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Cited by 119Mobile Health and mHealth ApplicationsICT in Developing CommunitiesHIV/AIDS Research and Interventions

Exploring the Patterns of Use and the Feasibility of Using Cellular Phones for Clinic Appointment Reminders and Adherence Messages in an Antiretroviral Treatment Clinic, Durban, South Africa

Crankshaw, Tamaryn, Corless, Inge B., Giddy, Janet, Nicholas, Patrice K., Eichbaum, Quentin, Butler, Lisa M.·2010·AIDS Patient Care and STDs
DOI 10.1089/apc.2010.0146
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Abstract

In preparation for a proposed intervention at an antiretroviral therapy (ART) clinic in Durban, South Africa, we explored the dynamics and patterns of cellular phone use among this population, in order to ascertain whether clinic contact via patients' cellular phones was a feasible and acceptable modality for appointment reminders and adherence messages. Adults, who were more than 18 years old, ambulatory, and who presented for treatment at the clinic between October-December 2007, were consecutively recruited until the sample size was reached (n = 300). A structured questionnaire was administered, including questions surrounding sociodemographics, cellular phone availability, patterns of use, and acceptability of clinic contact for the purpose of clinic appointment reminders and adherence support. Most respondents (n = 242; 81%) reported current ownership of a cellular phone with 95% utilizing a prepaid airtime service. Those participants who currently owned a cellular phone reported high cellular phone turnover due to theft or loss (n = 94, 39%) and/or damage (n = 68, 28%). More females than men switched their cell phones off during the day (p = 0.002) and were more likely to not take calls in certain social milieus (p ≤ 0.0001). Females were more likely to share their cell phone with others (p = 0.002) or leave it in a place where someone could access it (p = 0.005). Most respondents were willing to have clinic contact via their cellular phones, either verbally (99%) or via text messages (96%). The use of cellular phones for intervention purposes is feasible and should be further investigated. The findings highlight the value of gender-based analyses in informing interventions.

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  • Short weekly reminders were significantly more effective than no, daily, or longer text reminders.

    “The authors conclude that short weekly reminders were significantly more effective than no, daily, or longer text reminders.”

    From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [20]

  • RCTs such as those reported by Pop-Eleches, Lester, and their colleagues provide strong evidence of the utility of mHealth to address the HIV prevention and treatment cascade.

    “RCTs, such as those reported by Pop-Eleches, Lester, and their colleagues [20,21], provide strong evidence of the utility of mHealth to address the HIV prevention and treatment cascade.”

    From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [20]

  • Several articles found that mHealth tools were helpful for managing care by improving attendance to medical appointments through text reminders and community health worker support.

    “several articles [20,31,32,35-37] found that mHealth tools were helpful for managing care by improving attendance to medical appointments, during some of which one would assume CD4 testing took place, through text reminders and community health worker support.”

    From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [20]

  • Pop-Eleches et al. found that treatment adherence improved significantly among patients randomized to receive weekly text message reminders during a 48-week intervention period in Kenya.

    “Pop-Eleches et al. found that treatment adherence improved significantly among patients randomized to receive weekly text message reminders during a 48-week intervention period in Kenya [20].”

    From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [20]

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Authors
Crankshaw, T., Corless, I. B., Giddy, J., Nicholas, P. K., Eichbaum, Q., & Butler, L. M.
Affiliations
  • McCord Hospital (ZA)
  • MGH Institute of Health Professions (US)
  • Texas Tech University Health Sciences Center (US)
  • University of California, San Francisco (US)
Corresponding author
Crankshaw, Tamaryn
ORCID
Venue
AIDS Patient Care and STDs
Publisher
SAGE Publications
Published
2010-11
Volume
24
Issue
11
Pages
729-734
ISSN
  • 1087-2914 (ISSN-L)
  • 1557-7449
DOI
10.1089/apc.2010.0146
OpenAlex
W1993705273
Cited by
119
References
8
Citations by year
2026: 3 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 7 · 2019: 8 · 2018: 8 · 2017: 14 · 2016: 12 · 2015: 11 · 2014: 11 · 2013: 13 · 2012: 5
FWCI
11.93
Type
journal article
Language
en
Open access
closed
Locations
  • AIDS Patient Care and STDs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
mobile phone use, appointment reminders, medication adherence, antiretroviral therapy, HIV/AIDS, text messaging, mobile health, feasibility, acceptability, mobile phone ownership, gender differences, Durban
MeSH terms
Adult, Ambulatory Care Facilities, Appointments and Schedules, Cross-Sectional Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, South Africa, HIV Infections, Reminder Systems, Anti-HIV Agents, Cell Phone, Medication Adherence

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