Text messaging to improve attendance at post-operative clinic visits after adult male circumcision for HIV prevention: a randomized controlled trial.
Text messaging to improve attendance at post-operative clinic visits after adult male circumcision for HIV prevention: a randomized controlled trial.
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DOI：
10.1371/journal.pone.0043832
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
McClelland RS
中科院分区：
文献类型：
--
作者：
Odeny TA;Bailey RC;Bukusi EA;Simoni JM;Tapia KA;Yuhas K;Holmes KK;McClelland RS
在为预防艾滋病毒而进行男性包皮环切手术后，很大一部分男子没有按计划返回医院进行为期7天的术后检查。我们评估了短信息服务（SMS）短信对出席这一重要访问的影响。我们在肯尼亚尼扬扎省的12个地点招募了1200名>18岁的参与者，进行了一项双臂、平行、随机对照试验。参与者每天收到短信七天（n = 600）或常规护理（n = 600）。 主要结局是计划的术后7天访视的出席率。在接受SMS的参与者中，387/592（65.4%）返回，而对照组为356/596（59.7%）（相对风险[RR]= 1.09，95%置信区间[CI] 1.00-1.20; p = 0.04）。 与花费≤ 1.25美元前往诊所的男性相比，花费超过1.25美元前往诊所的男性无法返回的风险更高（调整后的相对风险[aRR] 1.35，95% CI 1.15-1.58; p<0.001）。受过中等或高等教育的男性与受过初等或以下教育的男性相比，未能返回的风险较低（aRR 0.87，95% CI 0.74-1.01; p = 0.07）。 短信导致成年男性包皮环切术后7天门诊访视的出勤率略有改善。与未能返回有关的因素主要是结构性的，包括运输费用和教育水平低。 ClinicalTrials.gov www.example.com
Following male circumcision for HIV prevention, a high proportion of men fail to return for their scheduled seven-day post-operative visit. We evaluated the effect of short message service (SMS) text messages on attendance at this important visit. We enrolled 1200 participants >18 years old in a two-arm, parallel, randomized controlled trial at 12 sites in Nyanza province, Kenya. Participants received daily SMS text messages for seven days (n = 600) or usual care (n = 600). The primary outcome was attendance at the scheduled seven-day post-operative visit. The primary analysis was by intention-to-treat. Of participants receiving SMS, 387/592 (65.4%) returned, compared to 356/596 (59.7%) in the control group (relative risk [RR] = 1.09, 95% confidence interval [CI] 1.00–1.20; p = 0.04). Men who paid more than US$1.25 to travel to clinic were at higher risk for failure to return compared to those who spent ≤US$1.25 (adjusted relative risk [aRR] 1.35, 95% CI 1.15–1.58; p<0.001). Men with secondary or higher education had a lower risk of failure to return compared to those with primary or less education (aRR 0.87, 95% CI 0.74–1.01; p = 0.07). Text messaging resulted in a modest improvement in attendance at the 7-day post-operative clinic visit following adult male circumcision. Factors associated with failure to return were mainly structural, and included transportation costs and low educational level. ClinicalTrials.gov NCT01186575
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影响因子：
15.8
作者：
Lissouba P;Taljaard D;Rech D;Doyle S;Shabangu D;Nhlapo C;Otchere-Darko J;Mashigo T;Matson C;Lewis D;Billy S;Auvert B
通讯作者：
Auvert B
影响因子：
168.9
作者：
Lester, Richard T.;Ritvo, Paul;Plummer, Francis A.
通讯作者：
Plummer, Francis A.
影响因子：
2.2
作者：
Foley, J.;O'Neill, M.
通讯作者：
O'Neill, M.
影响因子：
168.9
作者：
Free, Caroline;Knight, Rosemary;Robertson, Steven;Whittaker, Robyn;Edwards, Phil;Zhou, Weiwei;Rodgers, Anthony;Cairns, John;Kenward, Michael G.;Roberts, Ian
通讯作者：
Roberts, Ian
影响因子：
2.2
作者：
Leong, Kwok Chi;Chen, Wei Seng;Teng, Cheong Lieng
通讯作者：
Teng, Cheong Lieng