Technical Implementation of a Multi-Component, Text Message-Based Intervention for Persons Living with HIV.
Technical Implementation of a Multi-Component, Text Message-Based Intervention for Persons Living with HIV.
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DOI：
10.2196/resprot.2017
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发表时间：
2012-11-16
影响因子：
1.7
通讯作者：
Kuhns L
中科院分区：
文献类型：
--
作者：
Furberg RD;Uhrig JD;Bann CM;Lewis MA;Harris JL;Williams P;Coomes C;Martin N;Kuhns L
在美国，男男性行为者 (MSM) 继续受到艾滋病毒/艾滋病（人类免疫缺陷病毒/获得性免疫缺陷综合症）流行的严重且不成比例的影响。对于许多艾滋病毒感染者来说，有效的抗逆转录病毒治疗已将艾滋病毒流行从一种急性疾病转变为一种可控制的慢性疾病。短信服务 (SMS) 的普遍性、低成本和便利性表明其潜在适合支持必须长期管理的病症的治疗。这项概念验证研究的目的是开发、实施和测试针对 HIV 阳性 MSM 的基于 SMS 的定制干预措施。先前的研究通常不会对其技术实施提供足够详细的描述，限制了后续努力重现成功干预措施的能力。本文试图通过详细描述实施基于 SMS 的干预措施来填补这一空白，以便为 HIV 阳性 MSM 提供量身定制的健康沟通信息。我们使用短信系统的档案，包括参与者对通过短信发送的消息和问题的回复，作为本文报告结果的数据源。与本文的目的一致，我们的分析仅限于基本的描述性统计，包括频率分布、平均值和标准差。在实施期间，我们总共向研究参与者发送了 7,194 条消息，收到了 705 条对参与者双向短信问题的短信回复，以及来自参与者的 317 条自动短信确认。 92% 的抗逆转录病毒治疗 (ART) 参与者至少回答了一个通过短信发送的每周药物依从性问题，其中 27% 的参与者在研究过程中根据他们对每周问题的回答改变了药物依从性信息。尽管总体回复率较低，但对通过短信管理的项目进行回复以评估对消息的满意度和使用情况的参与者普遍表现出积极的看法。结果证实了部署动态定制、基于短信的干预措施的技术可行性，该干预措施旨在为 HIV 阳性 MSM 提供持续的行为强化。与文本编程、消息传递和学习后勤相关的经验教训将有助于其他人规划和实施类似的干预措施。
Men who have sex with men (MSM) continue to be severely and disproportionately affected by the HIV/AIDS (human immunodeficiency virus/acquired immune deficiency syndrome) epidemic in the United States. Effective antiretroviral therapy has altered the HIV epidemic from being an acute disease to a chronic, manageable condition for many people living with HIV. The pervasiveness, low cost, and convenience of Short Message Service (SMS) suggests its potential suitability for supporting the treatment of conditions that must be managed over an extended period. The purpose of this proof-of-concept study was to develop, implement, and test a tailored SMS-based intervention for HIV-positive MSM. Prior studies do not routinely provide sufficiently detailed descriptions of their technical implementations, restricting the ability of subsequent efforts to reproduce successful interventions. This article attempts to fill this gap by providing a detailed description of the implementation of an SMS-based intervention to provide tailored health communication messages for HIV-positive MSM. We used archives from the SMS system, including participant responses to messages and questions sent via SMS, as the data sources for results reported in this article. Consistent with the purpose of this article, our analysis was limited to basic descriptive statistics, including frequency distributions, means and standard deviations. During the implementation period, we sent a total of 7,194 messages to study participants, received 705 SMS responses to our two-way SMS questions of participants, and 317 unprompted SMS message acknowledgements from participants. Ninety two percent of participants on antiretroviral therapy (ART) responded to at least one of the weekly medication adherence questions administered via SMS, and 27% of those had their medication adherence messages changed over the course of the study based on their answers to the weekly questions. Participants who responded to items administered via SMS to assess satisfaction with and use of the messages reported generally positive perceptions, although response rates were low overall. Results confirm the technical feasibility of deploying a dynamically tailored, SMS-based intervention designed to provide ongoing behavioral reinforcement for HIV-positive MSM. Lessons learned related to text programming, message delivery and study logistics will be helpful to others planning and implementing similar interventions.