A pilot study using interactive SMS support groups to prevent mother-to-child HIV transmission in South Africa

A pilot study using interactive SMS support groups to prevent mother-to-child HIV transmission in South Africa
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DOI:
10.1258/jtt.2012.120118
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发表时间:
2012-01-01
影响因子:
4.7
通讯作者:
Forsyth, Brian W. C.
Forsyth, Brian W. C.
中科院分区:
医学3区
文献类型:
--
作者:
Dean, Andrea Lach;Makin, Jennifer D.;Forsyth, Brian W. C.

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我们调查了使用移动的手机短信(SMS),以促进坚持抗逆转录病毒治疗的艾滋病毒感染的孕妇最近诊断为艾滋病毒的可行性。来自两个城市产前检查诊所的7名艾滋病毒呈阳性的妇女(妊娠15-33周)收到了移动的电话,并被邀请在12周内使用短信讨论艾滋病毒、健康和妊娠问题。所有参与者都相互连接,并与指导小组并通过小组短信回答问题的临床医生连接。共发送了1 018条关于艾滋病毒和艾滋病毒母婴传播的医疗和心理问题的个人信息。参与者平均每注册一周发送16条信息,无技术问题。一半的信息(51%)涉及医疗信息,其余的涉及社会评论或解决心理问题。干预后与参与者的四次访谈显示总体满意度,参与者建议将来提供该小组。该试点项目的匿名性、非刚性性质和远程访问使其能够克服传统支助干预可能失败的耻辱和后勤挑战。
We investigated the feasibility of using mobile phone text messaging (SMS) to promote adherence to antiretroviral therapy among HIV-infected pregnant women recently diagnosed with HIV. Seven HIV-positive women (15-33 weeks gestation) from two urban antenatal clinics received mobile phones and were invited to use text messaging to discuss HIV, health and pregnancy over a 12-week period. All participants were connected to each other and to a clinician who guided the group and answered questions via group SMS messaging. A total of 1018 individual messages were sent regarding medical and psychosocial topics related to HIV and mother-to-child HIV transmission. Participants sent an average of 16 messages per enrolled, technology-problem-free week. Half the messages (51%) concerned medical information, and the remainder concerned social comments or addressed psychological matters. Four post-intervention interviews with participants revealed overall satisfaction and participants recommended that the group be offered in the future. The pilot project's anonymity, non-rigid nature and remote access allowed it to overcome stigma and logistical challenges where a conventional support intervention would probably have failed.