135 lines
4.6 KiB
YAML
135 lines
4.6 KiB
YAML
abstract: 'Background: Effective use of proven treatments for high blood pressure,
|
|
|
|
a preventable health risk, is challenging for many patients. Prompts via
|
|
|
|
mobile phone SMS-text messaging may improve adherence to clinic visits
|
|
|
|
and treatment, though more research is needed on impact and patient
|
|
|
|
perceptions of such support interventions, especially in low-resource
|
|
|
|
settings.
|
|
|
|
Method: An individually-randomised controlled trial in a primary care
|
|
|
|
clinic in Cape Town (2012-14), tested the effect of an adherence support
|
|
|
|
intervention delivered via SMS-texts, on blood pressure control and
|
|
|
|
adherence to medication, for hypertensive patients. (Trial registration:
|
|
|
|
ClinicalTrials.gov NCT02019823). We report on a qualitative evaluation
|
|
|
|
that explored the trial participants'' experiences and responses to the
|
|
|
|
SMS-text messages, and identified barriers and facilitators to
|
|
|
|
delivering adherence support via patients'' own mobile phones. Two focus
|
|
|
|
groups and fifteen individual interviews were conducted. We used
|
|
|
|
comparative and thematic analysis approaches to identify themes and
|
|
|
|
triangulated our analysis amongst three researchers.
|
|
|
|
Results: Most participants were comfortable with the technology of using
|
|
|
|
SMS-text messages. Messages were experienced as acceptable, relevant and
|
|
|
|
useful to a broad range of participants. The SMS-content, the respectful
|
|
|
|
tone and the delivery (timing of reminders and frequency) and the
|
|
|
|
relational aspect of trial participation (feeling cared for) were all
|
|
|
|
highly valued. A subgroup who benefitted the most, were those who had
|
|
|
|
been struggling with adherence due to high levels of personal stress.
|
|
|
|
The intervention appeared to coincide with their readiness for change,
|
|
|
|
and provided practical and emotional support for improving adherence
|
|
|
|
behaviour. Change may have been facilitated through increased
|
|
|
|
acknowledgement of their health status and attitudinal change towards
|
|
|
|
greater self-responsibility. Complex interaction of psycho-social
|
|
|
|
stressors and health service problems were reported as broader
|
|
|
|
challenges to adherence behaviours.
|
|
|
|
Conclusion: Adherence support for treatment of raised blood pressure,
|
|
|
|
delivered via SMS-text message on the patient''s own phone, was found to
|
|
|
|
be acceptable, relevant and helpful, even for those who already had
|
|
|
|
their own reminder systems in place. Our findings begin to identify for
|
|
|
|
whom and what core elements of the SMS-text message intervention appear
|
|
|
|
to work best in a low-resource operational setting, issues that future
|
|
|
|
research should explore in greater depth.'
|
|
affiliation: 'Leon, N (Corresponding Author), South African Med Res Council, Hlth
|
|
Syst Res Unit, POB 19070 Fransie Van Zyl Dr, ZA-7505 Cape Town, South Africa.
|
|
|
|
Leon, Natalie; Muller, Jocelyn, South African Med Res Council, Hlth Syst Res Unit,
|
|
ZA-7505 Cape Town, South Africa.
|
|
|
|
Surender, Rebecca, Univ Oxford, Dept Social Policy \& Intervent, Oxford OX1 2ER,
|
|
England.
|
|
|
|
Bobrow, Kirsty, Univ Cape Town, Dept Med, Div Diabet \& Endocrinol, Chron Dis Initiat
|
|
Africa,Observ, ZA-7925 Cape Town, South Africa.
|
|
|
|
Bobrow, Kirsty, Groote Schuur Hosp, Observ, ZA-7925 Cape Town, South Africa.
|
|
|
|
Bobrow, Kirsty, Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford OX2 6GG,
|
|
England.'
|
|
article-number: '80'
|
|
author: Leon, Natalie and Surender, Rebecca and Bobrow, Kirsty and Muller, Jocelyn
|
|
and Farmer, Andrew
|
|
author-email: Natalie.leon@mrc.ac.za
|
|
author_list:
|
|
- family: Leon
|
|
given: Natalie
|
|
- family: Surender
|
|
given: Rebecca
|
|
- family: Bobrow
|
|
given: Kirsty
|
|
- family: Muller
|
|
given: Jocelyn
|
|
- family: Farmer
|
|
given: Andrew
|
|
da: '2023-09-28'
|
|
doi: 10.1186/s12875-015-0289-7
|
|
eissn: 1471-2296
|
|
files: []
|
|
journal: BMC FAMILY PRACTICE
|
|
keywords: 'Mobile phone-based SMS-messages; mHealth; Blood pressure treatment;
|
|
|
|
Hypertension; Adherence; South Africa; low-and middle-income countries;
|
|
|
|
primary-care; qualitative methodology; patient perspective'
|
|
keywords-plus: 'HEALTH SYSTEM; GLOBAL BURDEN; INTERVENTIONS; MHEALTH; HYPERTENSION;
|
|
|
|
MEDICATION; DISEASE; ADULTS; CARE'
|
|
language: English
|
|
month: JUL 3
|
|
number-of-cited-references: '26'
|
|
papis_id: cc6304bc4e44d7fea2f1b626c0e86ed6
|
|
ref: Leon2015improvingtreatment
|
|
times-cited: '58'
|
|
title: 'Improving treatment adherence for blood pressure lowering via mobile phone
|
|
SMS-messages in South Africa: a qualitative evaluation of the SMS-text Adherence
|
|
SuppoRt (StAR) trial'
|
|
type: article
|
|
unique-id: WOS:000357252400003
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '29'
|
|
volume: '16'
|
|
web-of-science-categories: Primary Health Care; Medicine, General \& Internal
|
|
year: '2015'
|