BMC Med Inform Decis Mak - High acceptability for cell phone text messages to improve communication of laboratory results with HIV-infected patients in rural Uganda: a cross-sectional survey study.

Tópicos

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Resumo

CKGROUND: Patient-provider communication is a major challenge in resource-limited settings with large catchment areas. Though mobile phone usership increased 20-fold in Africa over the past decade, little is known about acceptability of, perceptions about disclosure and confidentiality, and preferences for cell phone communication of health information in the region.METHODS: We performed structured interviews of fifty patients at the Immune Suppression Syndrome clinic in Mbarara, Uganda to assess four domains of health-related communication: a) cell phone use practices and literacy, b) preferences for laboratory results communication, c) privacy and confidentiality, and d) acceptability of and preferences for text messaging to notify patients of abnormal test results.RESULTS: Participants had a median of 38 years, were 56% female, and were residents of a large catchment area throughout southwestern Uganda. All participants expressed interest in a service to receive information about laboratory results by cell phone text message, stating benefits of increased awareness of their health and decreased transportation costs. Ninety percent reported that they would not be concerned for unintended disclosure. A minority additionally expressed concerns about difficulty interpreting messages, discouragement upon learning bad news, and technical issues. Though all respondents expressed interest in password protection of messages, there was also a strong desire for direct messages to limit misinterpretation of information.CONCLUSIONS: Cell phone text messaging for communication of abnormal laboratory results is highly acceptable in this cohort of HIV-infected patients in rural Uganda. The feasibility of text messaging, including an optimal balance between privacy and comprehension, should be further studied.

Resumo Limpo

ckground patientprovid communic major challeng resourcelimit set larg catchment area though mobil phone usership increas fold africa past decad littl known accept percept disclosur confidenti prefer cell phone communic health inform regionmethod perform structur interview fifti patient immun suppress syndrom clinic mbarara uganda assess four domain healthrel communic cell phone use practic literaci b prefer laboratori result communic c privaci confidenti d accept prefer text messag notifi patient abnorm test resultsresult particip median year femal resid larg catchment area throughout southwestern uganda particip express interest servic receiv inform laboratori result cell phone text messag state benefit increas awar health decreas transport cost nineti percent report concern unintend disclosur minor addit express concern difficulti interpret messag discourag upon learn bad news technic issu though respond express interest password protect messag also strong desir direct messag limit misinterpret informationconclus cell phone text messag communic abnorm laboratori result high accept cohort hivinfect patient rural uganda feasibl text messag includ optim balanc privaci comprehens studi

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