help button home button JAMIA Hate scrolling?
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
First published September 23, 2002 as JAMIA PrePrint; doi:10.1197/jamia.M1047
Journal of the American Medical Informatics Association 2003;10(1):11-15
© 2003 American Medical Informatics Association

A more recent version of this article appeared on January 1, 2003
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
M1047v1
10/1/11    most recent
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dunbar, P. J.
Right arrow Articles by Hooton, T. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dunbar, P. J.
Right arrow Articles by Hooton, T. M.

Submitted on November 6, 2001
Accepted on August 9, 2002

A Two-way Messaging System to Enhance Antiretroviral Adherence

Peter J. Dunbar MB, ChB1*, David Madigan PhD2, Lisa A. Grohskopf MD3, Debra Revere MA, MLIS4, Jane Woodward PharmD5, James Minstrell6, Pamela A. Frick PharmD5, Jane M. Simoni PhD7, and Thomas M. Hooton MD3

Affiliation of the authors: 1 Department of Anesthesiology, University of Washington, Seattle, WA; 2 Department of Statistics, University of Washington, Seattle, WA; 3 Department of Medicine, University of Washington, Seattle, WA; 4 Department of Health Sciences Libraries, University of Washington, Seattle, WA; 5 Department of Pharmacy, University of Washington, Seattle, WA; 6 Talaria Inc, Seattle, WA; 7 Department of Psychology, University of Washington, Seattle, WA

* To whom correspondence should be addressed.

Failure to adhere to complex antiretroviral regimens can lead to resistance and treatment failure among HIV-positive persons. In this study of the feasibility of an automated two-way messaging system to improve adherence, participants received multiple short daily messages designed to remind, educate, encourage adherence, and solicit responses concerning side effects and self-reported adherence. Twenty-five participants remained in the study for a median of 208 days, receiving 17,440 messages and replying to 14,677 (84%). Participants reported missing one or more doses on 36% of 743 queries and reported medication side effects on 26% of 729 queries. Participants expressed high satisfaction with the messaging system and reported it helped with medication adherence. The study suggests it is feasible to use an automated wireless two-way messaging system to communicate with HIV-positive patients over an extended period of time.




This article has been cited by other articles:


Home page
 Med Decis MakingHome page
G. S. Zaric, A. M. Bayoumi, M. L. Brandeau, and D. K. Owens
The Cost-Effectiveness of Counseling Strategies to Improve Adherence to Highly Active Antiretroviral Therapy among Men Who Have Sex with Men
Med Decis Making, June 1, 2008; 28(3): 359 - 376.
[Abstract] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
A. D. Harris, J. C. McGregor, E. N. Perencevich, J. P. Furuno, J. Zhu, D. E. Peterson, and J. Finkelstein
The Use and Interpretation of Quasi-Experimental Studies in Medical Informatics
J. Am. Med. Inform. Assoc., January 1, 2006; 13(1): 16 - 23.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
L. Osterberg and T. Blaschke
Adherence to Medication
N. Engl. J. Med., August 4, 2005; 353(5): 487 - 497.
[Full Text] [PDF]

Home page
 BMJHome page
J. Car and A. Sheikh
Email consultations in health care: 1--scope and effectiveness
BMJ, August 21, 2004; 329(7463): 435 - 438.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Copyright © 1994 by the American Medical Informatics Association.