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Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland

BACKGROUND: Mobile technology has great potential to improve adherence and treatment outcomes in healthcare settings. However, text messaging and phone calls are unaffordable in many resource-limited areas. This study investigates the use of a no-cost alternative mobile phone technology using missed...

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Autores principales: Kliner, Merav, Knight, Abigail, Mamvura, Canaan, Wright, John, Walley, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3710074/
https://www.ncbi.nlm.nih.gov/pubmed/23849508
http://dx.doi.org/10.1186/2049-9957-2-12
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author Kliner, Merav
Knight, Abigail
Mamvura, Canaan
Wright, John
Walley, John
author_facet Kliner, Merav
Knight, Abigail
Mamvura, Canaan
Wright, John
Walley, John
author_sort Kliner, Merav
collection PubMed
description BACKGROUND: Mobile technology has great potential to improve adherence and treatment outcomes in healthcare settings. However, text messaging and phone calls are unaffordable in many resource-limited areas. This study investigates the use of a no-cost alternative mobile phone technology using missed calls (‘buzzing’) to act as a patient reminder. The use of missed calls as a patient reminder was evaluated for feasibility and effectiveness as an appointment reminder in the follow-up of newly-diagnosed human immunodeficiency virus (HIV) positive patients in an HIV testing and counselling department in rural Swaziland. METHODS: This pilot study uses a before-and-after operational research study design, with all patients with mobile phones being offered the intervention. The primary outcome was the rate of attendance at the HIV testing and counselling department for collection of results in those with mobile phones before and after the introduction of the intervention. RESULTS: Over two-thirds, 71.8% (459/639), of patients had a mobile phone. All patients with a mobile phone consented to being buzzed. There was no difference in attendance for follow-up at the clinic before and after the intervention was implemented (80.1% versus 83.3%, p = 0.401), or after adjusting for confounding factors (OR 1.13, p = 0.662). CONCLUSION: This pilot study illustrates that mobile technology may be feasible in rural, resource-poor settings as there are high rates of mobile phone ownership and the intervention had a 100% uptake rate, with positive feedback from staff and patients. In this particular setting, the intervention did not improve attendance rates. However, further research is planned to investigate the impact on adherence to appointments and medications in other settings, such as HIV chronic care follow-up and as part of an enhanced package to improve adherence.
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spelling pubmed-37100742013-07-15 Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland Kliner, Merav Knight, Abigail Mamvura, Canaan Wright, John Walley, John Infect Dis Poverty Research Article BACKGROUND: Mobile technology has great potential to improve adherence and treatment outcomes in healthcare settings. However, text messaging and phone calls are unaffordable in many resource-limited areas. This study investigates the use of a no-cost alternative mobile phone technology using missed calls (‘buzzing’) to act as a patient reminder. The use of missed calls as a patient reminder was evaluated for feasibility and effectiveness as an appointment reminder in the follow-up of newly-diagnosed human immunodeficiency virus (HIV) positive patients in an HIV testing and counselling department in rural Swaziland. METHODS: This pilot study uses a before-and-after operational research study design, with all patients with mobile phones being offered the intervention. The primary outcome was the rate of attendance at the HIV testing and counselling department for collection of results in those with mobile phones before and after the introduction of the intervention. RESULTS: Over two-thirds, 71.8% (459/639), of patients had a mobile phone. All patients with a mobile phone consented to being buzzed. There was no difference in attendance for follow-up at the clinic before and after the intervention was implemented (80.1% versus 83.3%, p = 0.401), or after adjusting for confounding factors (OR 1.13, p = 0.662). CONCLUSION: This pilot study illustrates that mobile technology may be feasible in rural, resource-poor settings as there are high rates of mobile phone ownership and the intervention had a 100% uptake rate, with positive feedback from staff and patients. In this particular setting, the intervention did not improve attendance rates. However, further research is planned to investigate the impact on adherence to appointments and medications in other settings, such as HIV chronic care follow-up and as part of an enhanced package to improve adherence. BioMed Central 2013-06-14 /pmc/articles/PMC3710074/ /pubmed/23849508 http://dx.doi.org/10.1186/2049-9957-2-12 Text en Copyright © 2013 Kliner et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kliner, Merav
Knight, Abigail
Mamvura, Canaan
Wright, John
Walley, John
Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland
title Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland
title_full Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland
title_fullStr Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland
title_full_unstemmed Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland
title_short Using no-cost mobile phone reminders to improve attendance for HIV test results: a pilot study in rural Swaziland
title_sort using no-cost mobile phone reminders to improve attendance for hiv test results: a pilot study in rural swaziland
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3710074/
https://www.ncbi.nlm.nih.gov/pubmed/23849508
http://dx.doi.org/10.1186/2049-9957-2-12
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