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The effect of an interactive weekly mobile phone messaging on retention in prevention of mother to child transmission (PMTCT) of HIV program: study protocol for a randomized controlled trial (WELTEL…

Overview of attention for article published in BMC Medical Informatics and Decision Making, July 2016
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Title
The effect of an interactive weekly mobile phone messaging on retention in prevention of mother to child transmission (PMTCT) of HIV program: study protocol for a randomized controlled trial (WELTEL PMTCT)
Published in
BMC Medical Informatics and Decision Making, July 2016
DOI 10.1186/s12911-016-0321-4
Pubmed ID
Authors

Patricia Opondo Awiti, Alessandra Grotta, Mia van der Kop, John Dusabe, Anna Thorson, Jonathan Mwangi, Rino Belloco, Richard Lester, Laura Ternent, Edwin Were, Anna Mia Ekström

Abstract

Improving retention in prevention of mother to child transmission (PMTCT) of HIV programs is critical to optimize maternal and infant health outcomes, especially now that lifelong treatment is immediate regardless of CD4 cell count). The WelTel strategy of using weekly short message service (SMS) to engage patients in care in Kenya, where mobile coverage even in poor areas is widespread has been shown to improve adherence to antiretroviral therapy (ART) and viral load suppression among those on ART. The aim of this study is to determine the effect of the WelTel SMS intervention compared to standard care on retention in PMTCT program in Kenya. WelTel PMTCT is a four to seven-centers, two-arm open randomized controlled trial (RCT) that will be conducted in urban and rural Kenya. Over 36 months, we plan to recruit 600 pregnant women at their first antenatal care visit and follow the mother-infant pair until they are discharged from the PMTCT program (when infant is aged 24 months). Participants will be randomly allocated to the intervention or control arm (standard care) at a 1:1 ratio. Intervention arm participants will receive an interactive weekly SMS 'How are you?' to which they are supposed to respond within 24 h. Depending on the response (ok, problem or no answer), a PMTCT nurse will follow-up and triage any problems that are identified. The primary outcome will be retention in care defined as the proportion of mother-infant pairs coming for infant HIV testing at 24 months from delivery. Secondary outcomes include a) adherence to WelTel; (b) adherence to antiretroviral medicine; (c) acceptance of WelTel and (d) cost-effectiveness of the WelTel intervention. This trial will provide evidence on the effectiveness of mHealth for PMTCT retention. Trial results and the cost-effectiveness evaluation will be used to inform policy and potential scale-up of mHealth among mothers living with HIV. ISRCTN98818734 ; registered on 9th December 2014.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 474 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Kenya 1 <1%
Unknown 472 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 100 21%
Researcher 53 11%
Student > Ph. D. Student 49 10%
Student > Bachelor 30 6%
Student > Postgraduate 20 4%
Other 83 18%
Unknown 139 29%
Readers by discipline Count As %
Medicine and Dentistry 91 19%
Nursing and Health Professions 85 18%
Social Sciences 23 5%
Psychology 22 5%
Unspecified 18 4%
Other 82 17%
Unknown 153 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 August 2016.
All research outputs
#15,380,359
of 22,881,154 outputs
Outputs from BMC Medical Informatics and Decision Making
#1,316
of 1,994 outputs
Outputs of similar age
#226,141
of 354,302 outputs
Outputs of similar age from BMC Medical Informatics and Decision Making
#29
of 42 outputs
Altmetric has tracked 22,881,154 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,994 research outputs from this source. They receive a mean Attention Score of 4.9. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 354,302 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.