@article{c2fb2010c1764334a83972cfa8c14740,
title = "Iterative Development of an mHealth Intervention to Support Antiretroviral Therapy Initiation and Adherence Among Female Sex Workers in Mombasa, Kenya",
abstract = "Nurses have an integral role to play in achieving the 95-95-95 goals to stem the HIV epidemic. We used the Information-Motivation-Behavioral Skills (IMB) theoretical model to develop a nurse-delivered, mHealth intervention to support antiretroviral therapy adherence among female sex workers living with HIV in Mombasa, Kenya. Twenty-three purposively sampled female sex workers living with HIV participated in 5 focus group discussions to iteratively develop the message content as well as the format and structure of the nurse-delivered, text-based intervention. Focus group discussion interview guides were developed in accordance with the IMB model. Transcripts were analyzed according to IMB themes, and findings were used to develop the intervention. Information-oriented texts addressed concerns and misconceptions; motivation-oriented texts reinforced women's desires to feel healthy enough to engage in activities; and behavioral skills-oriented texts included strategies to remember medication doses. The nurse-delivered, theory-based, culturally tailored intervention to support medication adherence was evaluated.",
keywords = "ART, HIV, adherence, female sex workers, mHealth, task-shifting",
author = "Aunon, {Frances M.} and Elena Okada and George Wanje and Linnet Masese and Odeny, {Thomas A.} and John Kinuthia and Kishorchandra Mandaliya and Walter Jaoko and Simoni, {Jane M.} and Mcclelland, {R. Scott}",
note = "Funding Information: This study was supported by the National Institute of Mental Health (grant R21 MH107217; PI: R.S.M.). FMA was supported by National Institute of Allergy and Infectious Disease (T32 AI007140; PI: Sheila Lukehart). The Mombasa research site has received logistical and infrastructure support from the University of Washington/Fred Hutchinson Cancer Research Center—Center for AIDS Research (P30 AI27757; PI: Jared Baeten). RSM receives funding for mentoring through the National Institute of Child Health and Human Development (K24 HD88229; PI: R.S.M.). Funding Information: This study was supported by the National Institute of Mental Health (grant R21 MH107217; PI: R.S.M.). FMAwas supported by National Institute of Allergy and Infectious Disease (T32 AI007140; PI: Sheila Lukehart). The Mombasa research site has received logistical and infrastructure support from the University of Washington/Fred Hutchinson Cancer Research Center-Center for AIDS Research (P30 AI27757; PI: Jared Baeten). RSM receives funding for mentoring through the National Institute of Child Health and Human Development (K24 HD88229; PI: R.S.M.). Publisher Copyright: Copyright {\textcopyright} 2019 Association of Nurses in AIDS Care.",
year = "2020",
month = apr,
day = "1",
doi = "10.1097/JNC.0000000000000157",
language = "English",
volume = "31",
pages = "145--156",
journal = "Journal of the Association of Nurses in AIDS Care",
issn = "1055-3290",
number = "2",
}