A Qualitative Evaluation of the Acceptability of an Interactive Voice Response System to Enhance Adherence to Isoniazid Preventive Therapy Among People Living with HIV in Ethiopia.
A Qualitative Evaluation of the Acceptability of an Interactive Voice Response System to Enhance Adherence to Isoniazid Preventive Therapy Among People Living with HIV in Ethiopia.
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DOI：
10.1007/s10461-016-1432-8
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发表时间：
2017-11
影响因子：
4.4
通讯作者：
Howard, Andrea A.
中科院分区：
文献类型：
--
作者：
Daftary, Amrita;Hirsch-Moverman, Yael;Kassie, Getnet M.;Melaku, Zenebe;Gadisa, Tsigereda;Saito, Suzue;Howard, Andrea A.
关键词：
交互式语音应答（IVR）越来越多地用于监测和促进药物依从性。2014年，我们评估了患者对IVR的可接受性，作为ENRICH研究的一部分，旨在提高埃塞俄比亚艾滋病毒阳性成年人对异烟肼预防性治疗结核病预防的依从性。对30名参与者完成了定性访谈，他们接到了2867个IVR电话，其中24%得到了完全接听。个性化的IVR选项、治疗教育以及节省时间和成本促进了IVR的使用，而不良的IVR指导、网络和电源故障、与提供者的单向通信以及延迟的诊所随访则抑制了IVR的使用。艾滋病毒的保密性，移动的电话访问和识字率，以及病人提供者的信任，使IVR的可接受性变得复杂。不完整的电话可能会提醒患者服药，但不太可能获得依从性或副作用数据。在这种资源有限的情况下，提供健康信息和分诊门诊的简单自动化系统似乎是可以接受的。
Interactive voice response (IVR) is increasingly used to monitor and promote medication adherence. In 2014, we evaluated patient acceptability toward IVR as part of the ENRICH Study, aimed to enhance adherence to isoniazid preventive therapy for tuberculosis prevention among HIV-positive adults in Ethiopia. Qualitative interviews were completed with 30 participants exposed to 2867 IVR calls, of which 24 % were completely answered. Individualized IVR options, treatment education, and time and cost savings facilitated IVR utilization, whereas poor IVR instruction, network and power malfunctions, one-way communication with providers, and delayed clinic follow-up inhibited utilization. IVR acceptability was complicated by HIV confidentiality, mobile phone access and literacy, and patient-provider trust. Incomplete calls likely reminded patients to take medication but were less likely to capture adherence or side effect data. Simple, automated systems that deliver health messages and triage clinic visits appear to be acceptable in this resource-limited setting.
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DOI：
10.1097/01.aids.0000391010.02774.6f
发表时间：
2010-11
期刊：
AIDS (London, England)
影响因子：
--
作者：
Charalambous S;Grant AD;Innes C;Hoffmann CJ;Dowdeswell R;Pienaar J;Fielding KL;Churchyard GJ
通讯作者：
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影响因子：
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通讯作者：
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影响因子：
2
作者：
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通讯作者：
SANDELOWSKI, M
DOI：
10.4103/0970-0218.120158
发表时间：
2013-10-01
期刊：
Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
影响因子：
--
作者：
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通讯作者：
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影响因子：
168.9
作者：
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通讯作者：
Maartens, Gary