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

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 progra...

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Published in:AIDS & Behavior Vol. 20; no. 11; pp. 2629 - 2639
Main Authors: Georgette, Nathan, Siedner, Mark, Zanoni, Brian, Sibaya, Thobekile, Petty, Carter, Carpenter, Stephen, Haberer, Jessica
Format: research tables/charts Journal Article
Published: Springer Nature Nov2016
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: The Acceptability and Perceived Usefulness of a Weekly Clinical SMS Program to Promote HIV Antiretroviral Medication Adherence in KwaZulu-Natal, South Africa.
      aug:
        au:
          Georgette, Nathan
          Siedner, Mark
          Zanoni, Brian
          Sibaya, Thobekile
          Petty, Carter
          Carpenter, Stephen
          Haberer, Jessica
        affil: Harvard Medical School , Boston USA
      sug:
        subj:
          Text Messaging Utilization
          Medication Compliance
          Program Implementation South Africa
          HIV Infections Prevention and Control
          Health Promotion Methods
          Anti-Retroviral Agents Therapeutic Use
          Human
          Adult
          Male
          Practice Guidelines
          South Africa
          Cross Sectional Studies
          Structured Interview
          Descriptive Statistics
          Confidence Intervals
          Odds Ratio
          Perception
          Adult: 19-44 years
          Male
      ab:
        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.
        Servicio de mensajes cortos (SMS) mensajes de texto se han utilizado para recordar y alentar a los pacientes a tomar ART en estudios de investigación. Sin embargo, pocos estudios han evaluado la viabilidad y aceptabilidad de los SMS en la práctica clínica habitual. Presentamos las perspectivas del paciente en un programa de apoyo a la adherencia de SMS semanal después de la implementación en la atención clínica en una clínica de VIH en KwaZulu -Natal, Sudáfrica. Hemos llevado a cabo entrevistas estructuradas con una muestra conveniencia transversal de 100 pacientes adultos que fueron invitados a participar en el programa, 88 de los cuales habían recibido un SMS del programa. De estos encuestados, 81 (92 %) recomendarían el programa a un amigo. Sesenta y ocho (77 %) considera el programa ayudó a recordar citas en la clínica, una respuesta asociada con el género masculino [odds ratio (OR) 5,88; intervalo de confianza del 95 % (IC) 1,52 a 23,26; p = 0,011] y la revelación del VIH fuera del casa [OR 3,40; IC del 95 % 1,00 a 11,60; p = 0,050]. Se encontró que este programa de adherencia SMS clínica para tener una alta utilidad percibida por el paciente.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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