Telemed J E Health - Two-way text messaging for health behavior change among human immunodeficiency virus-positive individuals.

Tópicos

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Resumo

CKGROUND: text-messaging systems have been used to promote a range of health behaviors, including medication adherence among human immunodeficiency virus-positive individuals. However, little is currently known about the specific characteristics of messaging systems that promote user engagement.OBJECTIVE: using data from a randomized controlled trial involving a pager-based text messaging system, this study sought to examine the overall usability of the system, user evaluation of the system, demographic and psychosocial correlates of usability, and its performance as an adherence assessment tool.MATERIALS AND METHODS: the messaging system consisted of an alphanumeric pager capable of sending and receiving individualized text messages and the software necessary to program and track communication. The system was evaluated using behavioral outcomes (pager message response rate), self-report survey responses, focus group discussions, and data from electronic medication monitoring pill bottles.RESULTS: Although the majority of participants reported that the system was effective in reminding them to take medication doses, the overall response rate to system messages was relatively low (42.8%) and dropped significantly over the course of the 3-month intervention period. In addition, user engagement did not differ significantly by most demographic and psychosocial variables.CONCLUSIONS: the pager-based text messaging system was received well by participants and appears to be applicable to a broad population; however, the system did not actively engage all participants over the course of the trial. Future research should determine whether systems customized to personal preference in notification style, frequency, and user device can increase use and provide further assistance to achieve optimal medication adherence.

Resumo Limpo

ckground textmessag system use promot rang health behavior includ medic adher among human immunodefici virusposit individu howev littl current known specif characterist messag system promot user engagementobject use data random control trial involv pagerbas text messag system studi sought examin overal usabl system user evalu system demograph psychosoci correl usabl perform adher assess toolmateri method messag system consist alphanumer pager capabl send receiv individu text messag softwar necessari program track communic system evalu use behavior outcom pager messag respons rate selfreport survey respons focus group discuss data electron medic monitor pill bottlesresult although major particip report system effect remind take medic dose overal respons rate system messag relat low drop signific cours month intervent period addit user engag differ signific demograph psychosoci variablesconclus pagerbas text messag system receiv well particip appear applic broad popul howev system activ engag particip cours trial futur research determin whether system custom person prefer notif style frequenc user devic can increas use provid assist achiev optim medic adher

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