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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Using no-cost mobile phone reminders to improve attendance for HIV test results: A pilot study in rural Swaziland
Infectious Diseases of Poverty, Volume 2, No. 1, Article 12, Year 2013
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Description
Background: Mobile technology has great potential to improve adherence and treatment outcomes in healthcare settings. However, text messaging and phone calls are unaffordable in many resource-limited areas. This study investigates the use of a no-cost alternative mobile phone technology using missed calls ('buzzing') to act as a patient reminder. The use of missed calls as a patient reminder was evaluated for feasibility and effectiveness as an appointment reminder in the follow-up of newly-diagnosed human immunodeficiency virus (HIV) positive patients in an HIV testing and counselling department in rural Swaziland. Methods: This pilot study uses a before-and-after operational research study design, with all patients with mobile phones being offered the intervention. The primary outcome was the rate of attendance at the HIV testing and counselling department for collection of results in those with mobile phones before and after the introduction of the intervention. Results: Over two-thirds, 71.8% (459/639), of patients had a mobile phone. All patients with a mobile phone consented to being buzzed. There was no difference in attendance for follow-up at the clinic before and after the intervention was implemented (80.1% versus 83.3%, p = 0.401), or after adjusting for confounding factors (OR 1.13, p = 0.662). Conclusion: This pilot study illustrates that mobile technology may be feasible in rural, resource-poor settings as there are high rates of mobile phone ownership and the intervention had a 100% uptake rate, with positive feedback from staff and patients. In this particular setting, the intervention did not improve attendance rates. However, further research is planned to investigate the impact on adherence to appointments and medications in other settings, such as HIV chronic care follow-up and as part of an enhanced package to improve adherence. © 2013 Kliner et al.; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3710074/bin/2049-9957-2-12-S1.pdf
Authors & Co-Authors
Kliner, Merav
United Kingdom, Leeds
University of Leeds, School of Medicine
Knight, Abigail
Swaziland, Siteki, Eswatini
Good Shepherd Hospital
Canaan, Mamvura
Swaziland, Siteki, Eswatini
Good Shepherd Hospital
Wright, John P.
United Kingdom, Bradford
Bradford Institute for Health Research
Walley, John D.
United Kingdom, Leeds
University of Leeds, School of Medicine
Statistics
Citations: 83
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1186/2049-9957-2-12
e-ISSN:
20499957
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Cohort Study
Study Locations
Eswatini