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Enhancing Antiretroviral Therapy Adherence with Text Messaging Counseling

This study in Western Kenya explores the impact of adherence counseling and reminder text messages on patients' adherence to antiretroviral therapy. Results show significant improvements in adherence and viral suppression through SMS interventions.

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Enhancing Antiretroviral Therapy Adherence with Text Messaging Counseling

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  1. Adherence Counseling and Reminder Text Messaging Improves Uptake Of Antiretroviral Therapy in Western Kenya Authors: Magomere Robert MurimaNg’ang’a

  2. Introduction • For treatment of HIV/AIDS to be effective high rate of adherence is essential. • Mobile phone communication is one of the method that has been used to improve adherence. • The information on use of mobile in health technology is still low. • We sought to find out the effect of short message services on adherence to Antiretroviral therapy

  3. Objective • To establish the effect of adherence counseling and reminder text messages on improving patients' adherence to antiretroviral therapy and viral suppression.

  4. Methodology • A randomized controlled trial was conducted among non-adherents patients on HAART in Bumula sub-County Hospital. • Patients were randomized (1:1) to a mobile phone short message service (SMS) intervention or standard care. • Patients in the intervention group received adherence counseling in addition to the weekly SMS messages. • Primary outcomes were self-reported ART adherence (>95% of prescribed doses in the past 30 days) and plasma HIV viral RNA load suppression (<400 copies/ml) at 12 months.

  5. Results • A total of 176 patients were enrolled in the study. • Results showed that 86.9% of the participants in intervention group and 55.8% in control group achieved adherence (p<0.05). • Results showed that 84.5% of the participants in intervention group had undetectable viral load while 52% of the participants in control group had undetectable viral load (p<0.05).

  6. Conclusion and recommendation • Adherence counseling and text message reminders improve adherence of patients on HAART. • Improvement of adherence leads to viral suppression • Viral suppression leads to improve the quality of life

  7. Thanks

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