The acceptability and perceived usefulness of a weekly clinical SMS program to promote HIV antiretroviral medication adherence in KwaZulu-Natal, South Africa
Identifieur interne : 002022 ( Pmc/Curation ); précédent : 002021; suivant : 002023The acceptability and perceived usefulness of a weekly clinical SMS program to promote HIV antiretroviral medication adherence in KwaZulu-Natal, South Africa
Auteurs : Nathan Georgette [États-Unis] ; Mark J. Siedner [États-Unis] ; Brian Zanoni [États-Unis] ; Thobekile Sibaya [Afrique du Sud] ; Carter R. Petty [États-Unis] ; Stephen Carpenter [Afrique du Sud] ; Jessica E. Haberer [États-Unis]Source :
- AIDS and behavior [ 1090-7165 ] ; 2016.
Abstract
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.
Url:
DOI: 10.1007/s10461-016-1287-z
PubMed: 26781866
PubMed Central: 4949151
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<front><div type="abstract" xml:lang="en"><p id="P1">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.</p>
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Harvard Medical School, Boston, MA</aff>
<aff id="A2"><label>2</label>
Center for Global Health, Massachusetts General Hospital, Boston, MA</aff>
<aff id="A3"><label>3</label>
Department of Medicine, Massachusetts General Hospital, Boston, MA</aff>
<aff id="A4"><label>4</label>
University of KwaZulu-Natal, Durban, South Africa</aff>
<aff id="A5"><label>5</label>
Boston Children's Hospital, Boston, MA</aff>
<aff id="A6"><label>6</label>
Don McKenzie Hospital, Botha's Hill, South Africa</aff>
<author-notes><corresp id="CR1"><bold>Corresponding author:</bold>
Jessica E. Haberer, MD, MS, <bold>Mailing address:</bold>
Massachusetts General Hospital Center for Global Health, 100 Cambridge St, 15th floor, Boston, MA 02114, 617-724-0351 (phone), 617-724-1637 (fax)</corresp>
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<pmc-comment>elocation-id from pubmed: 10.1007/s10461-016-1287-z</pmc-comment>
<abstract><p id="P1">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.</p>
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