Looking under the hood of a hybrid two-way texting intervention to improve early retention on antiretroviral therapy in Malawi: an implementation fidelity evaluation
2024

Evaluating a Texting Program to Help People Stay on HIV Treatment in Malawi

Sample size: 468 publication Evidence: high

Author Information

Author(s): Klabbers Robin, Feldacker Caryl, Huwa Jacqueline, Kiruthu-Kamamia Christine, Thawani Agness, Tweya Hannock

Hypothesis

Does a hybrid two-way texting intervention improve retention on antiretroviral therapy among people living with HIV?

Conclusion

Higher fidelity in the texting intervention was linked to better care outcomes for participants.

Supporting Evidence

  • Participants had a median of 52 study weeks and 6 ART appointments.
  • On average, participants received motivational messages for 75% of enrolled weeks.
  • Receiving an appointment reminder increased on-time attendance.

Takeaway

This study looked at how well a texting program worked to remind people to keep their doctor appointments for HIV treatment, and found that when the program was used more effectively, people were more likely to go to their appointments.

Methodology

The study used SMS data and ART refill visit records to evaluate adherence to the texting intervention and its impact on appointment attendance.

Participant Demographics

Participants were people living with HIV in Malawi.

Statistical Information

P-Value

p<0.001

Confidence Interval

95%CI: 1.06–1.20

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.21203/rs.3.rs-4965561

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