title: HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV.
abstract: BACKGROUND
  The leading causes of morbidity and mortality for people in high-income countries living with HIV are now non-AIDS malignancies, cardiovascular disease and other non-communicable diseases associated with ageing. This protocol describes the trial of HealthMap, a model of care for people with HIV (PWHIV) that includes use of an interactive shared health record and self-management support. The aims of the HealthMap trial are to evaluate engagement of PWHIV and healthcare providers with the model, and its effectiveness for reducing coronary heart disease risk, enhancing self-management, and improving mental health and quality of life of PWHIV.
  
  
  METHODS
  The study is a two-arm cluster randomised trial involving HIV clinical sites in several states in Australia. Doctors will be randomised to the HealthMap model (immediate arm) or to proceed with usual care (deferred arm). People with HIV whose doctors are randomised to the immediate arm receive 1) new opportunities to discuss their health status and goals with their HIV doctor using a HealthMap shared health record; 2) access to their own health record from home; 3) access to health coaching delivered by telephone and online; and 4) access to a peer moderated online group chat programme. Data will be collected from participating PWHIV (n = 710) at baseline, 6 months, and 12 months and from participating doctors (n = 60) at baseline and 12 months. The control arm will be offered the HealthMap intervention at the end of the trial. The primary study outcomes, measured at 12 months, are 1) 10-year risk of non-fatal acute myocardial infarction or coronary heart disease death as estimated by a Framingham Heart Study risk equation; and 2) Positive and Active Engagement in Life Scale from the Health Education Impact Questionnaire (heiQ).
  
  
  CONCLUSIONS
  The study will determine the viability and utility of a novel technology-supported model of care for maintaining the health and wellbeing of people with HIV. If shown to be effective, the HealthMap model may provide a generalisable, scalable and sustainable system for supporting the care needs of people with HIV, addressing issues of equity of access.
  
  
  BACKGROUND
  Universal Trial Number (UTN) U111111506489; ClinicalTrial.gov Id NCT02178930 submitted 29 June 2014.
authors.affiliation: School of Health and Social Development, Deakin University, Geelong, Australia. Sarity.dodson@deakin.edu.au.|Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. Sarity.dodson@deakin.edu.au.
authors.forename: Sarity
authors.initials: S
authors.lastname: Dodson
authors.affiliation: Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. karen.klassen@monash.edu.
authors.forename: Karen M
authors.initials: KM
authors.lastname: Klassen
authors.affiliation: Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. karalyn.mcdonald@monash.edu.
authors.forename: Karalyn
authors.initials: K
authors.lastname: McDonald
authors.affiliation: Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. Tanya.millard@monash.edu.au.
authors.forename: Tanya
authors.initials: T
authors.lastname: Millard
authors.affiliation: School of Health and Social Development, Deakin University, Geelong, Australia. Richard.osborne@deakin.edu.au.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Osborne
authors.affiliation: Flinders Human Behaviour and Health Research Unit, Flinders University, Adelaide, Australia. Malcolm.Battersby@health.sa.gov.au.
authors.forename: Malcolm W
authors.initials: MW
authors.lastname: Battersby
authors.affiliation: Melbourne Sexual Health Centre and Department of Medicine, Central Clinical School, Monash University, Melbourne, Australia. cfairley@mshc.org.au.
authors.forename: Christopher K
authors.initials: CK
authors.lastname: Fairley
authors.affiliation: Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia. julieas@unimelb.edu.au.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Simpson
authors.affiliation: Centre for Health Economics, Monash University, Melbourne, Australia. paula.lorgelly@monash.edu.
authors.forename: Paula
authors.initials: P
authors.lastname: Lorgelly
authors.affiliation: Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia. Andrew.tonkin@monash.edu.
authors.forename: Andrew
authors.initials: A
authors.lastname: Tonkin
authors.affiliation: Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. j.roney@alfred.org.au.
authors.forename: Janine
authors.initials: J
authors.lastname: Roney
authors.affiliation: Centre for Social Research in Health, University of New South Wales, Sydney, Australia. s.slavin@unsw.edu.au.
authors.forename: Sean
authors.initials: S
authors.lastname: Slavin
authors.affiliation: Department of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia. jsterjovski@unimelb.edu.au.
authors.forename: Jasminka
authors.initials: J
authors.lastname: Sterjovski
authors.affiliation: Science and Engineering Faculty, Queensland University of Technology, Brisbane, Australia. m.brereton@qut.edu.au.
authors.forename: Margot
authors.initials: M
authors.lastname: Brereton
authors.affiliation: Department of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia. sharon.lewin@unimelb.edu.au.
authors.forename: Sharon R
authors.initials: SR
authors.lastname: Lewin
authors.affiliation: Australasian Society for HIV Medicine, Sydney, Australia. Levinia.crooks@ashm.org.au.|Department of Public Health and Human Biosciences, La Trobe University, Melbourne, Australia. Levinia.crooks@ashm.org.au.
authors.forename: Levinia
authors.initials: L
authors.lastname: Crooks
authors.affiliation: National Association of People with HIV Australia, Sydney, Australia. jo@napwa.org.au.
authors.forename: Jo
authors.initials: J
authors.lastname: Watson
authors.affiliation: Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, Australia. michael.kidd@flinders.edu.au.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Kidd
authors.affiliation: Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. irith.williams@monash.edu.au.
authors.forename: Irith
authors.initials: I
authors.lastname: Williams
authors.affiliation: Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia. julian.elliott@monash.edu.
authors.forename: Julian H
authors.initials: JH
authors.lastname: Elliott
mesh_terms: D003327:Coronary Disease / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D015658:HIV Infections / Q000150:complications / Q000628:therapy; D006801:Humans; D011634:Public Health; D012648:Self Care / Q000379:methods*