Coomes Curtis M, Lewis Megan A, Uhrig Jennifer D, Furberg Robert D, Harris Jennie L, Bann Carla M
Substance Abuse Treatment Evaluations and Interventions, RTI International, Research Triangle Park, NC, USA.
AIDS Care. 2012;24(3):348-57. doi: 10.1080/09540121.2011.608421. Epub 2011 Sep 21.
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.
有效的抗逆转录病毒疗法的出现，已使艾滋病从一种急性疾病转变为许多艾滋病毒感染者（PLWH）可长期控制的慢性疾病。由于手机及其短信服务无处不在且灵活多变，为改善艾滋病毒管理提供了独特的机会。迄今为止，美国很少有关于使用短信进行艾滋病毒自我管理的研究发表。在本文中，我们回顾了已发表的基于短信的干预研究，这些研究旨在改善艾滋病毒感染者和其他慢性疾病患者的医疗质量及治疗效果，并提出一个概念模型，将短信的通信功能与重要的心理社会因素相结合，这些因素可能介导短信对健康结果的影响。我们认为，可以实施一种包含交互性、频率、时机和信息定制等要素的基于短信的干预措施，以鼓励更高的药物依从性，并影响其他相互强化的行为和因素（例如，增加患者参与度和社会支持、减少风险行为以及促进总体健康和幸福感），从而为艾滋病毒感染者提供更好的医疗质量和临床效果。我们建议未来的研究探索短信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范围的结果。
