1. Opt-In for life
Hershey Medical Center, Alder Health Services, Pinnacle Health, Hamilton Health Center
Greater Harrisburg, PA
Presenters: John Zurlo, Matthew Mahoney

2. Implementation Timeline Status of Implementation
Expect to begin enrollment 12/1/16
Number of participants eligible
Hershey – 87 eligible, 20 new possible in enrollment period
Pinnacle - 38 eligible, 24 new possible in the enrollment period
Hamilton/Alder – 12 eligible, 10 new possible in the enrollment period
Monthly enrollment targets: pts./month for 6 mos.
Status of Implementation
IRB – Approved at Hershey, Alder, Hamilton. Pinnacle will present to their IRB in early December.
App completion – Nearing completion; awaiting finalized terms and conditions, final HIPPA compliance approval
Staff – Site app manager at each site, overall managed by Matt Mahoney

3. Implementation Status of Implementation (cont.)
Mobile App development – Nearing completion; awaiting finalized terms and conditions
Staff – App manager at each site, overall managed by Matt Mahoney
Staff – SMCMs are established at each site, training to begin as soon as app is finalized
Pilot intervention: App is being tested by members of our Community Advisory Board (CAB) who will provide feedback

4. Implementation Workflow of Survey and App Enrollment Patient Scheduled
Patient begins survey
Patient finishes survey
Survey Administrator notifies Care Site administrator
Care Site Admin registers patient in the app
Patient receives with login information

5. Implementation Challenges
Mobile app
Tech. related approvals, mostly dealing with data security/HIPAA
Terms and conditions – legalese
App content
Messaging to and from multiple sites (eg. Hershey or Pinnacle with Alder)
IRB
Changing data requirements and protocol
Multiple sites
Approval for app use vs. approval for survey

6. Recruitment Each site has produced a list of current eligible patients
Recruitment candidates: All patients in our existing programs, ages 18-34, seen at least once since 1/1/15 who fulfill the SPNS eligibility criteria
Expect newly enrolled patients to qualify as well (referred to our program via our OPT-In social media campaign)
Study design has been vetted by our CAB
Recruitment script completed
Stipend for enrollment:
$50 for initial survey completion and enrollment
$25 for each follow-up survey completion
Study enrollment specialist hired to serve Hershey/Pinnacle

7. Recruitment Logistics of enrollment
Each site to begin calling eligible patients on or around 12/1/16
Use of telephone script
Scheduled enrollment visits on or around next scheduled appointment
Enrollment specialist will meet patients at Hershey and Pinnacle
Enrollment at Alder and Hamilton may take place on site or in the field
Survey completion, download of app onto smartphone, tablet, and/or computer; instructions sent by

8. Recruitment Challenges
Will our patients be interested in joining?
Advantages
Stipend
Fun with a new app
Ability to message with team, see lab tests, and journal
Disadvantages
Fun enough?
HIV is often out of sight, out of mind – especially for those prone to dropping out
Will the app keep their interest?
Will they want to continue to interact with the app?
Coordination of data collection at multiple sites

9. Discussion
(5 Mins)
Please list the presenters’ contact information in case other sites would like to follow-up regarding this presentation.