PDF(Pubmed)
Abstract：
OBJECTIVE: To assess the intervention fidelity and explore contextual factors affecting the process of implementing a mobile phone text messaging intervention in improving adherence to and retention in care among adolescents living with HIV, their families and their healthcare providers in southern Ethiopia.
METHODS: A convergent mixed-methods design guided by the process evaluation theoretical framework and the Reach, Effectiveness, Adoption, Implementation and Maintenance framework was used alongside a randomised controlled trial to examine the fidelity and explore the experiences of participants in the intervention.
METHODS: Six hospitals and five health centres provide HIV treatment and care to adolescents in five zones in southern Ethiopia.
METHODS: Adolescents (aged 10-19), their families and their healthcare providers.
METHODS: Mobile phone text messages daily for 6 months or standard care (control).
RESULTS: 153 participants were enrolled in the process evaluation. Among the 153 enrolled in the intervention arm, 78 (49.02%) were male and 75 (43.8%) were female, respectively. The mean and SD age of the participants is 15 (0.21). The overall experiences of implementing the text messages reminder intervention were described as helpful in terms of treatment support for adherence but had room for improvement. During the study, 30 700 text messages were sent, and fidelity was high, with 99.4% successfully delivered text messages during the intervention. Barriers such as failed text messages delivery, limitations in phone ownership and technical limitations affected fidelity. Technical challenges can hinder maintenance, but a belief in the future of digital communication permeates the experiences of the text message reminders.
CONCLUSIONS: Overall fidelity was high, and participants\' overall experiences of mobile phone text messages were expressed as helpful. Contextual factors, such as local telecommunications networks and local electric power, as well as technical and individual factors must be considered when planning future interventions.
BACKGROUND: PACTR202107638293593.
METHODS: A convergent mixed-methods design guided by the process evaluation theoretical framework and the Reach, Effectiveness, Adoption, Implementation and Maintenance framework was used alongside a randomised controlled trial to examine the fidelity and explore the experiences of participants in the intervention.
METHODS: Six hospitals and five health centres provide HIV treatment and care to adolescents in five zones in southern Ethiopia.
METHODS: Adolescents (aged 10-19), their families and their healthcare providers.
METHODS: Mobile phone text messages daily for 6 months or standard care (control).
RESULTS: 153 participants were enrolled in the process evaluation. Among the 153 enrolled in the intervention arm, 78 (49.02%) were male and 75 (43.8%) were female, respectively. The mean and SD age of the participants is 15 (0.21). The overall experiences of implementing the text messages reminder intervention were described as helpful in terms of treatment support for adherence but had room for improvement. During the study, 30 700 text messages were sent, and fidelity was high, with 99.4% successfully delivered text messages during the intervention. Barriers such as failed text messages delivery, limitations in phone ownership and technical limitations affected fidelity. Technical challenges can hinder maintenance, but a belief in the future of digital communication permeates the experiences of the text message reminders.
CONCLUSIONS: Overall fidelity was high, and participants\' overall experiences of mobile phone text messages were expressed as helpful. Contextual factors, such as local telecommunications networks and local electric power, as well as technical and individual factors must be considered when planning future interventions.
BACKGROUND: PACTR202107638293593.
摘要：
目的：评估干预的保真度，并探讨影响实施手机短信干预过程的环境因素，以提高青少年艾滋病毒感染者对护理的依从性和保留率。他们的家人和他们在埃塞俄比亚南部的医疗保健提供者。
方法：以过程评估理论框架和范围为指导的融合混合方法设计，有效性,收养,实施和维护框架与随机对照试验一起使用，以检查保真度并探索干预参与者的经验。
方法：埃塞俄比亚南部的六个医院和五个保健中心为五个地区的青少年提供艾滋病毒治疗和护理。
方法：青少年（10-19岁），他们的家人和医疗保健提供者。
方法：每天手机短信，持续6个月或标准护理（对照）。
结果：153名参与者参加了过程评估。在参与干预组的153人中，78（49.02%）为男性，75（43.8%）为女性，分别。参与者的平均年龄和SD年龄为15（0.21）。实施短信提醒干预的总体经验被描述为在治疗支持依从性方面有所帮助，但仍有改进的空间。在研究期间,发送了30700条短信，保真度很高，99.4%的人在干预期间成功发送了短信。诸如短信传递失败等障碍，手机所有权的限制和技术限制影响了保真度。技术挑战会阻碍维护，但是对数字通信未来的信念渗透到短信提醒的体验中。
结论：总体保真度很高，参与者对手机短信的整体体验被认为是有帮助的。情境因素，例如本地电信网络和本地电力，在规划未来干预措施时，必须考虑技术和个人因素。
背景：PACTR202107638293593。
方法：以过程评估理论框架和范围为指导的融合混合方法设计，有效性,收养,实施和维护框架与随机对照试验一起使用，以检查保真度并探索干预参与者的经验。
方法：埃塞俄比亚南部的六个医院和五个保健中心为五个地区的青少年提供艾滋病毒治疗和护理。
方法：青少年（10-19岁），他们的家人和医疗保健提供者。
方法：每天手机短信，持续6个月或标准护理（对照）。
结果：153名参与者参加了过程评估。在参与干预组的153人中，78（49.02%）为男性，75（43.8%）为女性，分别。参与者的平均年龄和SD年龄为15（0.21）。实施短信提醒干预的总体经验被描述为在治疗支持依从性方面有所帮助，但仍有改进的空间。在研究期间,发送了30700条短信，保真度很高，99.4%的人在干预期间成功发送了短信。诸如短信传递失败等障碍，手机所有权的限制和技术限制影响了保真度。技术挑战会阻碍维护，但是对数字通信未来的信念渗透到短信提醒的体验中。
结论：总体保真度很高，参与者对手机短信的整体体验被认为是有帮助的。情境因素，例如本地电信网络和本地电力，在规划未来干预措施时，必须考虑技术和个人因素。
背景：PACTR202107638293593。
