Beyond reminders: a conceptual framework for using short message service to promote prevention and improve healthcare quality and clinical outcomes for people living with HIV
Beyond reminders: a conceptual framework for using short message service to promote prevention and improve healthcare quality and clinical outcomes for people living with HIV
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DOI：
10.1080/09540121.2011.608421
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发表时间：
2012-01-01
影响因子：
1.7
通讯作者：
Bann, Carla M.
中科院分区：
文献类型：
--
作者：
Coomes, Curtis M.;Lewis, Megan A.;Bann, Carla M.
有效的抗逆转录病毒疗法的可用性已经将艾滋病毒从一种急性疾病转变为许多艾滋病毒感染者（PLWH）的一种慢性、可管理的疾病。由于其普遍性和灵活性，带有短信服务的移动的电话为加强艾滋病毒感染者的治疗和预防提供了独特的机会。到目前为止，很少有美国的研究使用SMS的艾滋病毒自我管理已出版。在这篇文章中，我们回顾了已发表的基于SMS的干预研究，旨在改善PLWH和其他慢性健康状况的医疗质量和结果，并提出了一个概念模型，将SMS的通信功能与重要的心理社会因素相结合，这些因素可以介导SMS对健康结果的影响。我们认为，可以实施基于SMS的干预，包括交互性，频率，时间和定制消息的元素，以鼓励更大的药物依从性以及影响其他相互加强的行为和因素（例如，例如，在一个实施例中，增加患者参与和社会支持，减少危险行为，促进一般健康和福祉），以支持更好的医疗质量和PLWH的临床结果。我们建议未来的研究探讨SMS特征变化与这些中介因素之间的潜在联系，以确定它们是否以及如何影响更大的结果。
The availability of effective antiretroviral therapy has altered HIV from being an acute disease to being a chronic, manageable condition for many people living with HIV (PLWH). Because of their ubiquity and flexibility, mobile phones with short message service (SMS) offer a unique opportunity to enhance treatment and prevention for people managing HIV. To date, very few US studies using SMS for HIV self-management have been published. In this article, we review the published SMS-based intervention research that aimed to improve healthcare quality and outcomes for PLWH and other chronic health conditions, and propose a conceptual model that integrates the communication functionality of SMS with important psychosocial factors that could mediate the impact of SMS on health outcomes. We posit that an SMS-based intervention that incorporates the elements of interactivity, frequency, timing, and tailoring of messages could be implemented to encourage greater medication adherence as well as impact other mutually reinforcing behaviors and factors (e. g., increasing patient involvement and social support, reducing risk behaviors, and promoting general health and well-being) to support better healthcare quality and clinical outcomes for PLWH. We recommend that future studies explore the potential linkages between variations in SMS characteristics and these mediating factors to determine if and how they influence the larger outcomes.