期刊
AIDS AND BEHAVIOR
卷 24, 期 12, 页码 3511-3521出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-020-02912-3
关键词
Patient compliance; Telemedicine; mHealth; Continuity of patient care; Cell phone
资金
- Global Established Multidisciplinary Sites (GEMS) program at the Johns Hopkins Center for Global Health
South Africa processes 5.1 million HIV CD4, viral load (VL), and tuberculosis (TB) tests annually. This pilot non-randomized trial in South Africa explored an intervention (MatlaMobile) to deliver laboratory results via mobile phone. Adults completing CD4, VL, and/or TB laboratory tests were enrolled-either receiving results by returning to clinic (control, n = 174) or mobile phone (intervention, n = 226). Study staff instructed control participants to return within 6 days (standard-of-care). MatlaMobile instructed intervention participants with clinically actionable results requiring intervention or treatment change (i.e., < 200 CD4 cells per milliliter, >= 400 viral copies per milliliter, or TB positive) to return immediately. A greater proportion of intervention participants than controls saw their results within 7 days of enrollment (73% vs. 8.6%, p < 0.001). Among participants instructed to return, more intervention participants (20%, n = 14/70) returned than controls (8.6%, n = 15/174, p = 0.02). MatlaMobile demonstrated that patients can quickly receive and respond appropriately to digital delivery of health information.
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