![]() ![]() For aim 3, the pilot trial will enroll an analytic sample of 60 New Orleans people living with HIV individually randomized to parallel NOLA GEM (intervention) or GEMA-alone (control) arms at a 1:1 allocation for a 21-day period. The iOS- and Android-enabled NOLA GEM app leverages twice-daily GEMA prompts to offer just-in-time, in-app recommendations for effective coping skills practice and app-delivered Living in the Face of Trauma session content. Methods: The development of NOLA GEM entailed identifying real-time tailoring variables via a geographic ecological momentary assessment (GEMA) study (n=49 aim 1) and place-based and user-centered tailoring, responsive to the unique cultural contexts of HIV survivorship in New Orleans, via formative interviews (n=12 aim 2). This study aimed to culturally tailor and refine the NOLA GEM app and assess its acceptability feasibility and preliminary efficacy on care engagement, medication adherence, viral suppression, and mental well-being among in-care people living with HIV in Greater New Orleans. Objective: To meet this need, we adapted Living in the Face of Trauma, a well-established EBI tailored for people living with HIV, into NOLA GEM, a just-in-time adaptive mobile health (mHealth) intervention. With Louisiana routinely ranked last in indexes of health equity, violent crime rates in Orleans Parish quintupling national averages, and in-care New Orleans people living with HIV surviving twice the US average of adverse childhood experiences, accessible, trauma-focused, evidence-based interventions (EBIs) for violence-affected people living with HIV are urgently needed. School of Public Health and Tropical MedicineÄ«ackground: In 2020, Greater New Orleans, Louisiana, was home to 7048 people living with HIV-1083 per 100,000 residents, 2.85 times the US national rate. Online Journal of Public Health InformaticsÄepartment of Social, Behavioral, and Population Sciences.Asian/Pacific Island Nursing Journal 13 articles.JMIR Bioinformatics and Biotechnology 38 articles.JMIR Biomedical Engineering 74 articles.Journal of Participatory Medicine 82 articles. ![]() JMIR Perioperative Medicine 100 articles.JMIR Rehabilitation and Assistive Technologies 225 articles.JMIR Pediatrics and Parenting 304 articles. ![]()
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