Smillie Kirsten, Van Borek Natasha, Abaki Joshua, Pick Neora, Maan Evelyn J, Friesen Karen, Graham Rebecca, Levine Sarah, van der Kop Mia L, Lester Richard T, Murray Melanie
J Assoc Nurses AIDS Care. 2014 Nov-Dec;25(6):614-25. doi: 10.1016/j.jana.2014.01.008. Epub 2014 Apr 23.
Patient engagement in care and adherence to medication are critical to achieving the full benefits of antiretroviral therapy (ART) among people with HIV infection. A randomized controlled trial in Kenya, WelTelKenya1, showed that an interactive mobile phone text-messaging intervention can improve adherence and viral load suppression. We conducted a pilot study to adapt the WelTel intervention for HIV-infected clients (n = 25) at an HIV clinic in Vancouver, British Columbia. Between April and June 2012, we recruited five participants from five groups: youth (14-24 years), mature (≥50 years), English as a second language, remote (≥3 hours travel time to clinic), and nonsuppressed (CD4+ T cell count <200 cells/mm(3) and viral load ≥250 copies/mL on two consecutive occasions). Participants described the intervention as a useful way to communicate with health care providers, thus increasing the ability to access services, report side effects, and attend appointments.
患者参与治疗并坚持服药对于艾滋病毒感染者充分获得抗逆转录病毒疗法（ART）的益处至关重要。在肯尼亚进行的一项随机对照试验WelTelKenya1表明，交互式手机短信干预可以提高服药依从性并抑制病毒载量。我们开展了一项试点研究，对不列颠哥伦比亚省温哥华一家艾滋病毒诊所的25名艾滋病毒感染患者采用WelTel干预措施。在2012年4月至6月期间，我们从五个群体中招募了五名参与者：青年（14 - 24岁）、成年人（≥50岁）、以英语为第二语言者、居住在偏远地区者（到诊所的行程时间≥3小时）以及病毒未得到抑制者（连续两次检测的CD4 + T细胞计数<200个细胞/mm³且病毒载量≥250拷贝/mL）。参与者将该干预措施描述为与医疗服务提供者沟通的一种有效方式，从而提高了获得服务、报告副作用以及按时就诊的能力。
