TY - JOUR
T1 - eHealth Interventions for Early Infant Diagnosis
T2 - Mothers’ Satisfaction with the HIV Infant Tracking System in Kenya
AU - Brown, Melinda
AU - Wexler, Catherine
AU - Gautney, Brad
AU - Goggin, Kathy
AU - Hurley, Emily A.
AU - Odeny, Beryne
AU - Maloba, May
AU - Lwembe, Raphael
AU - Sandbulte, Matthew
AU - Finocchario-Kessler, Sarah
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - The HIV Infant Tracking System (HITSystem) is an eHealth intervention to improve early infant diagnosis (EID) through alerts to providers and text messages to mothers. This study explored mothers’ experiences receiving standard and HITSystem-enhanced EID services to assess perceived intervention benefits, acceptability, and opportunities for improvement. This qualitative study was embedded within a cluster-randomized control trial to evaluate the HITSystem at six Kenyan government hospitals (3 intervention, 3 control). We conducted semi-structured interviews with 137 mothers attending EID follow-up visits. Compared to control sites, participants at HITSystem sites described enhanced EID quality; HITSystem-generated texts informed them of result availability and retesting needs, provided cues-to-action for clinic attendance, and engendered opportunities for patient support. They described improved EID efficiency through shorter waiting periods for results and fewer hospital visits. Participants reported high satisfaction with EID and acceptability of text messages; however, modifications to ensure text delivery, increase repeat testing reminders, include low literacy content options, and provide encouraging messages were suggested. These user experience data suggest improvements in EID at HITSystem sites when compared with control sites.
AB - The HIV Infant Tracking System (HITSystem) is an eHealth intervention to improve early infant diagnosis (EID) through alerts to providers and text messages to mothers. This study explored mothers’ experiences receiving standard and HITSystem-enhanced EID services to assess perceived intervention benefits, acceptability, and opportunities for improvement. This qualitative study was embedded within a cluster-randomized control trial to evaluate the HITSystem at six Kenyan government hospitals (3 intervention, 3 control). We conducted semi-structured interviews with 137 mothers attending EID follow-up visits. Compared to control sites, participants at HITSystem sites described enhanced EID quality; HITSystem-generated texts informed them of result availability and retesting needs, provided cues-to-action for clinic attendance, and engendered opportunities for patient support. They described improved EID efficiency through shorter waiting periods for results and fewer hospital visits. Participants reported high satisfaction with EID and acceptability of text messages; however, modifications to ensure text delivery, increase repeat testing reminders, include low literacy content options, and provide encouraging messages were suggested. These user experience data suggest improvements in EID at HITSystem sites when compared with control sites.
KW - Acceptability
KW - Early infant diagnosis (EID)
KW - HITSystem
KW - HIV
KW - eHealth
UR - http://www.scopus.com/inward/record.url?scp=85069146210&partnerID=8YFLogxK
U2 - 10.1007/s10461-019-02579-5
DO - 10.1007/s10461-019-02579-5
M3 - Article
C2 - 31313093
AN - SCOPUS:85069146210
SN - 1090-7165
VL - 23
SP - 3093
EP - 3102
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 11
ER -