行为信息双向短信改善南非恢复艾滋病毒护理:来自随机对照试验的证据
Christine Njuguna1, Preethi Mistri2, Lawrence Long2,3
1Anova Health Institute, 12 Sherborne Road, Parktown, Johannesburg, 2193, South Africa. Christine_njuguna@yahoo.co.uk.
AIDS and behavior
|July 11, 2025
概括
与单向信息相比,双向短信并没有改善重新参与艾滋病毒护理的情况. 然而,这次干预成功地收集了错过预约的原因,突出了未来艾滋病毒治疗研究的领域.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 单向短信显示出对重新让个人参与艾滋病毒护理的希望.
- 有限的数据存在于这种目的的双向消息的有效性.
- 了解护理障碍对于改善患者留守至关重要.
研究的目的:
- 为了评估一个行为知情的双向短信干预.
- 增加在错过预约后重新参与艾滋病毒护理.
- 为了比较双向与单向消息的有效性,以保持患者.
主要方法:
- 在南非进行了一项个人级别的随机对照试验.
- 错过抗逆转录病毒疗法 (ART) 访问超过28天的成年人被随机分配.
- 参与者可以收到标准的单向或行为信息的双向短信.
主要成果:
- 在单向和双向消息群体 (27.9%与27.2%) 之间没有观察到在45天内恢复护理的显著差异.
- 仅限于交付信息的分析显示,两组的护理回归率都相同 (28.3%).
- 双向消息引发了脱离的原因,其中"出城"和"仍在服用药物"是最常见的.
结论:
- 与标准单向信息相比,行为信息的双向短信并没有改善返回艾滋病毒护理的情况.
- 双向消息有效地识别了错过预约的原因,提供了有价值的见解.
- 需要进一步研究优化HIV护理重新参与的双向消息的模式,内容和时间.
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