Open AccessIterative Development of an mHealth Intervention to Support Antiretroviral Therapy Initiation and Adherence Among Female Sex Workers in Mombasa, Kenya
Author(s) -
Frances M. Au,
Elena Okada,
George Wanje,
Linnet Masese,
Thomas Odeny,
John Kinuthia,
Kishorchandra Mandaliya,
Walter Jaoko,
Jane M. Simoni,
R. Scott McClelland
Publication year - 2020
Publication title -
the journal of the association of nurses in aids care/journal of the association of nurses in aids care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.636
H-Index - 49
eISSN - 1552-6917
pISSN - 1055-3290
DOI - 10.1097/jnc.0000000000000157
Subject(s) - intervention (counseling) , mhealth , focus group , antiretroviral therapy , human immunodeficiency virus (hiv) , medicine , nursing , medication adherence , psychology , clinical psychology , family medicine , psychological intervention , viral load , marketing , business
Nurses have an integral role to play in achieving the 95-95-95 goals to stem the HIV epidemic. We used the Information-Motivation-Behavioral Skills (IMB) theoretical model to develop a nurse-delivered, mHealth intervention to support antiretroviral therapy adherence among female sex workers living with HIV in Mombasa, Kenya. Twenty-three purposively sampled female sex workers living with HIV participated in 5 focus group discussions to iteratively develop the message content as well as the format and structure of the nurse-delivered, text-based intervention. Focus group discussion interview guides were developed in accordance with the IMB model. Transcripts were analyzed according to IMB themes, and findings were used to develop the intervention. Information-oriented texts addressed concerns and misconceptions; motivation-oriented texts reinforced women's desires to feel healthy enough to engage in activities; and behavioral skills-oriented texts included strategies to remember medication doses. The nurse-delivered, theory-based, culturally tailored intervention to support medication adherence was evaluated.