Using behavioural insights to increase HIV self-sampling kit returns: a randomized controlled text message trial to improve England's HIV self-sampling service

被引：15

作者：

Brown, L. J. ^{[1
,2
]}

Tan, K. S. ^{[2
]}

Guerra, L. E. ^{[3
]}

Naidoo, C. J. ^{[3
]}

Nardone, A. ^{[3
]}

机构：

[1] London Sch Hyg & Trop Med, Dept Populat Hlth, Keppel St, London WC1E 7HT, England

[2] Publ Hlth England, Hlth Improvement Directorate, PHE Behav Insights Team, Res Training & Innovat, London, England

[3] Publ Hlth England, HIV & STIs Dept, Sexual Hlth Promot Unit, Hlth Improvement Directorate, London, England

来源：

HIV MEDICINE | 2018年 / 19卷 / 09期

关键词：

behavioural interventions; HIV diagnostic tests; public health; randomized controlled trial; text messaging; REMIND PATIENTS; HIGHER RISK; SMS TEXTS; INTERVENTIONS; REATTEND; UTILITY; HEALTH; STIS; MEN; SEX;

D O I：

10.1111/hiv.12634

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

ObjectivesThe aim of the study was to determine whether behaviourally informed short message service (SMS) primer and reminder messages could increase the return rate of HIV self-sampling kits ordered online. MethodsThe study was a 2 x 2 factorial design randomized control trial. A total of 9585 individuals who ordered a self-sampling kit from different SMS combinations: 1) standard reminders sent days 3 and 7 after dispatch (control); 2) primer sent 1 day after dispatch plus standard reminders; 3) behavioural insights (BI) reminders (no primer); or 4) primer plus BI reminders. The analysis was restricted to individuals who received all messages (n = 8999). We used logistic regression to investigate independent effects of the primer and BI reminders and their interaction. We explored the impact of sociodemographic characteristics on kit return as a secondary analysis. ResultsThose who received the primer and BI reminders had a return rate 4% higher than that of those who received the standard messages. We found strong evidence of a positive effect of the BI reminders (odds ratio 1.13; 95% confidence interval 1.04-1.23; P = 0.003) but no evidence for an effect of the primer, or for an interaction between the two interventions. Odds of kit return increased with age, with those aged 65 years being almost 2.5 times more likely to return the kit than those aged 25-34 years. Men who have sex with men were 1.5-4.5 times more likely to return the kit compared with other sexual behaviour and gender identity groups. Non-African black clients were 25% less likely to return the kit compared with other ethnicities. ConclusionsAdding BI to reminder messages was successful in improving return rates at no additional cost.

引用

页码：585 / 596

页数：12

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