“Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya
Abstract Adherence to oral pre-exposure prophylaxis (PrEP) is challenging, and cellular technology offers a promising opportunity for support. However, a recent randomized controlled trial found that SMS reminders did not improve PrEP adherence. We used qualitative methods to explore...
| Main Authors: | , , , , , , , , , , , |
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| Other Authors: | |
| Format: | Article |
| Language: | English |
| Published: |
Springer US
2023
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| Online Access: | https://hdl.handle.net/1721.1/147581 |
| _version_ | 1811085753084542976 |
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| author | Ogello, Vallery Ngure, Kenneth Thuo, Nicholas Burns, Bridget Rono, Bernard Oware, Kevin Kiptiness, Catherine Mugo, Nelly Bukusi, Elizabeth Garrison, Lindsey Baeten, Jared M. Haberer, Jessica E. |
| author2 | Massachusetts Institute of Technology. Department of Urban Studies and Planning |
| author_facet | Massachusetts Institute of Technology. Department of Urban Studies and Planning Ogello, Vallery Ngure, Kenneth Thuo, Nicholas Burns, Bridget Rono, Bernard Oware, Kevin Kiptiness, Catherine Mugo, Nelly Bukusi, Elizabeth Garrison, Lindsey Baeten, Jared M. Haberer, Jessica E. |
| author_sort | Ogello, Vallery |
| collection | MIT |
| description | Abstract
Adherence to oral pre-exposure prophylaxis (PrEP) is challenging, and cellular technology offers a promising opportunity for support. However, a recent randomized controlled trial found that SMS reminders did not improve PrEP adherence. We used qualitative methods to explore the trial participants’ experiences with the SMS intervention. We conducted serial in-depth interviews with 54 young Kenyan women, using inductive and deductive content analysis . Initially, SMS reminders were highly acceptable. Participants expressed enthusiasm with receiving the reminders because of the coded nature of the SMS reminders; they also helped in ‘habit forming’ with daily adherence. However, overtime, participants reported growing concerns about privacy, self-efficacy, and responsibility and SMS fatigue. Participants also reported other challenges, including phone loss, poor telephone network, and lack of electricity. Further research to explore if SMS reminders in alternative formats or with different frequency is needed, in addition to identification of alternate adherence support strategies. |
| first_indexed | 2024-09-23T13:14:49Z |
| format | Article |
| id | mit-1721.1/147581 |
| institution | Massachusetts Institute of Technology |
| language | English |
| last_indexed | 2024-09-23T13:14:49Z |
| publishDate | 2023 |
| publisher | Springer US |
| record_format | dspace |
| spelling | mit-1721.1/1475812024-01-12T21:28:17Z “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya Ogello, Vallery Ngure, Kenneth Thuo, Nicholas Burns, Bridget Rono, Bernard Oware, Kevin Kiptiness, Catherine Mugo, Nelly Bukusi, Elizabeth Garrison, Lindsey Baeten, Jared M. Haberer, Jessica E. Massachusetts Institute of Technology. Department of Urban Studies and Planning Abstract Adherence to oral pre-exposure prophylaxis (PrEP) is challenging, and cellular technology offers a promising opportunity for support. However, a recent randomized controlled trial found that SMS reminders did not improve PrEP adherence. We used qualitative methods to explore the trial participants’ experiences with the SMS intervention. We conducted serial in-depth interviews with 54 young Kenyan women, using inductive and deductive content analysis . Initially, SMS reminders were highly acceptable. Participants expressed enthusiasm with receiving the reminders because of the coded nature of the SMS reminders; they also helped in ‘habit forming’ with daily adherence. However, overtime, participants reported growing concerns about privacy, self-efficacy, and responsibility and SMS fatigue. Participants also reported other challenges, including phone loss, poor telephone network, and lack of electricity. Further research to explore if SMS reminders in alternative formats or with different frequency is needed, in addition to identification of alternate adherence support strategies. 2023-01-20T13:07:26Z 2023-01-20T13:07:26Z 2022-07-30 2023-01-20T04:37:50Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/147581 Ogello, Vallery, Ngure, Kenneth, Thuo, Nicholas, Burns, Bridget, Rono, Bernard et al. 2022. "“Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya." en https://doi.org/10.1007/s10461-022-03744-z Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature application/pdf Springer US Springer US |
| spellingShingle | Ogello, Vallery Ngure, Kenneth Thuo, Nicholas Burns, Bridget Rono, Bernard Oware, Kevin Kiptiness, Catherine Mugo, Nelly Bukusi, Elizabeth Garrison, Lindsey Baeten, Jared M. Haberer, Jessica E. “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya |
| title | “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya |
| title_full | “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya |
| title_fullStr | “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya |
| title_full_unstemmed | “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya |
| title_short | “Yes, I’m reminded, but it doesn’t mean I’m taking them”: Experiences with Short Message Service Reminder Use in Real-time Monitoring of HIV PrEP among Young Women in Kenya |
| title_sort | yes i m reminded but it doesn t mean i m taking them experiences with short message service reminder use in real time monitoring of hiv prep among young women in kenya |
| url | https://hdl.handle.net/1721.1/147581 |
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