{"doi":"10.1007/s10461-021-03294-w","title":"PositiveLinks and the COVID-19 Response: Importance of Low-Barrier Messaging for PLWH in Non-urban Virginia in a Crisis","abstract":"PositiveLinks (PL) is an evidence-based mobile health intervention promoting engagement in care for people living with HIV. PL offers secure, in-app patient-provider messaging. We investigated messaging during the early COVID-19 pandemic, comparing messages exchanged between 01/13/2020 and 03/01/2020 (\"Pre-COVID\") to messages exchanged between 03/02/2020 and 04/19/2020 (\"early COVID\") using Poisson regression. We performed qualitative analysis on a subset of messages exchanged between 02/01/2020 and 03/31/2020. Between \"Pre-COVID\" and \"early COVID\" periods, weekly member and provider messaging rates increased significantly. Of the messages analyzed qualitatively, most (53.3%) addressed medical topics, and more than a fifth (21.3%) addressed social issues. COVID-related messages often focused on care coordination and risk information; half of COVID messages contained rapport-building. PL patients (\"members\") and providers used in-app secure messaging to reach out to one another, identifying needs, organizing receipt of healthcare resources, and strengthening patient-care team relationships. These findings underscore the importance of low-barrier messaging during a crisis.","journal":"AIDS and Behavior","year":2021,"id":188394,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":16,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9596,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":750266,"name":"Sabrina Swoger","orcid":null,"position":1,"is_corresponding":false},{"id":396495,"name":"Alexa Tabackman","orcid":null,"position":2,"is_corresponding":false},{"id":749364,"name":"Eleanor Hilgart","orcid":"0009-0003-9822-9160","position":3,"is_corresponding":false},{"id":749365,"name":"Ben Elliott","orcid":"0000-0002-2456-1983","position":4,"is_corresponding":false},{"id":750267,"name":"Sylvia Coffey","orcid":null,"position":5,"is_corresponding":false},{"id":382475,"name":"Karen Ingersoll","orcid":"0000-0001-8115-2548","position":6,"is_corresponding":false},{"id":373484,"name":"Rebecca Dillingham","orcid":"0000-0001-9748-1215","position":7,"is_corresponding":false},{"id":373483,"name":"Tabor Flickinger","orcid":"0000-0001-8820-2536","position":8,"is_corresponding":false},{"id":749363,"name":"Breanna R. Campbell","orcid":"0000-0001-5019-9378","position":0,"is_corresponding":true}],"reference_count":18,"raw_metadata":null,"created_at":"2026-07-18T23:49:10.350554Z","pmid":"33974168","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}