Short message service (SMS)-based intervention to improve treatment adherence among HIV-positive youth in Uganda: focus group findings.

Short message service (SMS)-based intervention to improve treatment adherence among HIV-positive youth in Uganda: focus group findings.
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DOI:
10.1371/journal.pone.0125187
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发表时间:
2015
期刊:
影响因子:
3.7
通讯作者:
Linnemayr S
Linnemayr S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Rana Y;Haberer J;Huang H;Kambugu A;Mukasa B;Thirumurthy H;Wabukala P;Wagner GJ;Linnemayr S

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本文提出了首批定性研究之一,讨论了针对艾滋病毒阳性青年进行短信干预的计划性障碍,并讨论了青年认为这些干预措施发挥作用的途径。我们在乌干达坎帕拉的两家诊所对 20 名男性和 19 名女性 HIV 阳性青少年进行了 6 个焦点小组讨论。我们发现年轻人普遍使用短信,因为本次研究中超过 90% 的年轻人知道如何阅读、编写和发送消息,其中近四分之三拥有手机。青年人强烈认为,这一干预措施的成功取决于确保其艾滋病毒阳性状况的保密性。讨论了关键的计划挑战,其中对手机使用和手机共享的限制可能会将一些年轻人排除在外。参与者认为干预措施可以通过为他们提供必要的提醒和社会支持来提高他们的依从性。青少年对干预后勤的内容、频率、时间安排和双向信息等方面的建议将对该领域的从业者有所帮助。
This paper presents one of the first qualitative studies to discuss programmatic barriers to SMS-based interventions for HIV-positive youth and discusses pathways through which youth perceive them to work. We conducted six focus groups with 20 male and 19 female HIV-positive youths in two clinics in Kampala, Uganda. We find that youth commonly use SMS as over 90% of this study’s youths knew how to read, write and send messages and almost three-fourths of them had phones. Youth strongly felt that the success of this intervention hinged on ensuring confidentiality about their HIV-positive status. Key programmatic challenges discussed where restrictions on phone use and phone sharing that could exclude some youth. Participants felt that the intervention would improve their adherence by providing them with needed reminders and social support. Youths’ suggestions about intervention logistics related to content, frequency, timing and two-way messages will be helpful to practitioners in the field.
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