Text Messaging for Enhancement of Testing and Treatment for Tuberculosis, Human Immunodeficiency Virus, and Syphilis: A Survey of Attitudes Toward Cellular Phones and Healthcare
Text Messaging for Enhancement of Testing and Treatment for Tuberculosis, Human Immunodeficiency Virus, and Syphilis: A Survey of Attitudes Toward Cellular Phones and Healthcare
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DOI：
10.1089/tmj.2010.0164
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发表时间：
2011-04-01
影响因子：
4.7
通讯作者：
Stout, Jason E.
中科院分区：
文献类型：
--
作者：
Person, Anna K.;Blain, Michela L. M.;Stout, Jason E.
目的：本研究的目的是评估结核病(TB)或人类免疫缺陷病毒(HIV)的风险人群中与医疗保健相关的手机使用和短信的知识、态度和行为。方法：对三组受试者进行匿名调查：(1)到HIV诊所就诊的HIV感染者；(2)在公共卫生诊所就诊的潜在结核病感染者；(3)在社区筛查点进行结核病、HIV和梅毒筛查的人。结果：315人(n=315)接受调查，其中241人(76.5%)拥有手机。拥有手机的人比没有手机的人更年轻，受教育程度更高。交通不便和忘记预约分别被34.2%和39.5%的受访者认为是重大障碍。56%的受试者认为收到短信预约提醒是可以接受的，33%的受试者认为短信提醒服药是可以接受的。较年轻的年龄和手机拥有量与接受短信提醒显著相关。黑人和西班牙裔受试者比白人受试者更有可能感觉到短信提醒预约或药物有帮助。此外，黑人和西班牙裔受试者，以及受教育程度较低的受试者，更容易接受与医疗保健相关的教育短信。结论：手机和短信在HIV和结核病诊所就诊的受试者中很普遍，受试者一般接受短信进行与医疗相关的交流。应该探索利用短信提高就诊率、服药依从性和健康知识的可能性的干预措施。
Objectives: The objective of this study was to assess knowledge, attitudes, and behaviors surrounding healthcare-related mobile phone use and text messaging among persons at risk for or infected with tuberculosis (TB) or the human immunodeficiency virus (HIV). Methods: An anonymous survey was conducted in three groups of subjects: (1) HIV-infected persons attending an HIV clinic; (2) persons with latent TB infection at a public health clinic; and (3) persons presenting for TB, HIV, and syphilis screening at a community screening site. Results: Three hundred fifteen (n = 315) persons responded to the survey, of whom 241 (76.5%) owned a cell phone. Cell phone owners were younger and more educated than nonowners. Transportation difficulty and forgetting appointments were cited as significant barriers by 34.2% and 39.5% of respondents, respectively. Fifty-six percent of subjects felt it would be acceptable to receive text message appointment reminders, and 33% felt that text message reminders to take medications would be acceptable. Younger age and cell phone ownership were significantly associated with acceptance of text message reminders. Black and Hispanic subjects were more likely to feel that text message reminders for appointments or medications were helpful than White subjects. Further, Black and Hispanic subjects, as well as subjects with lower educational attainment, were more receptive to healthcare-related educational text messages. Conclusions: Cell phones and text messaging were prevalent among our subjects attending HIV and TB clinics, and subjects were generally receptive to text messaging for healthcare-related communication. Interventions that explore the potential for text messaging to improve clinic attendance, medication adherence, and health knowledge should be explored.