Sherman Elizabeth, Clauson Kevin Alan, Elrod Shara, Eckardt Paula, Alkhateeb Fadi, Jacobs Robin
1 Nova Southeastern University College of Pharmacy, Fort Lauderdale, FL, USA.
4 Division of Infectious Diseases, Memorial Physician Group, Hollywood, FL, USA.
J Int Assoc Provid AIDS Care. 2018 Jan-Dec;17:2325958218759209. doi: 10.1177/2325958218759209.
Evidence on the use of short message service (SMS) to improve medication adherence in people living with HIV (PLHIV) is mounting, yet qualitative research on patient perceptions regarding SMS content and utility for HIV/AIDS remains nascent. To explore the experience of receiving medication reminders via SMS among PLHIV, 45 uninsured and underinsured PLHIV nested within the intervention arm of a larger study received daily, 1-way SMS adherence reminders. Qualitative data were collected by face-to-face, structured interview and were analyzed using conventional content analysis methods. Three main themes emerged from the data: (1) reminders helping with adherence, (2) concerns about delivery modes, and (3) the need for confidentiality. Study findings offer enhanced focus on an emerging strategy in patient-centered HIV care: Equipped with greater context on the experiences of PLHIV using SMS adherence reminders, health-care providers can offer more targeted support and thereby maximize the benefits of this popular and powerful technology.
关于使用短信服务(SMS)来提高艾滋病毒感染者(PLHIV)的药物依从性的证据越来越多,但关于患者对艾滋病毒/艾滋病短信内容和效用的看法的定性研究仍处于起步阶段。为了探索艾滋病毒感染者通过短信接收服药提醒的体验,在一项更大规模研究的干预组中,45名未参保和参保不足的艾滋病毒感染者每天收到单向短信依从性提醒。通过面对面的结构化访谈收集定性数据,并使用传统的内容分析方法进行分析。数据中出现了三个主要主题:(1)提醒有助于提高依从性,(2)对发送方式的担忧,以及(3)对保密性的需求。研究结果使人们更加关注以患者为中心的艾滋病毒护理中的一种新兴策略:在了解艾滋病毒感染者使用短信依从性提醒的更多背景信息后,医疗保健提供者可以提供更有针对性的支持,从而最大限度地发挥这种流行且强大技术的益处。