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J Assoc Nurses AIDS Care ; 29(2): 287-299, 2018.
Article in English | MEDLINE | ID: mdl-29029867

ABSTRACT

Key challenges in providing lifelong antiretroviral therapy (ART) to pregnant and breastfeeding women (Option B+) in sub-Saharan Africa include achieving long-term adherence and retention in care. One intervention that may help address these challenges is mobile text messaging. We evaluated the acceptability of a text messaging intervention to support women's ART adherence and retention in care in rural western Kenya. Forty in-depth interviews with 20 pregnant/postpartum women infected with HIV, their male partners, and four focus groups with 30 health care providers were conducted during September-November 2014. Data were coded and analyzed using thematic analysis. Findings revealed the following themes: (a) overall acceptability of the text messaging intervention; (b) proposed content of text messages; (c) format, timing, and language of text messages; and (d) potential challenges of the text messaging intervention. Findings were used to refine a text messaging intervention being evaluated at Kenyan study sites rolling out Option B+.


Subject(s)
Anti-HIV Agents/administration & dosage , Breast Feeding/psychology , HIV Infections/drug therapy , Infectious Disease Transmission, Vertical/prevention & control , Medication Adherence/psychology , Mothers/psychology , Patient Acceptance of Health Care/psychology , Patient Acceptance of Health Care/statistics & numerical data , Pregnant Women/psychology , Retention in Care , Text Messaging , Adult , Anti-HIV Agents/therapeutic use , Female , Focus Groups , HIV Infections/prevention & control , HIV Infections/psychology , HIV Infections/transmission , Humans , Kenya , Male , Medication Adherence/ethnology , Middle Aged , Pregnancy , Pregnant Women/ethnology , Program Evaluation , Qualitative Research , Rural Population/statistics & numerical data
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