期刊
AIDS AND BEHAVIOR
卷 15, 期 8, 页码 1776-1784出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-011-9995-x
关键词
mHealth; Community health workers; HIV; Cluster-randomized trial; Mixed methods research
资金
- Intramural NIH HHS [ZIA AI000361-29] Funding Source: Medline
- NIAID NIH HHS [2T32-AI07291, T32 AI007291] Funding Source: Medline
- NICHD NIH HHS [R24 HD042854] Funding Source: Medline
- NIMH NIH HHS [K23 MH086338, 1K23MH086338-01A2] Funding Source: Medline
Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients' risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance.
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