Technology-enhanced Peer Navigation to Improve Injection Drug User (IDU) Engagement in HIV Care

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This study is evaluating an mHealth-enhanced peer navigation intervention for improving retention-in-care and adherence to antiretroviral therapy (ART) for out-of-care, HIV-infected injection drug users (IDUs).  The CCGHE-developed emocha® is assisting peer navigators (former IDUs successfully engaged in HIV care) to deliver individually-tailored interventions to HIV-infected IDUs who have been out of care for over one year. According to predetermined algorithms, the emocha® program detects threats to care engagement and triggers one of two types of interventions: (1) a phone call or visit from a peer navigator for assistance with a specific problem, or (2) an automated, context-specific text message (i.e., MI).