ArticlePatient preference and adherence2015
A counselor in your pocket: feasibility of mobile health tailored messages to support HIV medication adherence.
Article in Patient preference and adherence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Rates of Attrition and Dropout in App-Based Interventions for Chronic Disease: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- Targeted client communication via mobile devices for improving sexual and reproductive health.The Cochrane database of systematic reviews · 2020Pooled it
- Non-specialist psychosocial support interventions for women living with HIV: A systematic review.AIDS care · 2017Pooled it
- The impact of a mobile health intervention on keeping clinic appointments among people living with HIV/AIDS receiving care at selected hospitals in Owerri, Imo State, Nigeria.BMC health services research · 2025Article
- Counting, Coping, and Navigating the Flux: A Focused Ethnographic Study of HIV and Diabetes Self-Management.Qualitative health research · 2022Article
- mHealth Interventions to Promote Anti-Retroviral Adherence in HIV: Narrative Review.JMIR mHealth and uHealth · 2020Review
- Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care.PloS one · 2020Article
- Behavioral Economic Insights to Improve Medication Adherence in Adults with Chronic Conditions: A Scoping Review.The patient · 2019Article
- Clients' perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2019Review
- Review
- Global research output on HIV/AIDS-related medication adherence from 1980 to 2017.BMC health services research · 2018Article
- A Rapid Review of eHealth Interventions Addressing the Continuum of HIV Care (2007-2017).AIDS and behavior · 2018Review
- Byte by Bite: Use of a mobile Bite Counter and weekly behavioral challenges to promote weight loss.Smart health (Amsterdam, Netherlands) · 2017Article
- Using Google Trends Data to Study Public Interest in Breast Cancer Screening in Brazil: Why Not a Pink February?JMIR public health and surveillance · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeMedication adherence is a major challenge in HIV treatment. New mobile technologies such as smartphones facilitate the delivery of brief tailored messages to promote adherence. However, the best approach for tailoring messages is unknown. Persons living with HIV (PLWH) might be more receptive to some messages than others based on their current psychological state.
methodsWe recruited 37 PLWH from a parent study of motivational states and adherence. Participants completed smartphone-based surveys at a random time every day for 2 weeks, then immediately received intervention or control tailored messages, depending on random assignment. After 2 weeks in the initial condition, participants received the other condition in a crossover design. Intervention messages were tailored to match PLWH's current psychological state based on five variables - control beliefs, mood, stress, coping, and social support. Control messages were tailored to create a mismatch between message framing and participants' current psychological state. We evaluated intervention feasibility based on acceptance, ease of use, and usefulness measures. We also used pilot randomized controlled trial methods to test the intervention's effect on adherence, which was measured using electronic caps that recorded pill-bottle openings.
resultsAcceptance was high based on 76% enrollment and 85% satisfaction. Participants found the hardware and software easy to use. However, attrition was high at 59%, and usefulness ratings were slightly lower. The most common complaint was boredom. Unexpectedly, there was no difference between mismatched and matched messages' effects, but each group showed a 10%-15% improvement in adherence after crossing to the opposite study condition.
conclusionAlthough smartphone-based tailored messaging was feasible and participants had clinically meaningful improvements in adherence, the mechanisms of change require further study. Possible explanations might include novelty effects, increased receptiveness to new information after habituation, or pseudotailoring, three ways in which attentional processes can affect behavior.
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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.