an HIV-free future

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TitleInfo
Title
PrE(P)Conception: creating and implementing a smartphone application for serodiscordant couples to support an HIV-free future
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Wahler
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Jessica
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Jessica Wahler
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author
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Reyes
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Darcel
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Darcel Reyes
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Advisory Committee
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chair
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Ginette Lage
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internal member
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Ginette Lange
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Advisory Committee
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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theses
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2020
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2020-05
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English
Abstract (type = abstract)
Purpose of Project: There is no smartphone application for People Living with HIV (PLWH) during the preconception period to improve outcomes and reduce perinatal transmission. Beta-testing the Pre(P)Conception application is the first step in development of a smartphone application to improve self-management and improve outcomes for PLWH in the preconception period.

Methodology: The researcher created a bare bones structure of the application called a wireframe used for beta-testing applications prior to development. This wireframe consisted of features suggested to improve outcomes for PLWH and people in the preconception period such as push notifications, medication log, calendar, and patient portal. The Health Information Technology Usability Evaluation Scale (Health-ITUES) was administered to participants (n=13) and responses determined the perceived usefulness and ease of use of the Pre(P)Conception application.

Results: Single (92%) African American (100%) females (77%), ages of 31-49 (54%) were the majority of the sample. The mean score on the Health-ITUES was 4.42, suggesting that participants would likely use the application after development and found the application useful and easy to use during preconception. Participants suggested improvements to the Pre(P)Conception application including a more colorful interface and passcode protection. Participants liked the guidelines link that are suggested to improve self-management through patient self-education.

Implications for Practice: The PrE(P)Conception application has an economic benefit to patients and the healthcare system. Alternatives include costly reproductive interventions out of pocket to the patient or possible transmission to newborn costing approximately $418,000 to the healthcare system throughout the lifetime. PrE(P)Conception can be used to achieve the 90-90-90 WHO initiative to end the HIV epidemic. The patient portal can be used by providers to access patient updates and questions remotely prior to visits and improve practice.
Subject (authority = local)
Topic
mHealth
Subject (authority = RUETD)
Topic
Women's Health/Nurse Midwifery
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Rutgers University Electronic Theses and Dissertations
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ETD_10721
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1 online resource (95 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-m2q7-mj62
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
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Wahler
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Jessica
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Permission or license
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2020-05-04 08:04:22
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Jessica Wahler
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2020-05-31
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2022-05-31
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Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
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Copyright protected
Availability
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Open
Reason
Permission or license
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