Text-Messaging-Enhanced HIV Intervention for African American Adolescents: A Feasibility Study

The Journal of the Association of Nurses in AIDS Care: JANAC (Impact Factor: 1.27). 11/2012; 24(3). DOI: 10.1016/j.jana.2012.06.005
Source: PubMed


We examined the feasibility and acceptability of an HIV prevention intervention for African American adolescents delivered via mobile cell phones and looked at intervention-related changes in beliefs and sexual behaviors. We used a longitudinal one-group comparison design with data collected at three points. Forty adolescents, 13-18 years old, participated in the Becoming a Responsible Teen intervention followed by the delivery of daily multimedia messages for 3 months. The mobile-cell-phone enhanced intervention was feasible and acceptable to the participants. Greater HIV knowledge, improved attitudes toward condoms, and increased perceived HIV risk scores were observed with older adolescents (16-18 years old). Behavior trends showed a decrease in the number of times participants reported engaging in unprotected sexual intercourse over the previous 2 months. Mobile-cell-phone multimedia-text-messaging boosters tested in this study provided preliminary evidence of efficacy of the enhanced HIV prevention intervention for African American youth.

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Available from: Janet S St. Lawrence, Jul 01, 2014
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    • "There were 11 (12.2%) focused on care and follow up [56] [57] [58] [59] [60] [61] [62] [63] [64] [65] [66], 8 (9%) on prevention [16,67–73], and 14.4% on education, motivational behavior change [74] [75] [76] [77] [78] [79] [80] [81] [82] [83] [84] [85] [86]. A few articles for instance, 6 (6.6%) [87] [88] [89] [90] [91] [92] covered data collection (health surveys, collecting health information) and 5 (5 .5%) "
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    • "There were 11 (12.2%) focused on care and follow up [56] [57] [58] [59] [60] [61] [62] [63] [64] [65] [66], 8 (9%) on prevention [16,67–73], and 14.4% on education, motivational behavior change [74] [75] [76] [77] [78] [79] [80] [81] [82] [83] [84] [85] [86]. A few articles for instance, 6 (6.6%) [87] [88] [89] [90] [91] [92] covered data collection (health surveys, collecting health information) and 5 (5 .5%) "
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    ABSTRACT: To evaluate the utilization of mobile phone technology for treatment adherence, prevention, education, data collection, monitoring long-term management of HIV/AIDS and TB patients. Articles published in English language from January 2005 until now from PubMed/MEDLINE, EMBASE, Web of Science, WHO databases, and clinical trials were included. Data extraction is based on medication adherence, quality of care, prevention, education, motivation for HIV test, data collection from HIV lab test results and patient monitoring. Articles selected for the analysis cover RCTs and non RCTs related to the use of mobile phones for long-term care and treatment of HIV/AIDS and TB patients. Out of 90 articles selected for the analysis, a large number of studies, 44 (49%) were conducted in developing countries, 24 (26%) studies from developed countries, 12 (13%) are systematic reviews and 10 (11%) did not mention study location. Forty seven (52.2%) articles focused on treatment, 11 (12.2%) on quality of care, 8 (9%) on prevention, 13 (14.4%) on education, 6 (6.6%) on data collection, and 5 (5.5%) on patient monitoring. Overall, 66 (73%) articles reported positive effects, 21 (23%) were neutral and 3 (4%) reported negative results. Mobile phone technology is widely reported to be an effective tool for HIV/AIDS and TB long-term care. It can substantially reduce disease burden on health care systems by rendering more efficient prevention, treatment, education, data collection and management support. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Computer methods and programs in biomedicine 08/2015; DOI:10.1016/j.cmpb.2015.08.003 · 1.90 Impact Factor
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    • "In another study in the United States of America, Cornelius et al. (2013) who focused on HIV prevention intervention for African-American adolescents delivered via mobile phones also recorded increased condom use along with increased knowledge of human immunodeficiency virus (HIV) (Cornelius et al., 2013). A similar effect on condom use was recorded among young people in Kenya and Tanzania in another prospective pilot study reported by Namirembe and Hoefman (Namirembe and Hoefman, 2012). "
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    ABSTRACT: Adolescent sexual and reproductive health (ASRH) remains a major public health and developmental issue worldwide. The stage of adolescence is typically characterised by a desire for information, curiosity and experimentation. Adolescent social interactions, relationships and sexual behaviour are intimately linked to information available to them during this transition period and ASRH programmes deliver sexual and reproductive health (SRH) information through a varying number of intervention strategies. The proliferation of mobile phones ownership and use across all populations worldwide has created opportunities for new interventions in health. Its use in SRH especially for adolescents and young people has been researched in a number of studies. This article explores the potential and impact of the use of mobile health (mHealth) for ASRH promotion. This study is a literature review based on analysis of secondary data from published literature. An electronic database search was conducted on Global health, Web of science, Popline, PubMed and Google-scholar. Findings of the review show that most published studies on mHealth interventions were from developed countries. The mHealth based interventions recorded positive effects on improving knowledge and promoting some aspects of positive sexual behaviour like sexually transmitted infection (STI) testing and seeking SRH information. However, the effect on other aspects of sexual behaviour like condom use and sex-partner behaviour was inconsistent. It is concluded that mobile phones can be an effective tool for engaging with adolescents concerning their SRH however, further research with randomised controlled trials are encouraged with special focus on adolescents in developing countries.
    08/2015; 7(8):258. DOI:10.5897/JPHE2015.0731
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