Acceptability and factors associated with willingness to receive short messages for improving antiretroviral therapy adherence in China.
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Date
2014-05-15
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Abstract
This study aimed to understand the acceptability of short message service SMS as a reminder for improving antiretroviral therapy ART adherence and determine the factors associated with willingness to accept SMS among people living HIV PLH in China A total of 801 adult patients were recruited in a cross sectional survey Factors associated with willingness in unadjusted analyses 0 10 were included in a logistic regression model 88 4 of the participants owned mobile phones 49 6 read every short message and 16 2 read only if the phone number was familiar 79 5 reported daily SMS to remind taking medicine would be helpful and 68 9 were willing to receive them In the final model willingness to accept was positively associated with being young odds ratio OR 0 32 95 confidence interval CI 0 11 0 99 p 0 048 living in the middle or north region OR 2 36 95 CI 1 24 4 50 p 0 009 OR 71 79 95 CI 21 53 239 37 p Under 0 001 respectively having primary or junior or higher education OR 5 80 95 CI 2 13 15 86 p 0 001 OR 3 20 95 CI 1 20 8 58 p 0 021 respectively having serious disease condition of stage OR 10 01 95 CI 2 12 47 30 p 0 004 being a rural resident OR 2 96 95 CI 1 72 5 10 p Under 0 001 having side effect OR 4 74 95 CI 1 24 18 03 p 0 023 and taking a dose two or more hours late in the last 30 days OR 2 45 95 CI 1 26 4 78 p 0 009 SMS as a reminder for improving ART adherence is acceptable The survey results indicate that to be effective messages need to be more acceptable to elderly patients urban residents individuals with earlier stage of HIV disease and individuals not experiencing side effects Nonetheless these results suggest that for a high proportion of PLH in China reminder messages through mobile phones would be useful for increasing compliance with HIV regimens
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Keywords
Adult, At risk for a particular disease or infection, Client, Continuity of care, Alignment with local norms, Low adherence to treatments, Pilot, Feasibility, Individual based, HIV/AIDS, Chronic care, Treatment adherence, Disease management, SMS, Text