Crusto Cindy A, Pittenger Samantha, Costeines Jessica, Amutah-Onukagha Ndidiamaka, Kydd Anna, Visser Maretha, Do Thu, Dean Andrea, Forsyth Brian
Keck School of Medicine of the University of Southern California, Los Angeles, USA.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
SAHARA J. 2025 Dec;22(1):1989323. doi: 10.1080/17290376.2021.1989323. Epub 2025 Aug 22.
Although advances have been made in the prevention of mother-to-child transmission (PMTCT) of HIV, social and psychological factors associated with learning of an HIV diagnosis and living with HIV during pregnancy can impact medication adherence and health outcomes. Mobile technology can increase social support; however, it is unclear if such technology can be used to provide social support to reduce negative psychological outcomes. This study analysed the feasibility of conducting a multi-way interactive SMS-based support group with HIV-positive women in the PMTCT programme in clinics of Tshwane, South Africa. We studied the types of social support women received through using this mobile technology to address personal, interpersonal and social barriers to PMTCT adherence. We analysed the social and psychological content of SMS messages sent between seven HIV-positive pregnant women participating in a 12-week interactive support group. We conducted a qualitative, thematic analysis of the 734 text messages. Five social/psychological themes emerged: appraisal and emotional support, informational support, spiritual support, acceptance and disclosure of HIV status, and gratefulness for the support group, suggesting benefits of the interactive SMS-based support group. This interactive support model can provide social support and information to pregnant women living with HIV, leading to a reduction in isolation and negative psychological outcomes which could promote positive health outcomes.
尽管在预防艾滋病毒母婴传播（PMTCT）方面已取得进展，但与孕期得知艾滋病毒诊断及感染艾滋病毒后生活相关的社会和心理因素会影响药物依从性和健康结果。移动技术可以增加社会支持；然而，尚不清楚此类技术是否可用于提供社会支持以减少负面心理结果。本研究分析了在南非茨瓦内的诊所为参与PMTCT项目的艾滋病毒阳性女性开展基于短信的多方互动支持小组的可行性。我们研究了女性通过使用这种移动技术获得的社会支持类型，以解决影响PMTCT依从性的个人、人际和社会障碍。我们分析了参与为期12周互动支持小组的7名艾滋病毒阳性孕妇之间发送的短信的社会和心理内容。我们对734条短信进行了定性的主题分析。出现了五个社会/心理主题：评估与情感支持、信息支持、精神支持、艾滋病毒感染状况的接受与披露以及对支持小组的感激之情，这表明基于短信的互动支持小组有诸多益处。这种互动支持模式可以为感染艾滋病毒的孕妇提供社会支持和信息，从而减少孤立感和负面心理结果，这可能会促进积极的健康结果。
