The OpenSMS is an implementation study with the goal of evaluating the implementation of a mHealth intervention to improve clinical care for People Living with HIV/AIDS in Uganda. The study recruits adult patients at the Immune Suppression Syndrome Clinic at the Mbarara Regional Referral Hospital who are initiating anti-retroviral therapy and are enrolling in the clinic text messaging reminder program. Participants are interviewed on their day of registration at the clinic, where data is collected on their cellular phone experience, illiteracy, social norms, HIV disclosure, stigma, social support, technology anxiety, and intentions to use the text messaging program. The overarching aims of the study are to 1) measure the effectiveness of the SMS application in a real-world setting and 2) validate a conceptual framework about the facilitators and barriers of mobile health technologies in Uganda, and enhance the use of such technologies to improve health of people with HIV in rural Uganda.
Principal Investigators: Dr. Mark Siedner and Dr. Annabella Habinka Ejiri