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RTI International is a trade name of
Research Triangle Institute
3040 Cornwallis Road ■ P.O. Box 12194 ■ Research Triangle Park, NC 27709
Jennifer Uhrig, Robert Furberg, Megan Lewis, Curtis Coomes, Carla Bann, Lisa Kuhns, Peyton Williams and Andre Blackman
Research to Reform: Achieving Health System Change. Agency for Healthcare Research and Quality 2009 Annual Conference, September 13-16, 2009.
Tailored SMS-Based Intervention for People Living with HIV: Proof-of-Concept
The Continued HIV Epidemic in the United States
• 56,300 people infected with HIV in 2006
• Anti-retroviral therapy has changed the course of the epidemic for infected individuals
• An estimated 1 million people are currently living with HIV
Cell Phones and SMS
• In 2008, 87% of Americans had cell phones • SMS is rapidly becoming a common mode of
communication • SMS may offer promise as a medium for
implementing health interventions outside of a clinic setting
• Of 53 health intervention studies that evaluated the use of SMS interventions, only 9 were conducted in North America
Tailored Health Communication • SMS messages can be tailored to address
an individual’s needs, interests and concerns • Tailored health messages have been shown
to be more effective than non-tailored messages
• Tailored messages can promote patient-centered care by promoting – Adoption and maintenance of healthier, safer
sexual behaviors – Medication and appointment adherence – Interaction with credible health information
sources – General health and wellness – Social support
Unique Partnership to Test Proof-of-Concept
One of the nation’s largest lesbian, gay, bisexual and transgender ambulatory health care organizations
Independent, non-profit, research and development organization
Project Design
• Literature review/environmental scan (completed)
• Develop implementation and evaluation plan (completed)
• Design intervention (in progress) • Implement intervention (upon receiving IRB
approval and OMB clearance) • Evaluate • Disseminate findings
Conceptual Model
Patient Involvment
Social Support
Risk Behaviors
Health & Wellness
Health Care Quality
Health Outcomes
Adherence
Evaluation Design
Recruitment Enrollment
Medical Record Review
Pre-intervention Survey
Assignment to Message
Cluster
Exposure to Intervention
Patient Interviews
andClinic Staff Interviews
Medical Record Review
Post-intervention Survey
Parallel Data Collection:Input from Study Implementation Team - Text Messaging Archives - Feedback from Site Study Coordinator
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