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

Georgette, Nathan; Siedner, Mark J.; Zanoni, Brian C.; Sibaya, Thobekile; Petty, Carter R.; Carpenter, Stephen; Haberer, Jessica

doi:10.1007/s10461-016-1287-z

Cited by 57 publications

(46 citation statements)

References 38 publications

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“…The majority of the quantitative surveys (54; 76.1%) were administered by an interviewer [100,102,104–109,112,113,115–117,119,121–124,128–130,133–137,139,141–150,152–166,168,169], five (7.0%) were self-administered [125,126,132,140,151], one (1.4%) used an audio computer-assisted self-interview [110] and the remaining studies (11; 15.5%) did not specify or it was not clear how the survey was administered [101,103,111,114,118,120,127,131,138,167,170]. No studies indicated clearly that there was a free response option for participants to report the barriers they experienced (for further description on the studies see the supplementary material).…”

Section: Resultsmentioning

confidence: 99%

Patient-reported barriers and facilitators to antiretroviral adherence in sub-Saharan Africa

Croome

Ahluwalia²,

Hughes³

et al. 2017

Aids

138

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Objective:The aim of this study was to identify the range and frequency of patient-reported barriers and facilitators to antiretroviral treatment (ART) adherence in sub-Saharan Africa (SSA).Design:Studies from 2005 to 2016 were identified by searching 10 electronic databases and through additional hand and web-searching.Methods:Inclusion criteria were HIV-positive adults taking ART based in any SSA country, qualitative study or quantitative survey and included at least one patient-reported barrier or facilitator to ART adherence. Exclusion criteria were only including data from treatment-naive patients initiating ART, only single-dose treatment, participants residing outside of SSA and reviews.Results:After screening 11 283 records, 154 studies (161 papers) were included in this review. Forty-three barriers and 30 facilitators were reported across 24 SSA countries. The most frequently identified barriers across studies were forgetting (n = 76), lack of access to adequate food (n = 72), stigma and discrimination (n = 68), side effects (n = 67) and being outside the house or travelling (n = 60). The most frequently identified facilitators across studies were social support (n = 60), reminders (n = 55), feeling better or healthier after taking ART (n = 35), disclosing their HIV status (n = 26) and having a good relationship with a health provider (n = 22).Conclusion:This review addresses the gap in knowledge by collating all the patient-reported barriers and facilitators to ART adherence in SSA. Current barriers measures need to be adapted or new tools developed to include the wide variety of factors identified. The factors that have the greatest impact need to be isolated so interventions are developed that reduce the barriers and enhance the facilitators.

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Section: Resultsmentioning

confidence: 99%

Patient-reported barriers and facilitators to antiretroviral adherence in sub-Saharan Africa

Croome

Ahluwalia²,

Hughes³

et al. 2017

Aids

138

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“…Some qualitative studies have reported that SMS recipients desired discreet, coded messages to prevent status disclosure (Curioso et al, 2009; Rana et al, 2015), while others reported a lack of consensus among recipients (Mbuagbaw, Bonono-Momnougui, & Thabane, 2012a), and desire by some for detailed information about HIV medication (Georgette et al, 2016). Most interventions to date have delivered SMS that do not overtly refer to HIV or medication, instead sending greetings (Lester et al, 2010), indirect reminders to ‘take care of health’ (da Costa et al, 2012; Pop-Eleches et al, 2011), or unrelated content such as news, weather or jokes (Hardy et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

SMS messaging to improve ART adherence: perspectives of pregnant HIV-infected women in Kenya on HIV-related message content

et al. 2017

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There is growing evidence that mobile health (mHealth) approaches including short messaging service (SMS) can improve antiretroviral therapy (ART) adherence, but consensus is lacking regarding communication of HIV-related information. Most interventions to date have delivered SMS that do not overtly refer to HIV or ART in order to avoid risk of status disclosure. In formative work for an ongoing randomized controlled trial (RCT) evaluating one-way and two-way educational SMS for prevention of mother-to-child-transmission (PMTCT) adherence in Kenya, we conducted 10 focus group discussions (FGDs) with 87 HIV-infected peripartum women to determine desirability and preferred terminology of HIV-related content. SMS for the RCT were developed based on FGD findings. Roughly half of FGD participants supported receiving SMS containing overtly HIV-related terms, such as ‘HIV’ and ‘medication’, citing desire for detailed educational messages about ART and PMTCT. Those opposed to overt content expressed concerns about confidentiality. Many participants argued that acceptability of HIV-related content depended on the recipient’s disclosure status and others’ access to her phone. Based on these findings, both covert and overt SMS were developed for the RCT and participants who owned their phone or had disclosed their HIV status to anyone with access to their phone were able to choose one of three options: (1) covert SMS only, (2) overt SMS only in response to HIV-related questions from the participant, (3) overt SMS routinely, initiated by the study. Of the 825 participants in the RCT, 94% were eligible to receive overt SMS. Of these, 66% opted to receive routine overt SMS and 10% to receive participant-initiated overt SMS. These findings show there may be interest in overt HIV-related information by SMS when risk of status disclosure is low, and support use of messaging strategies that allows participant choice in HIV-related content while protecting against undesired disclosure.

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“…In our study, simple SMS replies were an insufficient measure of receipt. Previous studies have shown higher levels of engagement when utilizing serial messaging and two-way communications [6,7,34,35], rather than one-time messaging. Including quizzes or trivia may also improve participant response rates [31].…”

Section: Discussionmentioning

confidence: 99%

“…Median age among adult participants was 27 years of age (interquartile range (IQR) [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Step 2: SMS Received…”

Section: Study Population Of the Process Evaluationmentioning

confidence: 99%

Text Messages Sent to Household Tuberculosis Contacts in Kampala, Uganda: Process Evaluation (Preprint)

Gupta¹,

Babirye²,

Armstrong-Hough³

et al. 2018

Preprint

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

Cited by 57 publications

References 38 publications

Patient-reported barriers and facilitators to antiretroviral adherence in sub-Saharan Africa

Patient-reported barriers and facilitators to antiretroviral adherence in sub-Saharan Africa

SMS messaging to improve ART adherence: perspectives of pregnant HIV-infected women in Kenya on HIV-related message content

Text Messages Sent to Household Tuberculosis Contacts in Kampala, Uganda: Process Evaluation (Preprint)

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