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Impact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial

Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervent... Full description

Journal Title: AIDS and behavior 2011-07-08, Vol.15 (8), p.1776-1784
Main Author: Chang, Larry W
Other Authors: Kagaayi, Joseph , Arem, Hannah , Nakigozi, Gertrude , Ssempijja, Victor , Serwadda, David , Quinn, Thomas C , Gray, Ronald H , Bollinger, Robert C , Reynolds, Steven J
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Publisher: Boston: Springer US
ID: ISSN: 1090-7165
Link: https://www.ncbi.nlm.nih.gov/pubmed/21739286
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title: Impact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial
format: Article
creator:
  • Chang, Larry W
  • Kagaayi, Joseph
  • Arem, Hannah
  • Nakigozi, Gertrude
  • Ssempijja, Victor
  • Serwadda, David
  • Quinn, Thomas C
  • Gray, Ronald H
  • Bollinger, Robert C
  • Reynolds, Steven J
subjects:
  • Acquired Immune Deficiency Syndrome
  • Acquired Immunodeficiency Syndrome - drug therapy
  • AIDS
  • Analysis
  • Anti-HIV Agents - therapeutic use
  • Article
  • Care and treatment
  • Cell Phone
  • Cellular telephones
  • Clinical trials
  • Cluster Analysis
  • Cluster-randomized trial
  • Communication
  • Community Health Services - organization & administration
  • Community health workers
  • Community involvement
  • Female
  • Health Care Services
  • Health Personnel
  • Health Psychology
  • HIV
  • Humans
  • Impact analysis
  • Infectious Diseases
  • Intervention
  • Maintenance
  • Male
  • Medical care
  • Medicine
  • Medicine & Public Health
  • mHealth
  • Middle Aged
  • Mixed methods research
  • Original Paper
  • Patients
  • Peer Group
  • Peers
  • Public Health
  • Qualitative analysis
  • Randomized Controlled Trials as Topic
  • Rural Areas
  • Rural health care
  • Rural Population
  • Telemedicine
  • Trials
  • Uganda
  • Usage
  • Workers
ispartof: AIDS and behavior, 2011-07-08, Vol.15 (8), p.1776-1784
description: Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients’ risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance.
language: eng
source:
identifier: ISSN: 1090-7165
fulltext: no_fulltext
issn:
  • 1090-7165
  • 1573-3254
url: Link


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titleImpact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial
creatorChang, Larry W ; Kagaayi, Joseph ; Arem, Hannah ; Nakigozi, Gertrude ; Ssempijja, Victor ; Serwadda, David ; Quinn, Thomas C ; Gray, Ronald H ; Bollinger, Robert C ; Reynolds, Steven J
creatorcontribChang, Larry W ; Kagaayi, Joseph ; Arem, Hannah ; Nakigozi, Gertrude ; Ssempijja, Victor ; Serwadda, David ; Quinn, Thomas C ; Gray, Ronald H ; Bollinger, Robert C ; Reynolds, Steven J
descriptionMobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients’ risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance.
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subjectAcquired Immune Deficiency Syndrome ; Acquired Immunodeficiency Syndrome - drug therapy ; AIDS ; Analysis ; Anti-HIV Agents - therapeutic use ; Article ; Care and treatment ; Cell Phone ; Cellular telephones ; Clinical trials ; Cluster Analysis ; Cluster-randomized trial ; Communication ; Community Health Services - organization & administration ; Community health workers ; Community involvement ; Female ; Health Care Services ; Health Personnel ; Health Psychology ; HIV ; Humans ; Impact analysis ; Infectious Diseases ; Intervention ; Maintenance ; Male ; Medical care ; Medicine ; Medicine & Public Health ; mHealth ; Middle Aged ; Mixed methods research ; Original Paper ; Patients ; Peer Group ; Peers ; Public Health ; Qualitative analysis ; Randomized Controlled Trials as Topic ; Rural Areas ; Rural health care ; Rural Population ; Telemedicine ; Trials ; Uganda ; Usage ; Workers
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descriptionMobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients’ risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance.
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titleImpact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial
authorChang, Larry W ; Kagaayi, Joseph ; Arem, Hannah ; Nakigozi, Gertrude ; Ssempijja, Victor ; Serwadda, David ; Quinn, Thomas C ; Gray, Ronald H ; Bollinger, Robert C ; Reynolds, Steven J
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abstractMobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not. PHWs used phones to call and text higher level providers with patient-specific clinical information. 970 patients cared for by the PHWs were followed over a 26 month period. No significant differences were found in patients’ risk of virologic failure. Qualitative analyses found improvements in patient care and logistics and broad support for the mHealth intervention among patients, clinic staff, and PHWs. Key challenges identified included variable patient phone access, privacy concerns, and phone maintenance.
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