Daily Short Message Service Surveys to Measure Sexual Behavior and Pre-exposure Prophylaxis Use Among Kenyan Men and Women
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Pre-exposure prophylaxis (PrEP) is a novel HIV prevention strategy which requires high adherence. We tested the use of daily short message service (i.e., SMS/text message) surveys to measure sexual behavior and PrEP adherence in Kenya. Ninety-six HIV-uninfected adult individuals, taking daily oral PrEP in a clinical trial, received daily SMS surveys for 60 days. Most participants (96.9 %) reported taking PrEP on ≥80 % days, but 69.8 % missed at least one dose. Unprotected sex was reported on 4.9 % of days; however, 47.9 % of participants reported unprotected sex at least once. Unprotected sex was not correlated with PrEP use (OR = 0.95). Participants reporting more sex were less likely to report PrEP non-adherence and those reporting no sex were most likely to report missing a PrEP dose (adjusted OR = 1.87). PrEP adherence was high, missed doses were correlated with sexual abstinence, and unprotected sex was not associated with decreased PrEP adherence.
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Seven randomized controlled trials testing effects of SMS communication on various health outcomes reported positive effects.
“For the seven randomised controlled trials testing effects of SMS communication on various health outcomes had reported positive effects [16, 20, 32, 33, 44–49], while the remaining trial showed no effect of mobile alarm devices on treatment adherence for HIV patients [15].”
From Assessing the feasibility of eHealth and mHealth: a systematic review and analysis of initiatives implemented in Kenya (2017) · cites this paper as [16]
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- Authors
- Curran, K., Mugo, N. R., Kurth, A., Ngure, K., Heffron, R., Donnell, D., Celum, C., & Baeten, J. M.
- Affiliations
- University of Washington (US)
- Corresponding author
- Curran, Kathryn
- ORCID
- Venue
- AIDS and Behavior
- Published
- 2013-05-22
- Volume
- 17
- Issue
- 9
- Pages
- 2977-2985
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC3812384
- OpenAlex
- W2073370688
- Cited by
- 42
- References
- 16
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 2 · 2014: 5
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Bill and Melinda Gates Foundation
- National Institute of Nursing Research (R21NR012663)
- National Institute of Allergy and Infectious Diseases (T32AI007140)
- Fogarty International Center (D43TW000007)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- pre-exposure prophylaxis, PrEP adherence, sexual behavior, unprotected sex, HIV prevention, sexual abstinence, Kenya
- MeSH terms
- Assessment of Medication Adherence, Adult, Female, Humans, Kenya, Male, Patient Compliance, Pilot Projects, Sexual Behavior, HIV Infections, Drug Monitoring, Anti-HIV Agents, Medication Adherence, Self Report, Text Messaging
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