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Mobile health treatment support intervention for HIV and tuberculosis in Mozambique: Perspectives of patients and healthcare workers.

Abstract Studies have been conducted in developing countries using SMS to communicate with patients to reduce the number of missed appointments and improve retention in treatment, however; very few have been scaled up. One possible reason for this could be that patients or staff are dissatisfied with the method in some way. This paper reports a study of patients' and healthcare workers' (HCW) views on an mHealth intervention aiming to support retention in antiretroviral therapy (ART) and tuberculosis (TB) treatment in Mozambique.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos one
Publication Year Start




PMID- 28419149
OWN - NLM
STAT- In-Process
DA  - 20170418
LR  - 20170418
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - Mobile health treatment support intervention for HIV and tuberculosis in
      Mozambique: Perspectives of patients and healthcare workers.
PG  - e0176051
LID - 10.1371/journal.pone.0176051 [doi]
AB  - BACKGROUND: Studies have been conducted in developing countries using SMS to
      communicate with patients to reduce the number of missed appointments and improve
      retention in treatment, however; very few have been scaled up. One possible
      reason for this could be that patients or staff are dissatisfied with the method 
      in some way. This paper reports a study of patients' and healthcare workers'
      (HCW) views on an mHealth intervention aiming to support retention in
      antiretroviral therapy (ART) and tuberculosis (TB) treatment in Mozambique.
      METHODS: The study was conducted at five healthcare centres in Mozambique.
      Automated SMS health promotions and reminders were sent to patients in a RCT. A
      total of 141 patients and 40 HCWs were interviewed. Respondents rated usefulness,
      perceived benefits, ease of use, satisfaction, and risks of the SMS system using 
      a Likert scale questionnaire. A semi-structured interview guide was followed.
      Interviews were transcribed and thematic analysis was conducted. RESULTS: Both
      patients and HCW found the SMS system useful and reliable. Most highly rated
      positive effects were reducing the number of failures to collect medication and
      avoiding missing appointments. Patients' confidence in the system was high. Most 
      perceived the system to improve communication between health-care provider and
      patient and assist in education and motivation. The automatic recognition of
      questions from patients and the provision of appropriate answers (a unique
      feature of this system) was especially appreciated. A majority would recommend
      the system to other patients or healthcare centres. Risks also were mentioned,
      mostly by HCW, of unintentional disclosure of health status in cases where
      patients use shared phones. CONCLUSIONS: The results suggest that SMS technology 
      for HIV and TB should be used to transmit reminders for appointments,
      medications, motivational texts, and health education to increase retention in
      care. Measures must be taken to reduce risks of privacy intrusion, but these are 
      not a main obstacle for scaling up systems of this kind.
FAU - Nhavoto, Jose Antonio
AU  - Nhavoto JA
AUID- ORCID: http://orcid.org/0000-0001-8933-2906
AD  - Informatics, School of Business, Orebro University, Orebro, Sweden.
AD  - Informatics, Department of Mathematics and Informatics, Eduardo Mondlane
      University, Maputo, Mozambique.
FAU - Gronlund, Ake
AU  - Gronlund A
AD  - Informatics, School of Business, Orebro University, Orebro, Sweden.
FAU - Klein, Gunnar O
AU  - Klein GO
AD  - Informatics, School of Business, Orebro University, Orebro, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20170418
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
EDAT- 2017/04/19 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/19 06:00
PHST- 2016/09/29 [received]
PHST- 2017/04/04 [accepted]
AID - 10.1371/journal.pone.0176051 [doi]
AID - PONE-D-16-39057 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 18;12(4):e0176051. doi: 10.1371/journal.pone.0176051.
      eCollection 2017.

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