Development of a personalized bidirectional text messaging tool for HIV adherence assessment and intervention among substance abusers.

Development of a personalized bidirectional text messaging tool for HIV adherence assessment and intervention among substance abusers.
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DOI:
10.1016/j.jsat.2013.08.002
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发表时间:
2014-01
影响因子:
3.9
通讯作者:
Winstead-Derlega C
Winstead-Derlega C
中科院分区:
医学2区
文献类型:
--
作者:
Ingersoll K;Dillingham R;Reynolds G;Hettema J;Freeman J;Hosseinbor S;Winstead-Derlega C

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我们描述了一个双向的短信干预工具的开发,为物质使用者谁是不遵守与艾滋病毒药物,并检查信息流数据的可行性和可接受性。评估和干预工具TxText是完全自动化的,通过短信向参与者发送情绪,物质使用和药物依从性查询。参与者响应,该工具识别响应的类别,并发送参与者设计的个性化干预消息作为回报。在10个月内,该工具向31名被分配到TxText条件的参与者发送了16,547条消息(一半是初始消息,一半是后续消息),这些参与者发送了6711条消息来响应初始消息。对物质使用(n=2370)、药物(n=2918)和情绪(n=4639)查询的应答率分别为67%、69%和64%。表明药物依从性、物质戒断和良好情绪的反应比消极反应更常见。TxText工具可以在3个月的时间内每天发送消息,接收响应,并对其进行解码,以提供个性化的肯定或干预消息。在我们等待试点随机试验结果的同时,过程分析表明,TxText对于HIV药物滥用者是可以接受和可行的,并可作为HIV医疗护理的补充。
We describe the development of a two-way text messaging intervention tool for substance users who are non-adherent with HIV medications, and examine message flow data for feasibility and acceptability. The assessment and intervention tool, TxText, is fully automated, sending participants mood, substance use, and medication adherence queries by text message. Participants respond, the tool recognizes the category of response, and sends the personalized intervention message that participants designed in return. In 10 months, the tool sent 16,547 messages (half initial, half follow-up) to 31 participants assigned to the TxText condition, who sent 6711 messages in response to the initial messages. Response rates to substance use (n=2370), medication (n=2918) and mood (n=4639) queries were 67%, 69%, and 64%, respectively. Responses indicating medication adherence, abstinence from substances, and good moods were more common than negative responses. The TxText tool can send messages daily over a 3 month period, receive responses, and decode them to deliver personalized affirming or intervention messages. While we await the outcomes of a pilot randomized trial, the process analysis shows that TxText is acceptable and feasible for substance abusers with HIV, and may serve as a complement to HIV medical care.
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