Medical College of Wisconsin
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Patient acceptability of receiving short message services from an HIV patient-centered medical home. AIDS Care 2019 Apr;31(4):471-474

Date

09/01/2018

Pubmed ID

30165746

DOI

10.1080/09540121.2018.1516282

Scopus ID

2-s2.0-85060385974   1 Citation

Abstract

Patient-centered medical homes (PCMH) are a key component in addressing the comprehensive physical and psychosocial needs of persons living with HIV. The AIDS Resource Center of Wisconsin (ARCW) is a PCMH that has become a nationally recognized leader in addressing barriers to HIV retention in care. Recently, ARCW has become interested in the use of short message services (SMS), as SMS have been found to have positive impacts on treatment adherence, CD4+ counts, viral load, and appointment attendance. The purpose of this research was to evaluate patient acceptability of receiving SMS from an HIV specific PCMH, in addition to evaluating patient privacy concerns and practical details of incorporating SMS into clinical care. These constructs were evaluated through a survey of 180 ARCW patients recruited from several ARCW waiting rooms. Patients were most interested in receiving SMS from medical, dental, and pharmacy services and message content regarding appointment and medication refill reminders. Participants did not indicate the presence of significant privacy concerns and were divided nearly in half over whether ARCW should refer to itself as "ARCW" or "Your medical/dental clinic." Prior to implementation of SMS at ARCW, further evaluation into the optimization of language into concise and easy to understand messages that maximize confidentiality and minimize patient anxiety is needed.

Author List

Czarny HN, Broaddus MR

Author

Michelle R. Broaddus PhD Associate Professor in the Psychiatry department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Appointments and Schedules
Cell Phone
Computer Security
Confidentiality
Female
HIV Infections
Humans
Male
Middle Aged
Patient Acceptance of Health Care
Patient-Centered Care
Privacy
Program Evaluation
Reminder Systems
Surveys and Questionnaires
Text Messaging
Viral Load
Wisconsin