What question did this study set out to answer?

To evaluate whether text message reminders framed with behavioral science principles improve timely clinic attendance among recipients of antiretroviral therapy for HIV.

October 30, 2023Open Access

Effect of Behaviourally Informed Text Messages to Promote Retention in HIV Care: A Randomized Trial in Ekurhuleni District, South Africa

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Authors

CGCaroline Govathson SPSophie Pascoe CCCandice Chetty-Makkan

Discussion

Member takes

Overview

Randomized trial finds behaviorally framed text reminders do not improve timely clinic visits among HIV care recipients, suggesting standard appointment reminders remain sufficient overall.

Key Points

To evaluate whether text message reminders framed with behavioral science principles improve timely clinic attendance among recipients of antiretroviral therapy for HIV.
Conducted a randomized controlled trial (NCT05010291) across three primary health clinics in Gauteng Province, South Africa, between July 2021 and December 2021.
Randomized 1,539 antiretroviral therapy recipients with upcoming appointments to standard-of-care reminders or one of three behavioral reminder messages framed around loss aversion, social norms, or altruism.
Assessed timely clinic visits occurring on or before scheduled dates using Poisson regression models adjusting for clinic fixed effects, age, sex, and duration of antiretroviral therapy.
Timely clinic visit rates were 50.3% with standard of care, 53.5% with loss aversion framing (ARR 1.1; 95% CI: 0.9–1.2), 48.0% with social norms framing (ARR 1.1; 95% CI: 0.8–1.1), and 50.9% with altruism framing (ARR 1.0; 95% CI: 0.9–1.5).
In a prespecified subgroup on antiretroviral therapy for under 90 days, loss aversion messages significantly increased timely clinic visits compared to standard of care (ARR 1.37; 95% CI: 1.08–1.74).

Cite This Study

Govathson et al. (2023) studied this question.

synapsesocial.com/papers/6a7a057f684c0941cf322bb1 https://doi.org/10.1101/2023.10.29.23297725

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October 30, 2023Open Access

Effect of Behaviourally Informed Text Messages to Promote Retention in HIV Care: A Randomized Trial in Ekurhuleni District, South Africa

View Full Paper

Ask AI

Bookmark

Authors

CGCaroline Govathson SPSophie Pascoe CCCandice Chetty-Makkan

Discussion

Member takes

Overview

Randomized trial finds behaviorally framed text reminders do not improve timely clinic visits among HIV care recipients, suggesting standard appointment reminders remain sufficient overall.

Key Points

To evaluate whether text message reminders framed with behavioral science principles improve timely clinic attendance among recipients of antiretroviral therapy for HIV.
Conducted a randomized controlled trial (NCT05010291) across three primary health clinics in Gauteng Province, South Africa, between July 2021 and December 2021.
Randomized 1,539 antiretroviral therapy recipients with upcoming appointments to standard-of-care reminders or one of three behavioral reminder messages framed around loss aversion, social norms, or altruism.
Assessed timely clinic visits occurring on or before scheduled dates using Poisson regression models adjusting for clinic fixed effects, age, sex, and duration of antiretroviral therapy.
Timely clinic visit rates were 50.3% with standard of care, 53.5% with loss aversion framing (ARR 1.1; 95% CI: 0.9–1.2), 48.0% with social norms framing (ARR 1.1; 95% CI: 0.8–1.1), and 50.9% with altruism framing (ARR 1.0; 95% CI: 0.9–1.5).
In a prespecified subgroup on antiretroviral therapy for under 90 days, loss aversion messages significantly increased timely clinic visits compared to standard of care (ARR 1.37; 95% CI: 1.08–1.74).

Cite This Study

Govathson et al. (2023) studied this question.

synapsesocial.com/papers/6a7a057f684c0941cf322bb1 https://doi.org/10.1101/2023.10.29.23297725

View Full Paper

Ask AI

Bookmark