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BACKGROUND n 2022, 39 million people lived with HIV, and efforts target the 95-95-95 goal by 2030. In Mexico, key affected populations include men who have sex with men, drug users, sex workers, and transgender individuals. Adherence to treatment is vital, influenced by patient-provider relationships and access to care. eHealth interventions, notably SMS reminders, show promise in enhancing adherence. OBJECTIVE To evaluate the effectiveness of a mHealth intervention on ART adherence amongst adult PLWHIV METHODS A randomized clinical trial on adult patients who attended the tertiary care from the university hospital “Hospital Civil de Guadalajara – Fray Antonio Alcalde” to initiate ART. mHealth intervention included the use of short message service (SMS) to interact with the patient and as a reminder system for upcoming medical examinations or ART resupply during a 6-month period. A control group (n=40) received medical attention by the standard protocol used in the hospital. Intervention effectiveness was assessed by quantifying CD4+ T cells, viral load, and a self-report of adherence by the patient. RESULTS The intervention group had greater adherence to ART than control (96% vs 92%, p = CONCLUSIONS These results show that mHealth intervention significantly improves ART adherence. Implementing mHealth programs can improve the commitment of PLWHIV to their treatment. CLINICALTRIAL NCT05187741
Trinidad et al. (Mon,) studied this question.