Text Messaging and Disaster Preparedness Aids Engagement, Re-Engagement, Retention, and Communication Among Puerto Rican Participants in a Human Immunodeficiency Virus (HIV) Self-Testing Study After Hurricanes Irma and Maria.

Text Messaging and Disaster Preparedness Aids Engagement, Re-Engagement, Retention, and Communication Among Puerto Rican Participants in a Human Immunodeficiency Virus (HIV) Self-Testing Study After Hurricanes Irma and Maria.
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DOI:
10.1017/dmp.2020.25
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发表时间:
2020-04-08
影响因子:
2.7
通讯作者:
Carballo-Diéguez A
Carballo-Diéguez A
中科院分区:
医学4区
文献类型:
--
作者:
Brown W 3rd;Lopez Rios J;Sheinfil A;Frasca T;Cruz Torres C;Crespo R;Dolezal C;Giguere R;Lentz C;Balán IC;Rael CT;Febo I;Carballo-Diéguez A

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飓风可能会中断通信,加剧自然减员,并扰乱参与者的研究参与。我们使用短信和灾难准备协议来重新建立通信,重新吸引参与者,并确保保留在人类免疫缺陷病毒(HIV)自检研究中。参与者在性交前获得艾滋病毒家庭检测试剂盒,以检测自己和/或他们的非一夫一妻制性伴侣。每日短信服务的计算机辅助自我采访(SMS-CASI)工具提醒他们报告3个变量:(1)不使用安全套的肛交,(2)了解伴侣的测试历史,(3)证明伴侣的测试历史。为应对波多黎各的飓风制定了备灾议定书。我们分析了在飓风伊尔玛和玛丽亚发生时活跃的参与者(N = 12)的6315条消息。评估了备灾叙述。所有参与者都能够在María之后的30天内通过SMS-CASI交流性行为和HIV检测。一些参与者(n = 5,42%)还交流了问题。飓风过后30天内重新参与的比例为100%(第二周/89%,第三周/100%)。参与者重新参与的时间范围为0-16天(平均= 6.4天)。保留率为100%。每日SMS-CASI和备灾协议有助于参与者在2次飓风后的参与和沟通。SMS-CASI的回答表明参与者的重新参与,保留和幸福感很高。
Hurricanes can interrupt communication, exacerbate attrition, and disrupt participant engagement in research. We used text messaging and disaster preparedness protocols to re-establish communication, re-engage participants, and ensure retention in a human immunodeficiency virus (HIV) self-test study. Participants were given HIV home test kits to test themselves and/or their non-monogamous sexual partners before intercourse. A daily text message-based short message service computer-assisted self-interview (SMS-CASI) tool reminded them to report 3 variables: (1) anal sex without a condom, (2) knowledge of partners’ testing history, and (3) proof of partners’ testing history. A disaster preparedness protocol was put in place for hurricanes in Puerto Rico. We analyzed 6315 messages from participants (N = 12) active at the time of Hurricanes Irma and Maria. Disaster preparedness narratives were assessed. All participants were able to communicate sexual behavior and HIV testing via SMS-CASI within 30 days following María. Some participants (n = 5, 42%) also communicated questions. Re-engagement within 30 days after the hurricane was 100% (second week/89%, third week/100%). Participant re-engagement ranged from 0–16 days (average = 6.4 days). Retention was 100%. Daily SMS-CASI and disaster preparedness protocols helped participant engagement and communication after 2 hurricanes. SMS-CASI responses indicated high participant re-engagement, retention, and well-being.
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