Patient Perceptions of Text Messaging to Improve Antiretroviral Therapy Adherence: A Qualitative Study of Patients in a Ryan White Clinic

  • Elizabeth M Sherman
  • , Kevin Alan Clauson
  • , Shara Elrod
  • , Paula Eckardt
  • , Fadi Alkhateeb
  • , Robin J Jacobs

Research output: Contribution to journalArticlepeer-review

Abstract

Evidence on the use of short message service (SMS) to improve medication adherence in people living with HIV (PLHIV) is mounting, yet qualitative research on patient perceptions regarding SMS content and utility for HIV/AIDS remains nascent. To explore the experience of receiving medication reminders via SMS among PLHIV, 45 uninsured and underinsured PLHIV nested within the intervention arm of a larger study received daily, 1-way SMS adherence reminders. Qualitative data were collected by face-to-face, structured interview and were analyzed using conventional content analysis methods. Three main themes emerged from the data: (1) reminders helping with adherence, (2) concerns about delivery modes, and (3) the need for confidentiality. Study findings offer enhanced focus on an emerging strategy in patient-centered HIV care: Equipped with greater context on the experiences of PLHIV using SMS adherence reminders, health-care providers can offer more targeted support and thereby maximize the benefits of this popular and powerful technology.

Original languageAmerican English
JournalJournal of the International Association of Providers of AIDS Care (JIAPAC)
Volume17
DOIs
StatePublished - Jan 1 2018

Bibliographical note

Publisher Copyright:
© The Author(s) 2018.

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Nova Southeastern University Health Professions Division Research Grant and the Nova Southeastern University President’s Faculty Research and Development Grant.

Funders
Nova Southeastern University

    ASJC Scopus Subject Areas

    • Immunology
    • Dermatology
    • Infectious Diseases

    Keywords

    • HIV infections
    • adult
    • ambulatory care facilities
    • anti-retroviral agents
    • appointments and schedules
    • confidentiality
    • female
    • health personnel
    • humans
    • male
    • medication adherence
    • middle aged
    • mobile health
    • qualitative research
    • reminder systems
    • telemedicine
    • text messaging
    • text message
    • HIV
    • qualitative
    • SMS

    Disciplines

    • Medicine and Health Sciences
    • Pharmacy and Pharmaceutical Sciences
    • Immunology and Infectious Disease
    • Dermatology
    • Infectious Disease

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