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EVERY DECISION YOU MAKE ABOUT YOUR HEALTH IS IMPORTANT
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EVERY DECISION YOU MAKE ABOUT YOUR HEALTH IS IMPORTANT Development of an SMS-based mHealth platform for promoting adherence and retention in the care of female sex workers. Authors: Vincent Lau Chan, Kirsten Thomson, Gabby Dlamini, Judie Mbogua, Robyn Eakle • Adherence • Health education • Healthy living • Treatment (PrEP and IT medication) • Psychosocial • Referral services • Research programme Background and objectives Methods Results The process required a total of 12 hours of face-to-face sessions and six hours of planning. Based on the sessions, two types of messages were developed: support messages and visit reminders. One hundred and four weekly support messages were developed and piloted under seven categories: In Phase III, examples of the weekly messages were displayed in Prezi presentations (Figure 1). Feedback was given through group work and messages were finalised. Messages were designed to be relevant for both PrEP and IT users, and to limit inadvertent disclosure of HIV status and/or participation in the study. Conclusion Stakeholder involvement is crucial during the development of mHealth services to optimise relevance of messages and content. This experience can guide future processes for designing SMS-based platforms to support adherence to, and retention in care for key populations. Enquiries: Vincent Lau Chan [email protected] +27 11 358 5460 PHASE I • Identi fi cation of relevant topics and needs for messages • Two sessions with PEs (n=8) Stakeholder involvement strategy Buy-in process: A list of relevant stakeholders was initially con- structed (eg researchers, FSW PEs, nurses, CHWs) and then refined after initial consultation and presentation of the draft SMS component. A working group was formed to support the process going forward. Interactive processes: Flipchart and creative presentations were used to encourage discussion and feedback, as well as to support group work and activities. This work guided the content development of messages. Inclusive processes: All stakeholders had the opportunity to share opinions either through written feedback or in small or large group discussions. PHASE II • Development and re fi nement of message content • Two workshops with service providers and PEs (n=12) PHASE III • Pilot, feedback, and fi nalised messages • One large session of service providers and PEs (n=27) Figure 1: Presentation of treatment messages used in pilot phase, Phase III (left). Finalised messages received on phone (right). Treatment To prevent resistance to any medication, make sure you take it according to instructions given. Being on medication is your way of taking control of you health. If you are not sure about anything concerning medication, contact the clinic. The Treatment and Prevention for Female Sex Workers (TAPS) Demonstration Project tested the feasibility of delivering a comprehensive package of HIV prevention, featuring pre-exposure prophylaxis (PrEP) and Immediate Treatment (IT) to female sex workers (FSWs) in urban Johannesburg and Pretoria. With the goal of improving adherence to and retention in care for PrEP and IT, we have develop-ed an mHealth component that consists of two types of short message services (SMS) including weekly support messages and clinic visit reminders. A three-phase development process was implemented between April and November 2014. Five face-to-face sessions were conducted with peer educators (PEs) and service providers (community health workers, nurses and researchers) working for Wits Reproductive Health & HIV Institute’s Sex Worker Project in Hillbrow, Johannesburg. The process for developing the fi nal SMS component is illustrated below:
Transcript of EVERY DECISION YOU MAKE ABOUT YOUR HEALTH IS IMPORTANT
EVERY DECISION YOU MAKE ABOUT YOUR HEALTH IS IMPORTANT
Development of an SMS-based mHealth platform for promoting adherence and retention in the care of female sex workers.Authors: Vincent Lau Chan, Kirsten Thomson, Gabby Dlamini, Judie Mbogua, Robyn Eakle
• Adherence• Health education• Healthy living• Treatment (PrEP and IT
medication)
• Psychosocial• Referral services• Research programme
Background and objectives
Methods
ResultsThe process required a total of 12 hours of face-to-face sessions and six hours of planning. Based on the sessions, two types of messages were developed: support messages and visit reminders. One hundred and four weekly support messages were developed and piloted under seven categories:
In Phase III, examples of the weekly messages were displayed in Prezi presentations (Figure 1). Feedback was given through group work and messages were fi nalised. Messages were designed to be relevant for both PrEP and IT users, and to limit inadvertent disclosure of HIV status and/or participation in the study.
ConclusionStakeholder involvement is crucial during the development of mHealth services to optimise relevance of messages and content. This experience can guide future processes for designing SMS-based platforms to support adherence to, and retention in care for key populations.
Enquiries: Vincent Lau Chan [email protected] +27 11 358 5460
PHASE I• Identifi cation of relevant topics and needs for messages• Two sessions with PEs (n=8)
Stakeholder involvement strategyBuy-in process: A list of relevant stakeholders was initially con-structed (eg researchers, FSW PEs, nurses, CHWs) and then refi ned after initial consultation and presentation of the draft SMS component. A working group was formed to support the process going forward. Interactive processes: Flipchart and creative presentations were used to encourage discussion and feedback, as well as to support group work and activities. This work guided the content development of messages.Inclusive processes: All stakeholders had the opportunity to share opinions either through written feedback or in small or large group discussions.
PHASE II• Development and refi nement of message content• Two workshops with service providers and PEs (n=12)
PHASE III• Pilot, feedback, and fi nalised messages• One large session of service providers and PEs (n=27)
Figure 1: Presentation of treatment messages used in pilot phase, Phase III (left). Finalised messages received on phone (right).
Treatment
To prevent resistanceto any medication,
make sure youtake it according toinstructions given.
Being onmedication is your
way of takingcontrol of you
health.
If you are not sureabout anything
concerningmedication, contact
the clinic.
The Treatment and Prevention for Female Sex Workers (TAPS) Demonstration Project tested the feasibility of delivering a comprehensive package of HIV prevention, featuring pre-exposure prophylaxis (PrEP) and Immediate Treatment (IT) to female sex workers (FSWs) in urban Johannesburg and Pretoria. With the goal of improving adherence to and retention in care for PrEP and IT, we have develop-ed an mHealth component that consists of two types of short message services (SMS) including weekly support messages and clinic visit reminders.
A three-phase development process was implemented between April and November 2014. Five face-to-face sessions were conducted with peer educators (PEs) and service providers (community health workers, nurses and researchers) working for Wits Reproductive Health & HIV Institute’s Sex Worker Project in Hillbrow, Johannesburg. The process for developing the fi nal SMS component is illustrated below:
