More than just Reminders: Using text Messaging to Improve HIV care Outcomes Among Youth and Young Adults Living with HIV

This study evaluated engagement, satisfaction, and efficacy of an automated and live two-way text messaging intervention that linked youth and young adults at high risk for poor HIV outcomes to their medical case managers, with the aims of increasing viral load suppression rates and improving medica...

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Bibliographic Details
Published in:AIDS and behavior 2023-09, Vol.27 (9), p.2988-2996
Main Authors: Gerke, Donald R., Glotfelty, Jeff, Slovacek, Stacey, Freshman, Maria, Schlueter, Julia, Plax, Katie
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Automation
Case management
Gays & lesbians
Health Psychology
HIV
HIV Infections - drug therapy
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Load distribution
Male
Managers
Medicine
Medicine & Public Health
Men
Men who have sex with men
Mens health
Messages
Original Paper
Public Health
Sexual and Gender Minorities
Sexually transmitted diseases
STD
Text Messaging
Young Adult
Young adults
Youth
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Summary:This study evaluated engagement, satisfaction, and efficacy of an automated and live two-way text messaging intervention that linked youth and young adults at high risk for poor HIV outcomes to their medical case managers, with the aims of increasing viral load suppression rates and improving medical visit attendance. Participants (N = 100) were an average age of 22–23 years old. Most were Black (93%) and men who have sex with men (82%). A total of 89,681 automated text messages were sent to participants; and 62% of participants engaged in monthly text-message exchanges with medical case managers. McNemar’s test results indicated that a significantly greater proportion of intervention participants were virally suppressed at 6 and 12 month follow-up than at enrollment. Adjusted odds ratio results showed a significant association between likelihood of achieving viral suppression at 6 and 12 months, and a greater number of participant responses to automated text messages. Future research should prospectively compare outcomes between usual care case management and usual care plus text-messaging to test for significant differences between groups.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-023-04022-2