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首页> 外文期刊>AIDS care. >Beyond reminders: a conceptual framework for using short message service to promote prevention and improve healthcare quality and clinical outcomes for people living with HIV.
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Beyond reminders: a conceptual framework for using short message service to promote prevention and improve healthcare quality and clinical outcomes for people living with HIV.

机译:超越提醒:使用短信服务来促进艾滋病毒感染者预防,改善医疗质量和临床结果的概念框架。

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摘要

The availability of effective antiretroviral therapy has altered HIV from being an acute disease to being a chronic, manageable condition for many people living with HIV (PLWH). Because of their ubiquity and flexibility, mobile phones with short message service (SMS) offer a unique opportunity to enhance treatment and prevention for people managing HIV. To date, very few US studies using SMS for HIV self-management have been published. In this article, we review the published SMS-based intervention research that aimed to improve healthcare quality and outcomes for PLWH and other chronic health conditions, and propose a conceptual model that integrates the communication functionality of SMS with important psychosocial factors that could mediate the impact of SMS on health outcomes. We posit that an SMS-based intervention that incorporates the elements of interactivity, frequency, timing, and tailoring of messages could be implemented to encourage greater medication adherence as well as impact other mutually reinforcing behaviors and factors (e.g., increasing patient involvement and social support, reducing risk behaviors, and promoting general health and well-being) to support better healthcare quality and clinical outcomes for PLWH. We recommend that future studies explore the potential linkages between variations in SMS characteristics and these mediating factors to determine if and how they influence the larger outcomes.
机译:有效的抗逆转录病毒疗法已使艾滋病毒从许多种艾滋病毒感染者(PLWH)的急性疾病变为慢性,可控制的疾病。带有短消息服务(SMS)的移动电话因其无处不在和灵活性,提供了一个独特的机会来增强对艾滋病毒感染者的治疗和预防。迄今为止,在美国很少有使用SMS进行自我管理的研究。在本文中,我们回顾了已发布的基于SMS的干预研究,旨在改善PLWH和其他慢性病的医疗质量和结果,并提出了一个概念模型,该模型将SMS的沟通功能与可能介导影响的重要社会心理因素相结合SMS对健康结果的影响。我们认为,可以采用结合交互性,频率,时间安排和消息定制元素的基于SMS的干预措施,以鼓励更大的药物依从性并影响其他相互促进的行为和因素(例如,增加患者的参与和社会支持) ,减少风险行为并促进总体健康和福祉),以支持改善PLWH的医疗质量和临床结果。我们建议未来的研究探索SMS特性变化与这些中介因素之间的潜在联系,以确定它们是否以及如何影响更大的结果。

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