Manzano García M1, Cantudo Cuenca MR1, Jiménez Galán R2, Morillo Verdugo R2
1 Farmacéutica residente
2 Farmacéutica/o especialista
UGC de Farmacia. Área de Gestión Sanitaria Sur de Sevilla (España)
Rev. OFIL 2016, 26;1:35-40
Fecha de recepción: 19/05/2015 – Fecha de aceptación: 04/11/2015
Purpose: To determine the effect of sending mobile phone text messages to remind patients to get more medicines on the adherence to antiretroviral therapy in HIV-infected patients.
Methods: Observational retrospective study carried out in HIV-infected outpatients who got their medicines from a hospital pharmacy service from 1 January 2009 to 31 December 2013 in the “Área de Gestión Sanitaria Sur de Sevilla”. Data collected included: age, gender, plasma viral load, T-CD4, type of antiretroviral therapy, adherence, number of dates in the consulting room of pharmaceutical care, non attendance dates, whether or not receiving text messages. Antiretroviral therapy adherence was measured through pharmacy dispensing records. Patients were considered adherent if adherence was ≥95%. We performed a multivariate analysis with the statistical package estadístico IBM SPSS Statistics® 22.0.
Results: 120 patients were included. The percentage of non-adherent to antiretroviral therapy patients was 25.8%. In the univariate analysis, the variables that showed statistically significant relationships with antiretroviral therapy adherence were non attendance to the consulting room of pharmaceutical care, as well as not receiving text messages. The multivariate analysis showed that the receipt of text messages was an independent predictor of adherence [OR=0.347 (0.138-0.800); p=0.025].
Conclusion: Mobile phone text messaging improve adherence to antiretroviral therapy in HIV-infected patients.
Key Words: HIV, adherence, text messaging.
Article in number: VOL. 26 – Nº1 – 2016