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.
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By:
- 1Harvard Medical School, Boston, MA, USA.
- 2Center for Global Health, Massachusetts General Hospital, 100 Cambridge St, 15th Floor, Boston, MA, USA.
- 3Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
- 4University of KwaZulu-Natal, Durban, South Africa.
- 5Boston Children's Hospital, Boston, MA, USA.
- 6Don McKenzie Hospital, Botha's Hill, South Africa.
- 7Harvard Medical School, Boston, MA, USA. jhaberer@partners.org.
- 8Center for Global Health, Massachusetts General Hospital, 100 Cambridge St, 15th Floor, Boston, MA, USA. jhaberer@partners.org.
- 9Department of Medicine, Massachusetts General Hospital, Boston, MA, USA. jhaberer@partners.org.
- AIDS Behav. 2016 Jan 18.
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