Using Mobile Phones to Improve Clinic Attendance Amongst an Antiretroviral Treatment Cohort in Rural Uganda: A Cross-sectional and Prospective Study
- 11 August 2010
- journal article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 14 (6), 1347-1352
- https://doi.org/10.1007/s10461-010-9780-2
Abstract
We aimed to assess the patterns and dynamics of mobile phone usage amongst an antiretroviral treatment (ART) cohort in rural Uganda and ascertain its feasibility for improving clinic attendance. A cross-sectional study of clients on ART exploring their access to mobile phones and patterns of use was employed. Clinic attendances for antiretroviral drug refills were then monitored prospectively over 28 weeks in 176 patients identified in the cross-sectional survey who had access to mobile phones and had given consent to be contacted. Patients were contacted via voice calls or text messages to remind them about their missed clinic appointments. Of the 276 patients surveyed, 177 (64%) had access to mobile phones with all but one were willing to be contacted for missed visits reminders. Of the 560 total scheduled clinic appointments, 62 (11%) were missed visits. In 79% of episodes in which visits were missed, patients presented for treatment within a mean duration of 2.2 days (SD = 1.2 days) after mobile phone recall. Access to mobile phones was high in this setting. Privacy and confidentiality issues were not considered deterrents. Mobile phones have a potential for use in resource-constrained settings to substantially improve the clinical management of HIV/AIDS.Keywords
This publication has 23 references indexed in Scilit:
- Ascertaining Baseline Levels of Antiretroviral Therapy Adherence in Uganda: A Multimethod ApproachJAIDS Journal of Acquired Immune Deficiency Syndromes, 2010
- Antiretroviral medication adherence and the development of class-specific antiretroviral resistanceAIDS, 2009
- Not All Missed Doses Are the Same: Sustained NNRTI Treatment Interruptions Predict HIV Rebound at Low-to-Moderate Adherence LevelsPLOS ONE, 2008
- Retention in Care: A Challenge to Survival with HIV InfectionClinical Infectious Diseases, 2007
- One‐year adherence to clinic visits after highly active antiretroviral therapy: a predictor of clinical progress in HIV patientsJournal of Internal Medicine, 2007
- A Randomized Study of Serial Telephone Call Support to Increase Adherence and Thereby Improve Virologic Outcome in Persons Initiating Antiretroviral TherapyThe Journal of Infectious Diseases, 2005
- Adherence is not a barrier to successful antiretroviral therapy in South AfricaAIDS, 2003
- Text messaging raises medicolegal issuesBMJ, 2003
- Highly active antiretroviral therapy outcomes in a primary care clinicAIDS Care, 2003
- Adherence to Antiretroviral Therapy by Human Immunodeficiency Virus–Infected PatientsThe Journal of Infectious Diseases, 2002