Using Mobile Phones to Improve Clinic Attendance Amongst an Antiretroviral Treatment Cohort in Rural Uganda: A Cross-sectional and Prospective Study
Using Mobile Phones to Improve Clinic Attendance Amongst an Antiretroviral Treatment Cohort in Rural Uganda: A Cross-sectional and Prospective Study
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DOI：
10.1007/s10461-010-9780-2
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发表时间：
2010-12-01
影响因子：
4.4
通讯作者：
Ikoona, Eric
中科院分区：
文献类型：
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作者：
Kunutsor, Setor;Walley, John;Ikoona, Eric
我们的目标是评估乌干达农村地区抗逆转录病毒治疗(ART)队列中手机使用的模式和动态，并确定其改善就诊情况的可行性。我们对抗逆转录病毒治疗客户进行了一项横断面研究，探索他们使用手机的机会和使用模式，然后在28周内对176名在横断面调查中确定的可以使用手机并同意联系的患者进行前瞻性监测，这些患者可以使用手机并同意联系他们。通过语音电话或短信联系患者，提醒他们错过了接受调查的276名患者的门诊预约，177人(%)可以使用手机，除一人外，所有人都愿意因错过就诊而被联系提醒560个预定的诊所预约总数62(11%)错过就诊在79%的病例中62人(11%)错过就诊，患者在手机召回事件发生后平均22天内接受治疗(SD=1.2天)在这种情况下，使用手机的机会很高隐私和保密问题不被认为是阻止因素移动电话有潜力在资源有限的环境中使用，以显著改善艾滋病毒/艾滋病的临床管理
We aimed to assess the patterns and dynamics of mobile phone usage amongst an antiretroviral treatment (ART) cohort in rural Uganda and ascertain its feasibility for improving clinic attendance A cross-sectional study of clients on ART exploring their access to mobile phones and patterns of use was employed Clinic attendances for antiretroviral drug refills were then monitored prospectively over 28 weeks in 176 patients identified in the cross-sectional survey who had access to mobile phones and had given consent to be contacted Patients were contacted via voice calls or text messages to remind them about their missed clinic appointments Of the 276 patients surveyed, 177 (64%) had access to mobile phones with all but one were willing to be contacted for missed visits reminders Of the 560 total scheduled clinic appointments 62 (11%) were missed visits In 79% of episodes in which visits were missed, patients presented for treatment within a mean duration of 2 2 days (SD = 1 2 days) after mobile phone recall Access to mobile phones was high in this setting Privacy and confidentiality issues were not considered deterrents Mobile phones have a potential for use in resource-constrained settings to substantially improve the clinical management of HIV/AIDS