title: Health care providers' perspectives on a weekly text-messaging intervention to engage HIV-positive persons in care (WelTel BC1).
abstract: Though evidence shows that Mobile health (mHealth) interventions can improve adherence and viral load in HIV-positive persons, few have studied the health care providers' (HCP) perspective. We conducted a prospective mixed methods pilot study using the WelTel intervention wherein HIV-positive participants (n = 25) received weekly interactive text messages for 6 months. Text message response rate and topic data were collected to illustrate the HCP experience. The aim of this study is to explore intervention acceptability and feasibility from the HCP perspective through a baseline focus group and end of study interviews with HCP impacted by the intervention. Interview data were thematically coded using the Technology Acceptance Model. HCPs identified that the WelTel intervention engaged patients in building relationships, while organizing and streamlining existing mHealth efforts and dealing with privacy issues. HCPs recognized that although workload would augment initially, intervention benefits were many, and went beyond simply improving HIV viral load.
authors: Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, Canada. Melanie.Murray@cw.bc.ca.|Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada. Melanie.Murray@cw.bc.ca.|Women's Health Research Institute, British Columbia Women's Hospital, Vancouver, Canada. Melanie.Murray@cw.bc.ca.
authors: Melanie C M
authors: MC
authors: Murray
authors: Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada.
authors: Sara
authors: S
authors: O'Shaughnessy
authors: British Columbia Centre for Disease Control, Vancouver, BC, Canada.
authors: Kirsten
authors: K
authors: Smillie
authors: British Columbia Centre for Disease Control, Vancouver, BC, Canada.|School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
authors: Natasha
authors: N
authors: Van Borek
authors: Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada.
authors: Rebecca
authors: R
authors: Graham
authors: Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada.
authors: Evelyn J
authors: EJ
authors: Maan
authors: Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, Canada.|Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
authors: Mia L
authors: ML
authors: van der Kop
authors: Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada.
authors: Karen
authors: K
authors: Friesen
authors: Women's Health Research Institute, British Columbia Women's Hospital, Vancouver, Canada.
authors: Arianne
authors: A
authors: Albert
authors: British Columbia Centre for Disease Control, Vancouver, BC, Canada.
authors: Sarah
authors: S
authors: Levine
authors: Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, Canada.|Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada.|Women's Health Research Institute, British Columbia Women's Hospital, Vancouver, Canada.
authors: Neora
authors: N
authors: Pick
authors: British Columbia Centre for Disease Control, Vancouver, BC, Canada.
authors: Gina
authors: G
authors: Ogilvie
authors: Oak Tree Clinic, British Columbia Women's Hospital, Vancouver, BC, Canada.|Women's Health Research Institute, British Columbia Women's Hospital, Vancouver, Canada.|Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
authors: Deborah
authors: D
authors: Money
authors: Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, Canada.|British Columbia Centre for Disease Control, Vancouver, BC, Canada.
authors: Richard
authors: R
authors: Lester
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D001955:British Columbia; D040421:Cell Phone; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010865:Pilot Projects; D011369:Professional-Patient Relations; D011446:Prospective Studies; D017010:Reminder Systems; D017216:Telemedicine; D060145:Text Messaging; D019562:Viral Load
chemical_list: D019380:Anti-HIV Agents
keywords: Adherence; Antiretrovirals; Engagement; HIV; Health care providers; mHealth