TextTB: A Mixed Method Pilot Study Evaluating Acceptance, Feasibility, and Exploring Initial Efficacy of a Text Messaging Intervention to Support TB Treatment Adherence.
TextTB: A Mixed Method Pilot Study Evaluating Acceptance, Feasibility, and Exploring Initial Efficacy of a Text Messaging Intervention to Support TB Treatment Adherence.
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DOI：
10.1155/2013/349394
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发表时间：
2013
影响因子：
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通讯作者：
Rubinstein F
中科院分区：
文献类型：
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作者：
Iribarren S;Beck S;Pearce PF;Chirico C;Etchevarria M;Cardinale D;Rubinstein F
Objective.评估短信干预对促进结核病（TB）治疗依从性的作用。方法.在阿根廷的一家公立肺科专科医院进行了一项混合方法的试点研究。招募了18岁或18岁以上新诊断为结核病的患者，并在治疗的前两个月随机分配到常规护理加药物日历（n = 19）或短信干预（n = 18）。主要结局是可行性和可接受性;次要结局探讨了初始疗效。结果移动的电话普及率高、短信熟悉、大多数电话仅限于基本功能、参与者拒绝率低以及许多人描述对结核病的理解欠佳，这些都证明了可行性。可接受性得到了参与者的证明，他们表示感到被关心、支持、对自己的治疗负责，许多人自我报告在没有提醒的情况下坚持治疗。发短信组的参与者平均77%的时间自我报告坚持，而日历组只有53%的人返回日记。探索初始疗效，显微镜检查结果较低，两组的治疗结局相似。结论短信干预被广泛接受且可行，使用短信的依从性报告比日记更多。对短信干预的进一步评估是必要的。
Objective. To assess a text messaging intervention to promote tuberculosis (TB) treatment adherence. Methods. A mixed-methods pilot study was conducted within a public pulmonary-specialized hospital in Argentina. Patients newly diagnosed with TB who were 18 or older, and had mobile phone access were recruited and randomized to usual care plus either medication calendar (n = 19) or text messaging intervention (n = 18) for the first two months of treatment. Primary outcomes were feasibility and acceptability; secondary outcomes explored initial efficacy. Results. Feasibility was evidenced by high access to mobile phones, familiarity with texting, most phones limited to basic features, a low rate of participant refusal, and many describing suboptimal TB understanding. Acceptability was evidenced by participants indicating feeling cared for, supported, responsible for their treatment, and many self-reporting adherence without a reminder. Participants in the texting group self-reported adherence on average 77% of the days whereas only 53% in calendar group returned diaries. Exploring initial efficacy, microscopy testing was low and treatment outcomes were similar in both groups. Conclusion. The texting intervention was well accepted and feasible with greater reporting of adherence using text messaging than the diary. Further evaluation of the texting intervention is warranted.