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A Proof of Concept Pilot Examining Feasibility and Acceptability of the Positively Healthy Just-in-Time Adaptive, Ecological Momentary, Intervention Among a Sample of Sexual Minority Men Living with HIV

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Abstract

Studies show positive affect buffers against stress for people living with HIV, however, limited research has examined its potential health benefits for sexual minority men living with HIV (SMM-LHIV). In our proof-of-concept pilot, we adapted a Positive Affect intervention for mobile app delivery. The Positively Healthy app was designed as an ecological momentary intervention using a just-in-time adaptive intervention (JITAI) delivery format. Participants were 22 SMM-LHIV (Mage = 37.82; SD = 10.52), who completed a 90-day ecological momentary assessment (EMA). JITAI activities were triggered based on reported stress in the EMA survey. Participants completed a post-intervention assessment assessing usability, feasibility, and acceptability. On average, participants reported stress in 58.21% of the EMAs and responded to 82.1% of the intervention activities. Qualitative interview data indicated that app-based delivery was acceptable and feasible. Participant feedback also revealed our intervention would benefit from further adaptation to enhance system usability and tailored content to optimize acceptability for SMM-LWH.

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Positively Healthy was funded by the National Institutes on Drug Abuse (K01DA03903004). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Rutgers Institute for Health, Health Care Policy and Aging Research, Robert Wood Johnson Medical School, New Brunswick, NYNJ, USA

    K. Marie Sizemore, Shannon Gray, Carly Wolfer, Ali J. Talan, Brett M. Millar & Hannah Hyejin Park

  2. Department of Applied Developmental Psychology, Fordham University, New York, NY, USA

    Nicola Forbes

  3. Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA

    Judith T. Moskowitz

  4. Department of Health Behavior and Biological Sciences, University of Michigan, Ann Arbor, MI, USA

    Laura Saslow

  5. Whitman Walker Institute, George Washington University, Washington, D.C., USA

    H. Jonathon Rendina

  6. Department of Psychology, Hunter College of the City University of New York, New York, NY, USA

    H. Jonathon Rendina

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  1. K. Marie Sizemore
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  2. Shannon Gray
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  10. H. Jonathon Rendina
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Correspondence to K. Marie Sizemore.

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Sizemore, K.M., Gray, S., Wolfer, C. et al. A Proof of Concept Pilot Examining Feasibility and Acceptability of the Positively Healthy Just-in-Time Adaptive, Ecological Momentary, Intervention Among a Sample of Sexual Minority Men Living with HIV. J Happiness Stud 23, 4091–4118 (2022). https://doi.org/10.1007/s10902-022-00587-2

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