• Report

Communication-focused technologies: Health messages for HIV-positive men who have sex with men. Final Report

Citation

Uhrig, J., Harris, J., Furberg, R., Bann, C., Coomes, C., Williams, P., & Lewis, M. (2011). Communication-focused technologies: Health messages for HIV-positive men who have sex with men. Final Report. (Prepared by RTI International, under Contract No. HHSA290200600001I #7. AHRQ Publication No. 11-0063-EF). Rockville, MD: Agency of Healthcare Research and Quality (AHRQ).

Abstract

This study aimed to develop, implement, and test a short message service (SMS)-based intervention to improve health care quality and outcomes among patients treated in an ambulatory care setting. The intervention provided tailored health-communication messages for HIV-positive men who have sex with men (MSM) aged 25 and older. The messages focused on improving medication adherence and appointment attendance, reducing risk-taking behaviors, and enhancing social support, general health and well-being, and patient involvement.

This chapter describes the proliferation of cell phone use in the United States and the potential suitability of SMS to enhance self-management of long-term conditions resulting in better quality care, improved patient outcomes, and lower costs. It also introduces the concept of tailored health-communication messages as the focus of an intervention delivered via SMS. The rationale for this approach is that tailored health-communication messages are consistent with patient-centered care because both are responsive to the needs and preferences of individuals and consequently may enhance the ability of patients to self-manage their conditions, leading to increased functionality and a higher quality of life. Additionally, this chapter provides background on the current scope of the HIV/AIDS epidemic in the United States.