Informatics, School of Business, Örebro University, Örebro, Sweden.
JMIR Mhealth Uhealth. 2015 Mar 9;3(1):e26. doi: 10.2196/mhealth.3854.
The widespread and low cost of mobile phones and the convenience of short message service (SMS) text messaging suggest potential suitability for use with alternative strategies for supporting retention in care and adherence to the treatment of various chronic diseases, such as HIV and tuberculosis (TB). Despite the growing body of literature reporting positive outcomes of SMS text message-based communication with patients, there is yet very little research about the integration of communication technologies and electronic medical records or electronic patient tracking systems.
To design, develop, and implement an integrated mobile phone text messaging system used to follow up with patients with HIV and TB in treatment in Mozambique.
Following the design science research methodology, we developed a Web-based system that provides support to patients. A case study involving three health care sites in Mozambique was a basis for discussing design issues for this kind of system. We used brainstorming techniques to solicit usability requirements, focus group meetings to discuss and define system architecture, and prototyping to test in real environments and to improve the system.
We found six sets of system requirements that need to be addressed for success: data collection, telecommunication costs, privacy and data security, text message content, connectivity, and system scalability. A text messaging system was designed and implemented in three health facilities. These sites feed data into a central data repository, which can be used for analysis of operations and decision support. Based on the treatment schedule, the system automatically sent SMS text message appointment reminders, medication reminders, as well as motivational and educational messages to patients enrolled in antiretroviral therapy and TB treatment programs.
We successfully defined the requirements for, designed, and implemented a mobile phone text messaging system to support HIV and TB treatments. Implementation of this system could improve patients' self-management skills and strengthen communication between patients and health care providers.
手机的广泛普及和低成本，以及短信服务（SMS）文本消息传递的便利性，表明其可能适合用于支持各种慢性疾病（如 HIV 和结核病）的护理保留和治疗依从性的替代策略。尽管越来越多的文献报告了基于 SMS 文本消息的患者沟通的积极结果，但关于通信技术与电子病历或电子患者跟踪系统的整合，研究却很少。
设计、开发和实施一个集成的移动电话短信系统，用于随访莫桑比克正在接受 HIV 和结核病治疗的患者。
我们遵循设计科学研究方法，开发了一个为患者提供支持的基于 Web 的系统。一个涉及莫桑比克三个医疗保健地点的案例研究是讨论这种系统的设计问题的基础。我们使用头脑风暴技术来征求可用性要求，焦点小组会议来讨论和定义系统架构，以及原型设计来在真实环境中进行测试和改进系统。
我们发现了六组系统需求，这些需求需要得到解决才能取得成功：数据收集、电信成本、隐私和数据安全、短信内容、连接性和系统可扩展性。我们设计并在三个医疗设施中实现了短信系统。这些站点将数据输入到一个中央数据存储库中，该存储库可用于分析操作和决策支持。根据治疗计划，系统自动向接受抗逆转录病毒疗法和结核病治疗方案的患者发送 SMS 文本消息预约提醒、用药提醒以及激励和教育信息。
我们成功地定义了移动电话短信系统的需求，设计并实施了该系统，以支持 HIV 和结核病的治疗。该系统的实施可以提高患者的自我管理技能，并加强患者与医疗保健提供者之间的沟通。
