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But they are deterred from doing so by a mixture of arrogance and fear of diluting their simple message of adherence to the faith.
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However, the availability of high-quality data from three well-conducted studies and our use of multilevel models to account for between-study differences will provide reliable estimates of the effects of text messaging on adherence to ART.
Potential independent variables include: sociodemographics, mobile phone ownership, familiarity with text messaging, level of adherence to medication, need for additional support and level of comfort with community management.
Only one high quality review investigated the effects of text messaging on adherence to tuberculosis medication, and the evidence was inconclusive [ 24].
An individual patient random-effect meta-analysis will be conducted to determine the overall effect of text messaging on adherence, with 'study' as a random effect, to model variation across studies and to account for clustering within a study.
An RCT to evaluate the impact of SMS text messages on adherence to treatment for latent TB is currently ongoing in British Columbia, Canada [ 41].
A study by Boker et al 4 examined the effect of automated text messages on adherence to topical medications (clindamycin/benzoyl peroxide tube 1%/5% topical gel in the morning and adapalene 0.3% gel in the evening).
11 35 Studies from SSA report high acceptability of text messaging for adherence support, generating awareness regarding HIV infection and communicating laboratory results in HIV-infected individuals.
First, sponsored "refill reminders" should encompass a broad range of adherence messages to patients.
This paper will highlight the key characteristics that are associated with a better response to text messaging for the improvement of adherence to ART.
Overall, the included studies suggest that patients receiving mobile phone text messaging interventions had rates of adherence to TB treatment comparable to or higher than those receiving no intervention.
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