ART Adherence in Youth Increases with Daily Text Messages

Personalized daily text messaging improves the adherence in youths over a 6-month intervention.
Personalized daily text messaging improves the adherence in youths over a 6-month intervention.

HealthDay News -- According to a study published in AIDS and Behavior, a two-way, personalized daily text messaging intervention can improve antiretroviral therapy (ART) adherence among HIV-positive adolescents and young adults.

Robert Garofalo, MD, MPH, from the Ann & Robert H Lurie Children's Hospital in Chicago, and colleagues conducted a randomized trial of a two-way, personalized daily text messaging intervention to improve ART adherence among 105 poorly adherent HIV-positive adolescents and young adults (age 16 to 29 years). 

ART adherence was assessed via self-report visual analogue scale at 3 and 6 months for mean adherence level and proportion who were ≥90% adherent.

The researchers found that over the 6-month intervention period, the average effect estimate was significant for ≥90% adherence (odds ratio, 2.12) and was maintained 6 months after intervention (at 12 months). Very high satisfaction scores were seen for the intervention.

"These results suggest both feasibility and initial efficacy of this approach," the authors write. "Given study limitations, additional testing of this intervention as part of a larger clinical trial with objective and/or clinical outcome measures of adherence is warranted."

Reference

Garofalo R, et al. "A Randomized Controlled Trial Of Personalized Text Message Reminders To Promote Medication Adherence Among HIV-Positive Adolescents And Young Adults". AIDS and Behavior. 2015. 20(5): 1049-1059. doi: 10.1007/s10461-015-1192-x

Free E-Newsletter