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Technical Implementation of a Multi-Component, Text Message-Based Intervention for Persons Living with HIV
Robert D Furberg1, Jennifer D Uhrig, Carla M Bann
1RTI International, RTP, NC, United States. rfurberg@rti.org.
JMIR Research Protocols
|April 25, 2013
Summary
This study shows that a tailored text message (SMS) intervention is technically feasible for supporting HIV-positive men who have sex with men (MSM) in managing their condition. The intervention demonstrated potential for improving medication adherence and engagement in care.
Area of Science:
- Public Health
- Digital Health Interventions
- HIV/AIDS Research
Background:
- Men who have sex with men (MSM) are disproportionately affected by HIV/AIDS in the US.
- Antiretroviral therapy has transformed HIV into a manageable chronic condition.
- Short Message Service (SMS) offers a pervasive, low-cost, and convenient platform for long-term condition management.
Purpose of the Study:
- To develop, implement, and test a tailored SMS-based intervention for HIV-positive MSM.
- To provide detailed technical implementation descriptions for reproducibility in future studies.
- To offer tailored health communication messages for HIV-positive MSM via SMS.
Main Methods:
- Utilized SMS system archives, including participant responses and messages.
- Conducted analysis using basic descriptive statistics: frequency distributions, means, and standard deviations.
- Focused on data relevant to the study's objective of describing intervention implementation.
Main Results:
- Delivered 7,194 messages; received 705 SMS responses and 317 acknowledgements.
- 92% of participants on antiretroviral therapy (ART) responded to adherence questions.
- 27% of respondents had their adherence messages modified based on their input; generally positive perceptions reported, though response rates were low.
Conclusions:
- Confirmed technical feasibility of a dynamically tailored, SMS-based intervention for HIV-positive MSM.
- Highlighted the value of detailed technical descriptions for intervention replication.
- Provided practical lessons for text programming, message delivery, and logistics in similar interventions.
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