The Acceptability and Perceived Usefulness of a Weekly Clinical SMS Program to Promote HIV Antiretroviral Medication Adherence in KwaZulu-Natal, South Africa

被引：42

作者：

Georgette, Nathan ^{[1
]}

Siedner, Mark J. ^{[1
,2
,3
]}

Zanoni, Brian ^{[1
,2
,3
]}

Sibaya, Thobekile ^{[4
]}

Petty, Carter R. ^{[5
]}

Carpenter, Stephen ^{[6
]}

Haberer, Jessica E. ^{[1
,2
,3
]}

机构：

[1] Harvard Med Sch, Boston, MA 02115 USA

[2] Massachusetts Gen Hosp, Ctr Global Hlth, 100 Cambridge St,15th Floor, Boston, MA 02114 USA

[3] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA

[4] Univ KwaZulu Natal, Durban, South Africa

[5] Boston Childrens Hosp, Boston, MA USA

[6] Don McKenzie Hosp, Bothas Hill, South Africa

来源：

AIDS AND BEHAVIOR | 2016年 / 20卷 / 11期

关键词：

HIV; SMS program; Adherence; mHealth; KwaZulu-Natal; Routine care; SUB-SAHARAN AFRICA; RANDOMIZED CONTROLLED-TRIAL; TEXT MESSAGES; FOLLOW-UP; THERAPY; REMINDERS; COMMUNICATION; PREDICTORS; ATTENDANCE; DURBAN;

D O I：

10.1007/s10461-016-1287-z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Short message service (SMS) text messages have been used to remind and encourage patients to take ART in research studies. However, few studies have assessed the feasibility and acceptability of SMS in routine clinical practice. We report patient perspectives on a weekly SMS adherence support program after implementation into clinical care at an HIV clinic in KwaZulu-Natal, South Africa. We conducted structured interviews with a cross-sectional convenience sample of 100 adult patients who were invited to join the program, 88 of whom had received a program SMS. Of these respondents, 81 (92 %) would recommend the program to a friend. Sixty-eight (77 %) felt the program helped them remember clinic appointments, a response associated with male gender [odds ratio (OR) 5.88, 95 % confidence interval (CI) 1.52-23.26, P = 0.011] and HIV disclosure outside the home [OR 3.40, 95 %CI 1.00-11.60, P = 0.050]. This clinical SMS adherence program was found to have high patient-perceived usefulness.

引用

页码：2629 / 2638

页数：10

共 38 条

[1]

[Anonymous], INT C HIV PREV TREAT

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