In-depth analysis of patient-clinician cell phone communication during the WelTel Kenya1 antiretroviral adherence trial.
In-depth analysis of patient-clinician cell phone communication during the WelTel Kenya1 antiretroviral adherence trial.
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DOI：
10.1371/journal.pone.0046033
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Lester RT
中科院分区：
文献类型：
--
作者：
van der Kop ML;Karanja S;Thabane L;Marra C;Chung MH;Gelmon L;Kimani J;Lester RT
WelTel Kenya 1试验表明，短信支持改善了抗逆转录病毒治疗（ART）的依从性和对HIV-1 RNA载量的抑制。干预包括每周向患者发送信息，询问他们的情况;参与者被要求回答他们很好或有问题。1)描述参与者通过移动的电话支持发现的问题，以及参与者没有回复消息的原因; 2）调查与指示问题和没有回复相关的因素; 3）检查参与者对干预措施的看法。WelTel Kenya 1试验数据的次要分析。从研究日志中提取参与者指出问题或没有回应的原因。负二项回归用于确定与指示问题和无响应相关的参与者特征。从后续调查问卷的数据被用来描述参与者的干预措施的看法。2007年至2009年，271名参与者收到了11，873份答复，其中377份指出存在问题。健康问题是问题反应的主要原因（72%）。农村居民（调整后的发病率比[IRR] 1.96; 95%CI 1.19-3.25; p = 0.009）和年龄与提示问题相关（年龄组类别每增加一个，调整后的IRR为0.63; 95%CI 0.50-0.80; p<0.001）。 较高的教育水平与无应答率的降低相关（校正的IRR 0.81; 95%CI 0.69-0.94; p = 0.005）。 在接受采访的参与者中，62%（n = 129）表示干预没有障碍;手机问题是最常见的障碍。 好处包括提醒患者服用药物，并促进“有人关心”的感觉。在WelTel Kenya 1试验期间，WelTel干预使临床医生和患者之间能够进行频繁的沟通。许多病人重视这项服务所提供的支持，参与者发现的大多数问题都与健康有关。很少有社会人口统计学特征与参与者参与干预有关。
The WelTel Kenya1 trial demonstrated that text message support improved adherence to antiretroviral therapy (ART) and suppression of HIV-1 RNA load. The intervention involved sending weekly messages to patients inquiring how they were doing; participants were required to respond either that they were well or that there was a problem. 1) Describe problems participants identified through mobile phone support and reasons why participants did not respond to the messages; 2) investigate factors associated with indicating a problem and not responding; and 3) examine participant perceptions of the intervention. Secondary analysis of WelTel Kenya1 trial data. Reasons participants indicated a problem or did not respond were extracted from the study log. Negative binomial regression was used to determine participant characteristics associated with indicating a problem and non-response. Data from follow-up questionnaires were used to describe participant perceptions of the intervention. Between 2007 and 2009, 271 participants generated 11,873 responses; 377 of which indicated a problem. Health issues were the primary reason for problem responses (72%). Rural residence (adjusted incidence rate ratio [IRR] 1.96; 95%CI 1.19–3.25; p = 0.009 and age were associated with indicating a problem (adjusted IRR 0.63 per increase in age group category; 95%CI 0.50–0.80; p<0.001). Higher educational level was associated with a decreased rate of non-response (adjusted IRR 0.81; 95%CI 0.69–0.94; p = 0.005). Of participants interviewed, 62% (n = 129) stated there were no barriers to the intervention; cell phone issues were the most common barrier. Benefits included reminding patients to take medication and promoting a feeling that “someone cares”. The WelTel intervention enabled frequent communication between clinicians and patients during the WelTel Kenya1 trial. Many patients valued the service for the support it provided, with health-related concerns comprising the majority of problems identified by participants. Few sociodemographic characteristics were associated with participant engagement in the intervention.
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影响因子：
168.9
作者：
Lester, Richard T.;Ritvo, Paul;Plummer, Francis A.
通讯作者：
Plummer, Francis A.
影响因子：
4.9
作者：
Hardy, Helene;Kumar, Vikram;Skolnik, Paul R.
通讯作者：
Skolnik, Paul R.
影响因子：
168.9
作者：
Braitstein, P;Brinkhof, MWG;Egger, M
通讯作者：
Egger, M
影响因子：
7.4
作者：
Franklin, Victoria Louise;Greene, Alexandra;Pagliari, Claudia
通讯作者：
Pagliari, Claudia
DOI：
10.1197/jamia.m1047
发表时间：
2003-01-01
影响因子：
6.4
作者：
Dunbar, PJ;Madigan, D;Hooton, TM
通讯作者：
Hooton, TM