Usability and acceptability of a two-way texting intervention for post-operative follow-up for voluntary medical male circumcision in Zimbabwe.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
07
10
2019
accepted:
30
04
2020
entrez:
17
6
2020
pubmed:
17
6
2020
medline:
26
8
2020
Statut:
epublish
Résumé
Voluntary medical male circumcision (MC) is safe and effective. Nevertheless, MC programs require multiple post-operative visits. In Zimbabwe, a randomized control trial (RCT) found that post-operative two-way texting (2wT) between clients and MC providers instead of in-person reviews reduced provider workload and safeguarded patient safety. A critical component of the RCT assessed usability and acceptability of 2wT among providers and clients. These findings inform scale-up of the 2wT approach to post-operative follow-up. The RCT assigned 362 adult MC clients with cell phones into 2wT; these men responded to 13 automated daily texts supported by interactive texting or in-person follow-up, when needed. A subset of 100 texting clients filled a self-administered usability survey on day 14. 2wT acceptability was ascertained via 2wT response rates. Among 2wT providers, eight key informant interviews focused on 2wT acceptability and usability. Influences of wage and age on response rates and client-reported potential AEs were explored using linear and logistic regression models, respectively. Clients felt confident, comfortable, satisfied, and well-supported with 2wT-based follow-up; few noted texting challenges or concerns about healing. Clients felt 2wT saved them time and money. Response rates (92%) suggested 2wT acceptability. Both clients and providers felt 2wT was highly usable. Providers noted 2wT saved them time, empowered clients to engage in their healing, and closed gaps in MC service quality. For scale, providers reinforced good post-operative counseling on AEs and texting instructions. Wage and age did not influence text response rates or potential AE texts. Results strongly suggest that 2wT is highly usable and acceptable for providers and patients. Men with concerns solicited provider guidance and reassurance offered via text. Providers noted that men engaged proactively in their healing. 2wT between providers and patients should be expanded for MC and considered for other short-term care contexts. The trial is registered on ClinicalTrials.gov, trial NCT03119337, and was activated on April 18, 2017. https://clinicaltrials.gov/ct2/show/NCT03119337.
Sections du résumé
BACKGROUND
Voluntary medical male circumcision (MC) is safe and effective. Nevertheless, MC programs require multiple post-operative visits. In Zimbabwe, a randomized control trial (RCT) found that post-operative two-way texting (2wT) between clients and MC providers instead of in-person reviews reduced provider workload and safeguarded patient safety. A critical component of the RCT assessed usability and acceptability of 2wT among providers and clients. These findings inform scale-up of the 2wT approach to post-operative follow-up.
METHODS
The RCT assigned 362 adult MC clients with cell phones into 2wT; these men responded to 13 automated daily texts supported by interactive texting or in-person follow-up, when needed. A subset of 100 texting clients filled a self-administered usability survey on day 14. 2wT acceptability was ascertained via 2wT response rates. Among 2wT providers, eight key informant interviews focused on 2wT acceptability and usability. Influences of wage and age on response rates and client-reported potential AEs were explored using linear and logistic regression models, respectively.
RESULTS
Clients felt confident, comfortable, satisfied, and well-supported with 2wT-based follow-up; few noted texting challenges or concerns about healing. Clients felt 2wT saved them time and money. Response rates (92%) suggested 2wT acceptability. Both clients and providers felt 2wT was highly usable. Providers noted 2wT saved them time, empowered clients to engage in their healing, and closed gaps in MC service quality. For scale, providers reinforced good post-operative counseling on AEs and texting instructions. Wage and age did not influence text response rates or potential AE texts.
CONCLUSION
Results strongly suggest that 2wT is highly usable and acceptable for providers and patients. Men with concerns solicited provider guidance and reassurance offered via text. Providers noted that men engaged proactively in their healing. 2wT between providers and patients should be expanded for MC and considered for other short-term care contexts. The trial is registered on ClinicalTrials.gov, trial NCT03119337, and was activated on April 18, 2017. https://clinicaltrials.gov/ct2/show/NCT03119337.
Identifiants
pubmed: 32544161
doi: 10.1371/journal.pone.0233234
pii: PONE-D-19-27561
pmc: PMC7297350
doi:
Banques de données
ClinicalTrials.gov
['NCT03119337']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0233234Subventions
Organisme : FIC NIH HHS
ID : R21 TW010583
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Bull World Health Organ. 2012 Oct 1;90(10):773-81
pubmed: 23109745
J Telemed Telecare. 2012 Jul;18(5):273-81
pubmed: 22826375
Cochrane Database Syst Rev. 2012 Mar 14;(3):CD009756
pubmed: 22419345
PLoS Med. 2017 Apr 11;14(4):e1002262
pubmed: 28399122
PLoS Med. 2013;10(1):e1001362
pubmed: 23349621
Glob Health Action. 2018;11(1):1414997
pubmed: 29322867
Med J Aust. 2006 Jan 16;184(2):81-3
pubmed: 16411874
AIDS. 2014 Sep 24;28(15):2307-12
pubmed: 25313586
Clin Infect Dis. 2018 Apr 3;66(suppl_3):S166-S172
pubmed: 29617778
J Acquir Immune Defic Syndr. 2014 Feb 1;65(2):e50-7
pubmed: 23846561
J Clin Nurs. 2015 Oct;24(19-20):2722-35
pubmed: 26216256
BMJ Open. 2018 Sep 1;8(8):e021835
pubmed: 30173159
PLoS Med. 2010 Jul 20;7(7):e1000309
pubmed: 20652013
J Int AIDS Soc. 2017 Feb 20;19(1):21394
pubmed: 28362066
Bull World Health Organ. 2008 Sep;86(9):669-77
pubmed: 18797642
PLoS One. 2018 Jul 18;13(7):e0199453
pubmed: 30020940
N Engl J Med. 2019 Sep 5;381(10):986-987
pubmed: 31483974
PLoS One. 2019 Jun 10;14(6):e0218137
pubmed: 31181096
MMWR Morb Mortal Wkly Rep. 2013 Nov 29;62(47):953-7
pubmed: 24280914
J Health Commun. 2018;23(1):40-51
pubmed: 29236569
J Acquir Immune Defic Syndr. 2012 Aug 15;60 Suppl 3:S88-95
pubmed: 22797745
AIDS. 2011 Mar 27;25(6):825-34
pubmed: 21252632
Contraception. 2013 Feb;87(2):251-6
pubmed: 22935322
AIDS Patient Care STDS. 2010 Nov;24(11):729-34
pubmed: 21039181
PLoS Med. 2011 Nov;8(11):e1001129
pubmed: 22140364
Comput Methods Programs Biomed. 2015 Nov;122(2):257-65
pubmed: 26304621
Lancet. 2007 Feb 24;369(9562):657-66
pubmed: 17321311
Am J Public Health. 2017 Dec;107(12):1944-1950
pubmed: 29048966
PLoS One. 2018 Sep 7;13(9):e0203292
pubmed: 30192816
PLoS One. 2014 May 01;9(5):e95357
pubmed: 24788898
Urology. 2014 Feb;83(2):294-7
pubmed: 24286598
PLoS Med. 2005 Nov;2(11):e298
pubmed: 16231970
PLoS One. 2012;7(9):e43832
pubmed: 22957034
PLoS One. 2015 Sep 25;10(9):e0138755
pubmed: 26405786
PLoS Med. 2011 Nov;8(11):e1001132
pubmed: 22140367
J Int AIDS Soc. 2009 May 27;12:7
pubmed: 19473540
Pan Afr Med J. 2014 Nov 14;19:278
pubmed: 25870733
AIDS. 2014 Sep 10;28(14):2133-45
pubmed: 25062091
J Acquir Immune Defic Syndr. 2020 Jan 1;83(1):16-23
pubmed: 31809358
MMWR Morb Mortal Wkly Rep. 2016 Jan 22;65(2):36-7
pubmed: 26797167
Trials. 2019 Jul 23;20(1):451
pubmed: 31337414
BMC Health Serv Res. 2014 Nov 04;14:541
pubmed: 25367330
Lancet. 2007 Feb 24;369(9562):643-56
pubmed: 17321310
J Acquir Immune Defic Syndr. 2015 May 1;69(1):e13-23
pubmed: 25942466
BMC Public Health. 2014 Feb 21;14:188
pubmed: 24555733
J Int AIDS Soc. 2014 Nov 17;17:19275
pubmed: 25406951
AIDS Care. 2000 Jun;12(3):273-8
pubmed: 10928203
Int J Clin Pract. 2015 Jan;69(1):9-32
pubmed: 25472682
Lancet. 2010 Nov 27;376(9755):1838-45
pubmed: 21071074
BJOG. 2018 Nov;125(12):1620-1629
pubmed: 29924912