“Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya

Ogello, Vallery; Ngure, Kenneth; Thuo, Nicholas; Burns, Barbara A.; Rono, Bernard; Oware, Kevin; Kiptiness, Catherine; Mugo, Nelly; Bukusi, Elizabeth A.; Garrison, Lindsey; Baeten, Jared M.; Haberer, Jessica

doi:10.1007/s10461-022-03744-z

Cited by 5 publications

(1 citation statement)

References 32 publications

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“…The level of acceptability of SMS reminders in this study was comparable with that reported in a Kenyan study among pregnant women initiated on PrEP where 94% reported that two-way SMS reminders were helpful and 95% reported that they would use them again after the study [ 21 ]. Additionally, a qualitative study conducted among trial participants using in-depth interviews following an SMS reminder intervention in Kenya also affirmed that SMS reminders are highly acceptable among AGYW taking PrEP [ 22 ]. Another study in central Ethiopia reported the acceptability of SMS reminders among 420 adult PLHIV to be high (91%) [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptability of short message service reminders as the support tool for PrEP adherence among young women in Mukono district, Uganda

Laban,

Nakku,

Nangendo

et al. 2024

PLOS Glob Public Health

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Adolescent girls and young women (AGYW) have a disproportionately high incidence of HIV compared to males of the same age in Uganda. AGYW are a priority sub-group for daily oral Pre-Exposure Prophylaxis (PrEP), but their adherence has consistently remained low. Short Message Service (SMS) reminders could improve adherence to PrEP in AGYW. However, there is paucity of literature about acceptability of SMS reminders among AGYW using PrEP. We assessed the level of acceptability of SMS reminders as a PrEP adherence support tool and the associated factors, among AGYW in Mukono district, Central Uganda. We consecutively enrolled AGYW using PrEP in Mukono district in a cross sectional study. A structured pre-tested questionnaire was administered to participants by three trained research assistants. Data were analyzed in STATA 17.0; continuous variables were summarized using median and interquartile range (IQR) while categorical variables were summarized using frequencies and percentages. Acceptability of SMS was defined as willingness to accept SMS reminders to support PrEP adherence and was assessed using the seven constructs of the theoretical framework of acceptability. The relationship between the outcome and independent variables was assessed using a modified Poisson regression with robust standard errors. During the month of August 2022, 142 AGYW with median age 22 years (IQR; 18, 24) of whom 80.3% owned a personal mobile phone were assessed. SMS reminders were highly acceptable [90.9%, 95% Confidence Interval (CI) [84.9, 95.0]]. Rural residence was negatively associated with acceptability of SMS reminders (aPR: 0.92, 95% CI (0.84, 0.99)) and having belief that SMS cannot breach individual’s privacy (aPR: 1.40, 95% CI (1.07, 1.84)) was positively associated with acceptability of SMS reminders. The acceptability of SMS reminders was high in this sub-population. SMS reminder can be leveraged to support AGYW to adhere to PrEP but should be designed in a way that maintains confidentiality, and supports AGYW living in rural settings.

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Section: Discussionmentioning

confidence: 99%

Acceptability of short message service reminders as the support tool for PrEP adherence among young women in Mukono district, Uganda

Laban,

Nakku,

Nangendo

et al. 2024

PLOS Glob Public Health

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Cost-effectiveness analysis of phone reminders for outpatient magnetic resonance imaging (MRI) appointments in Singapore

Ooi

Mon

Tsai

et al. 2023

Journal of Medical Imaging and Radiation Sciences

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Adaptive HIV pre-exposure prophylaxis adherence interventions for young women in Johannesburg, South Africa: a sequential multiple-assignment randomised trial

Velloza,

Poovan,

Meisner

et al. 2024

The Lancet HIV

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“Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya

Abstract: z. The Version of Record is the version of the article after copy-editing and typesetting, and connected to open research data, open protocols, and open code where available. Any supplementary information can be found on the journal website, connected to the Version of Record.

Cited by 5 publications

References 32 publications

Acceptability of short message service reminders as the support tool for PrEP adherence among young women in Mukono district, Uganda

Acceptability of short message service reminders as the support tool for PrEP adherence among young women in Mukono district, Uganda

Cost-effectiveness analysis of phone reminders for outpatient magnetic resonance imaging (MRI) appointments in Singapore

Adaptive HIV pre-exposure prophylaxis adherence interventions for young women in Johannesburg, South Africa: a sequential multiple-assignment randomised trial

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