“mHealth is an Innovative Approach to Address Health Literacy and Improve Patient-Physician Communication – An HIV Testing Exemplar”

Kumar, Disha; Arya, Monisha

doi:10.7309/jmtm.4.1.6

Cited by 18 publications

(15 citation statements)

References 28 publications

(30 reference statements)

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“…In particular, mHealth could be an innovative strategy to meeting HIV prevention needs in China, such as increasing HIV testing rates and disseminating HIV prevention and treatment interventions to high-risk populations such as MSM [ 17 – 19 ]. mHealth strategies - including text messaging or SMS [ 20 , 21 ], software applications such as Facebook [ 22 , 23 ], and multiple media interventions [ 24 ] - have been demonstrated as feasible for reaching community samples of MSM. However, to maximize uptake and scalability of mHealth strategies, interventions must engage the prospective end-users in order to consider the trends, patterns, and normative preferences of technology use in specific geographic settings [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

MHealth approach to promote Oral HIV self-testing among men who have sex with men in China: a qualitative description

et al. 2018

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BackgroundHIV self-testing (HIVST) has demonstrated potential to expand HIV testing among key populations, including men who have sex with men (MSM) in China who have low testing rates. However, due to the autonomous nature of self-testing, people who undergo HIVST may lack access to relevant information and counseling support typically provided by in-person HIV testing counselors. WeChat, a popular smartphone application in China, offers a potential source of mobile health (mHealth) information and support for individuals using HIVST. This paper aimed to explore the opinions of MSM in China about the feasibility and potential concerns of using WeChat to support HIVST and reduce risk for HIV infection.MethodsWe conducted in-depth interviews with 36 MSM about their mobile smartphone usage and the use of WeChat for helping MSM self-administer HIVST kits in Hefei, China. Each interview was digitally recorded and transcribed. Transcripts were analyzed used content analysis method according to Elo and Kyngas.ResultsMSM described their use of WeChat and expressed cautious endorsement about using this platform to promote HIVST and disseminate HIV-related information. They described their preferences about the implementation features of an mHealth intervention to promote HIVST, including the delivery source of intervention messages, as well as message timing, frequency, form, tone, and content. Participants also described privacy-related concerns about receiving messages via WeChat and offered potential solutions.ConclusionsFindings from this study show the potential utility of WeChat app-based messaging for engaging MSM in HIV self-testing and prevention. Future research is needed to integrate the concerns expressed in this analysis and evaluate a WeChat-based intervention to promote oral HIV self-testing, risk reduction, and health promotion among MSM in China.

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Section: Introductionmentioning

confidence: 99%

MHealth approach to promote Oral HIV self-testing among men who have sex with men in China: a qualitative description

et al. 2018

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“…2 Mobile health (mHealth) strategies representing the use of mobile technologies, such as mobile phones, personal digital assistants, and other wireless devices to support medical and public health practice, can be an innovative approach to increase HIV testing rates. [23][24][25] There are approximately 5 billion mobile phone subscriptions in the world. 26 Because such a large number of individuals use mobile phones, mHealth behavioural interventions have been implemented and evaluated in low-and middle-income countries to improve HIV care outcomes relating to antiretroviral initiation and adherence.…”

Section: Introductionmentioning

confidence: 99%

“…1 As mobile phone text messaging has been shown to promote patient-physician communication, text messages providing information on HIV testing may encourage high-risk individuals to seek community or clinic-based HTS. 23,25,31 Mobile phone text messaging may also be an effective tool to improve HIV testing selfefficacy given that information can be personalized and interactive. 23 Previous reviews [32][33][34][35][36][37][38] have examined the use of mobile phone technologies in HIV prevention and treatment, but have not specifically examined the effectiveness of mHealth interventions on the uptake of HIV testing.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of mobile health behavioural interventions to improve uptake of HIV testing for vulnerable and key populations

et al. 2016

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Objective This systematic narrative review examined the empirical evidence on the effectiveness of mobile health (mHealth) behavioral interventions designed to increase uptake of HIV testing among vulnerable and key populations. Methods MEDLINE/PubMed, Embase, Web of Science, and Global Health electronic databases were searched. Studies were eligible for inclusion if they were published between 2005 and 2015, evaluated an mHealth intervention, and reported an outcome relating to HIV testing. We also reviewed the bibliographies of retrieved studies for other relevant citations. The methodological rigor of selected articles was assessed, and narrative analyses were used to synthesize findings from mixed methodologies. Results A total of seven articles met the inclusion criteria. Most mHealth interventions employed a text-messaging feature and were conducted in middle- and high-income countries. The methodological rigor was moderate among studies. The current literature suggests that mHealth interventions can have significant positive effects on HIV testing initiation among vulnerable and key populations, as well as the general public. In some cases, null results were observed. Qualitative themes relating to use of mobile technologies to increase HIV testing included the benefits of having low-cost, confidential, and motivational communication. Reported barriers included cellular network restrictions, poor linkages with physical testing services, and limited knowledge of appropriate text-messaging dose. Conclusions MHealth interventions may prove beneficial in reducing the proportion of undiagnosed persons living with HIV, particularly among vulnerable and key populations. However, more rigorous and tailored intervention trials are needed to assess the effectiveness of widespread use.

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“…Future research evaluating message content that addresses additional barriers to testing may yield more pronounced effects. 33…”

Section: Discussionmentioning

confidence: 99%

Uptake and Impact of Short Message Service Reminders via Sexually Transmitted Infection Partner Services on Human Immunodeficiency Virus/Sexually Transmitted Infection Testing Frequency Among Men Who Have Sex With Men

et al. 2019

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Background: Sexually transmitted infection (STI) partner services (PS) allow provision of human immunodeficiency virus (HIV)/STI prevention interventions to high-risk individuals, including testing reminders via short message service (SMS). Methods: In King County, Washington, PS attempt to reach all men who have sex with men (MSM) with early syphilis and those with gonorrhea or chlamydia as resources allow. Since 2013, PS offered quarterly SMS testing reminders. We evaluated correlates of reminder uptake and the association between reminder uptake and postinterview asymptomatic STI diagnosis using Poisson regression, and the association between preinterview SMS reminder use and intertest interval among HIV-negative MSM using median regression. Results: During July 1, 2013 to January 17, 2018, 8236 MSM were reported with 1 or more STI diagnoses and 5237 received PS interviews. Of these, 4087 (78%) were offered SMS reminders; 545 (13%) accepted, 265 (7%) were already receiving SMS, 3277 (80%) refused. Of 2602 patients who refused and were asked about other reminders, 37% used none, 16% received reminders from medical providers, 20% tested at routine physicals, and 26% used other reminders. SMS reminder use before and after PS interview was associated with negative HIV status, younger age, and diagnosis with gonorrhea or chlamydia (vs. syphilis) (P < 0.05 for all). Preinterview intertest interval was longer among MSM testing at physicals (9.6 months) than those using no reminder (5.6), SMS reminders (4.7, P < 0.05 vs. physicals), and non-SMS reminders (3.6, P < 0.001 vs. SMS). Reminder uptake was not associated with postinterview STI diagnosis. Conclusions: Offering SMS reminders through STI PS is feasible. Uptake was low, but higher among young MSM not on preexposure prophylaxis. The SMS reminders may increase testing frequency.

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“mHealth is an Innovative Approach to Address Health Literacy and Improve Patient-Physician Communication – An HIV Testing Exemplar”

Cited by 18 publications

References 28 publications

MHealth approach to promote Oral HIV self-testing among men who have sex with men in China: a qualitative description

MHealth approach to promote Oral HIV self-testing among men who have sex with men in China: a qualitative description

Systematic review of mobile health behavioural interventions to improve uptake of HIV testing for vulnerable and key populations

Uptake and Impact of Short Message Service Reminders via Sexually Transmitted Infection Partner Services on Human Immunodeficiency Virus/Sexually Transmitted Infection Testing Frequency Among Men Who Have Sex With Men

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