Evidence map›Paper›PMID 26283229›Full record

ArticleMalaria journal2015

Development of a text-messaging intervention to improve treatment adherence and post-treatment review of children with uncomplicated malaria in western Kenya.

Sophie Githinji, Caroline Jones, Josephine Malinga, Robert W Snow, Ambrose Talisuna, Dejan Zurovac

Abstract read
In one paragraph

Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sophie GithinjiDepartment of Public Health Research, KEMRI-Wellcome Trust-University of Oxford Research Programme, Nairobi, Kenya. sgithinji@kemri-wellcome.org.
Caroline JonesDepartment of Public Health Research, KEMRI-Wellcome Trust-University of Oxford Research Programme, Nairobi, Kenya. cjones@kemri-wellcome.org.
Josephine MalingaDepartment of Public Health Research, KEMRI-Wellcome Trust-University of Oxford Research Programme, Nairobi, Kenya. jmalinga@kemri-wellcome.org.
Robert W SnowDepartment of Public Health Research, KEMRI-Wellcome Trust-University of Oxford Research Programme, Nairobi, Kenya. rsnow@kemri-wellcome.org.
Ambrose TalisunaDepartment of Public Health Research, KEMRI-Wellcome Trust-University of Oxford Research Programme, Nairobi, Kenya. atalisuna@kemri-wellcome.org.
Dejan ZurovacDepartment of Public Health Research, KEMRI-Wellcome Trust-University of Oxford Research Programme, Nairobi, Kenya. dzurovac@kemri-wellcome.org.

Funding

Medical Research Council MR/K007351/1Wellcome Trust 079080Wellcome Trust 092654Wellcome Trust 103602
6 · The paper itself

Abstract

backgroundPatients' low adherence to artemisinin-based combination therapy has been reported in areas of Kenya bordering the Lake Victoria region, where the burden of malaria remains high. A randomized controlled trial is underway to determine the efficacy of short message service (SMS) text reminders on adherence to artemether-lumefantrine and post-treatment review of children under the age of five. This paper reports on the iterative process of intervention and delivery system development.

methodsAn intervention development workshop involving the research team and other stakeholders was held to determine the content of the text messages. Three focus group discussions were conducted to test caregivers' understanding of the messages developed during the workshop. The tested messages were refined and incorporated into an automated SMS distribution system and piloted with 20 caregivers drawn from facilities neighbouring the study sites. The automated SMS distribution system was repeatedly refined following the pilot and implemented at the start of the trial.

resultsThe content of SMS messages underwent major revisions following the focus group discussions. Technical terms and abbreviations were replaced with simplified general terms. Message sign-off was modified to reflect the name of health facility, removing references to health workers. Day 3 post-treatment review visit reminder was modified to state the purpose of the visit while wording 'day 28' was added to the last post-treatment review visit reminder to help the caregiver recall the appointment date. The unscheduled visit prompt was modified to reflect flexibility and practicality of taking the child back to the facility if unwell. Reception of SMS reminders during the pilot was low with only 169/240 (70%) of scheduled messages delivered to the caregivers. The automated distribution system underwent major refinement and repeated testing following the pilot until effective delivery of all scheduled messages was achieved and sustained over a period of 3 months.

conclusionsText message interventions should be carefully developed, tested and refined before implementation to ensure they are written in the most appropriate way for their target population. SMS distribution systems should be rigorously tested to ensure efficient delivery of the messages before they are deployed.

Indexed as

Reminder SystemsText MessagingCaregiversChildChild, PreschoolHumansKenyaMalariaPatient CompliancePilot ProjectsTelemedicine

Identifiers

PMID26283229
PMCPMC4539928

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.