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Cluster randomized trial of text message reminders to retail staff in tanzanian drug shops dispensing artemether-lumefantrine: effect on dispenser knowledge and patient adherence.
Am J Trop Med Hyg. 2014 Oct; 91(4):844-853.AJ

Abstract

Artemisinin combination therapies are available in private outlets, but patient adherence might be compromised by poor advice from dispensers. In this cluster randomized trial in drug shops in Tanzania, 42 of 82 selected shops were randomized to receive text message reminders about what advice to provide when dispensing artemether-lumefantrine (AL). Eligible patients purchasing AL at shops in both arms were followed up at home and questioned about each dose taken. Dispensers were interviewed regarding knowledge of AL dispensing practices and receipt of the malaria-related text messages. We interviewed 904 patients and 110 dispensers from 77 shops. Although there was some improvement in dispenser knowledge, there was no difference between arms in adherence measured as completion of all doses (intervention 68.3%, control 69.8%, p [adjusted] = 0.6), or as completion of each dose at the correct time (intervention 33.1%, control 32.6%, p [adjusted] = 0.9). Further studies on the potential of text messages to improve adherence are needed.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

25002300

Citation

Bruxvoort, Katia, et al. "Cluster Randomized Trial of Text Message Reminders to Retail Staff in Tanzanian Drug Shops Dispensing Artemether-lumefantrine: Effect On Dispenser Knowledge and Patient Adherence." The American Journal of Tropical Medicine and Hygiene, vol. 91, no. 4, 2014, pp. 844-853.
Bruxvoort K, Festo C, Kalolella A, et al. Cluster randomized trial of text message reminders to retail staff in tanzanian drug shops dispensing artemether-lumefantrine: effect on dispenser knowledge and patient adherence. Am J Trop Med Hyg. 2014;91(4):844-853.
Bruxvoort, K., Festo, C., Kalolella, A., Cairns, M., Lyaruu, P., Kenani, M., Kachur, S. P., Goodman, C., & Schellenberg, D. (2014). Cluster randomized trial of text message reminders to retail staff in tanzanian drug shops dispensing artemether-lumefantrine: effect on dispenser knowledge and patient adherence. The American Journal of Tropical Medicine and Hygiene, 91(4), 844-853. https://doi.org/10.4269/ajtmh.14-0126
Bruxvoort K, et al. Cluster Randomized Trial of Text Message Reminders to Retail Staff in Tanzanian Drug Shops Dispensing Artemether-lumefantrine: Effect On Dispenser Knowledge and Patient Adherence. Am J Trop Med Hyg. 2014;91(4):844-853. PubMed PMID: 25002300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cluster randomized trial of text message reminders to retail staff in tanzanian drug shops dispensing artemether-lumefantrine: effect on dispenser knowledge and patient adherence. AU - Bruxvoort,Katia, AU - Festo,Charles, AU - Kalolella,Admirabilis, AU - Cairns,Matthew, AU - Lyaruu,Peter, AU - Kenani,Mitya, AU - Kachur,S Patrick, AU - Goodman,Catherine, AU - Schellenberg,David, Y1 - 2014/07/07/ PY - 2014/7/9/entrez PY - 2014/7/9/pubmed PY - 2015/3/17/medline SP - 844 EP - 853 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 91 IS - 4 N2 - Artemisinin combination therapies are available in private outlets, but patient adherence might be compromised by poor advice from dispensers. In this cluster randomized trial in drug shops in Tanzania, 42 of 82 selected shops were randomized to receive text message reminders about what advice to provide when dispensing artemether-lumefantrine (AL). Eligible patients purchasing AL at shops in both arms were followed up at home and questioned about each dose taken. Dispensers were interviewed regarding knowledge of AL dispensing practices and receipt of the malaria-related text messages. We interviewed 904 patients and 110 dispensers from 77 shops. Although there was some improvement in dispenser knowledge, there was no difference between arms in adherence measured as completion of all doses (intervention 68.3%, control 69.8%, p [adjusted] = 0.6), or as completion of each dose at the correct time (intervention 33.1%, control 32.6%, p [adjusted] = 0.9). Further studies on the potential of text messages to improve adherence are needed. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/25002300/Cluster_randomized_trial_of_text_message_reminders_to_retail_staff_in_tanzanian_drug_shops_dispensing_artemether_lumefantrine:_effect_on_dispenser_knowledge_and_patient_adherence_ L2 - https://ajtmh.org/doi/10.4269/ajtmh.14-0126 DB - PRIME DP - Unbound Medicine ER -