作者
Richard T Lester, Paul Ritvo, Edward J Mills, Antony Kariri, Sarah Karanja, Michael H Chung, William Jack, James Habyarimana, Mohsen Sadatsafavi, Mehdi Najafzadeh, Carlo A Marra, Benson Estambale, Elizabeth Ngugi, T Blake Ball, Lehana Thabane, Lawrence J Gelmon, Joshua Kimani, Marta Ackers, Francis A Plummer
发表日期
2010/11/27
期刊
The Lancet
卷号
376
期号
9755
页码范围
1838-1845
出版商
Elsevier
简介
Background
Mobile (cell) phone communication has been suggested as a method to improve delivery of health services. However, data on the effects of mobile health technology on patient outcomes in resource-limited settings are limited. We aimed to assess whether mobile phone communication between health-care workers and patients starting antiretroviral therapy in Kenya improved drug adherence and suppression of plasma HIV-1 RNA load.
Methods
WelTel Kenya1 was a multisite randomised clinical trial of HIV-infected adults initiating antiretroviral therapy (ART) in three clinics in Kenya. Patients were randomised (1:1) by simple randomisation with a random number generating program to a mobile phone short message service (SMS) intervention or standard care. Patients in the intervention group received weekly SMS messages from a clinic nurse and were required to respond within 48 h. Randomisation …
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RT Lester, P Ritvo, EJ Mills, A Kariri, S Karanja… - The Lancet, 2010