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利用 WhatsApp 提高抗逆转录病毒治疗依从性的可行性。

Feasibility of Lantern Using WhatsApp to Improve Antiretroviral Therapy Adherence.

机构信息

Author Affiliations: Faculty of Health Sciences, Universitas Pembangunan Nasional Veteran Jakarta (Dr Ismail); Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Jawa Barat (Drs Yona and Nurachmah); Stikes Hang Tuah Tanjung Pinang, Tanjung Pinang, Kepulauan Riau (Dr. Khariroh); Department Ilmu Keperawatan, Fakultas Kedokteran, Universitas Dipanegoro, Semarang, Jawa Tengah (Dr. Sujianto); Stikes Bina Sehat PPNI Mojokerto, Mojokerto, Jawa Timur (Dr. Santoso); and Ministry of Health Republic of Indonesia, Poltekkes Kemenkes Jakarta III, Jakarta (Mr Bangun), Indonesia; and Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Dr Voss).

出版信息

Comput Inform Nurs. 2023 Nov 1;41(11):915-920. doi: 10.1097/CIN.0000000000001054.

DOI:10.1097/CIN.0000000000001054
PMID:37580048
Abstract

This pilot study tested the feasibility of Lantern program, an adherence program to HIV medications using WhatsApp, a secure social media messaging application from Meta, for a smartphone-based platform to enhance medication-taking adherence of antiretroviral therapy among people living with HIV in Indonesia. Thirty participants were recruited for this 8-week study. We recruited persons if they had taken antiretroviral therapy for at least 3 months prior to the study, had a smartphone, Internet access, and could use Lantern with WhatsApp. Here, we report the results from the focus group discussions, with the participants evaluating the qualitative aspects of the experiences. The WhatsApp platform was found to be safe, practical, and relatively inexpensive and provided confidentiality for the participants. Three themes emerged from the focus groups: the study motivated participants to take their antiretroviral therapy medications on time, they still set medication reminder alarms, and being in the study made them feel supported. The Lantern program indicated good feasibility and acceptability for adherence to antiretroviral therapies among people living with HIV. Future research should examine on how community organizations and healthcare providers can take advantage of the WhatsApp program to improve adherence to antiretroviral therapies.

摘要

本试点研究旨在测试 Lantern 计划的可行性,该计划是利用 Meta 的安全社交媒体消息应用程序 WhatsApp 为 HIV 药物提供的一种依从性计划,旨在为印度尼西亚的 HIV 感染者提供一种基于智能手机的平台,以增强他们对艾滋病逆转录病毒疗法的药物依从性。这项为期 8 周的研究共招募了 30 名参与者。如果参与者在研究开始前至少服用了 3 个月的抗逆转录病毒疗法、拥有智能手机、能够上网并能使用 WhatsApp 上的 Lantern,我们就招募他们参加研究。在此,我们报告了焦点小组讨论的结果,参与者对体验的定性方面进行了评估。研究发现,WhatsApp 平台安全、实用、相对廉价,并为参与者提供了保密性。焦点小组提出了三个主题:该研究促使参与者按时服用抗逆转录病毒药物,他们仍然设置药物提醒闹钟,而参与研究使他们感到得到了支持。Lantern 计划表明,在 HIV 感染者中,该计划具有良好的依从性和可接受性。未来的研究应该研究社区组织和医疗保健提供者如何利用 WhatsApp 计划来提高对艾滋病逆转录病毒疗法的依从性。

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