J Telemed Telecare - A pilot study using interactive SMS support groups to prevent mother-to-child HIV transmission in South Africa.

Tópicos

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Resumo

We investigated the feasibility of using mobile phone text messaging (SMS) to promote adherence to antiretroviral therapy among HIV-infected pregnant women recently diagnosed with HIV. Seven HIV-positive women (15-33 weeks gestation) from two urban antenatal clinics received mobile phones and were invited to use text messaging to discuss HIV, health and pregnancy over a 12-week period. All participants were connected to each other and to a clinician who guided the group and answered questions via group SMS messaging. A total of 1018 individual messages were sent regarding medical and psychosocial topics related to HIV and mother-to-child HIV transmission. Participants sent an average of 16 messages per enrolled, technology-problem-free week. Half the messages (51%) concerned medical information, and the remainder concerned social comments or addressed psychological matters. Four post-intervention interviews with participants revealed overall satisfaction and participants recommended that the group be offered in the future. The pilot project's anonymity, non-rigid nature and remote access allowed it to overcome stigma and logistical challenges where a conventional support intervention would probably have failed.

Resumo Limpo

investig feasibl use mobil phone text messag sms promot adher antiretrovir therapi among hivinfect pregnant women recent diagnos hiv seven hivposit women week gestat two urban antenat clinic receiv mobil phone invit use text messag discuss hiv health pregnanc week period particip connect clinician guid group answer question via group sms messag total individu messag sent regard medic psychosoci topic relat hiv mothertochild hiv transmiss particip sent averag messag per enrol technologyproblemfre week half messag concern medic inform remaind concern social comment address psycholog matter four postintervent interview particip reveal overal satisfact particip recommend group offer futur pilot project anonym nonrigid natur remot access allow overcom stigma logist challeng convent support intervent probabl fail

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