Experiences and intentions of Ugandan household tuberculosis contacts receiving test results via text message: an exploratory study

dc.contributor.authorGgita, Joseph M.
dc.contributor.authorKatahoire, Anne
dc.contributor.authorMeyer, Amanda J.
dc.contributor.authorNansubuga, Elizabeth
dc.contributor.authorNalugwa, Talemwa
dc.contributor.authorTurimumahoro, Patricia
dc.contributor.authorOchom, Emmanuel
dc.contributor.authorAyakaka, Irene
dc.contributor.authorHaberer, Jessica E.
dc.contributor.authorKatamba, Achilles
dc.contributor.authorArmstrong-Hough, Mari
dc.contributor.authorDavis, J. Lucian
dc.date.accessioned2023-01-18T16:04:40Z
dc.date.available2023-01-18T16:04:40Z
dc.date.issued2020
dc.description.abstractThe World Health Organization (WHO) recommends household contact investigation for tuberculosis (TB) in high-burden countries. However, household contacts who complete evaluation for TB during contact investigation may have difficulty accessing their test results. Use of automated short-messaging services (SMS) to deliver test results could improve TB status awareness and linkage to care. We sought to explore how household contacts experience test results delivered via SMS, and how these experiences influence follow-up intentions. Methods: We conducted semi-structured interviews with household contacts who participated in a randomized controlled trial evaluating home sputum collection and delivery of TB results via SMS (Pan-African Clinical Trials Registry #201509000877140). We asked about feelings, beliefs, decisions, and behaviors in response to the SMS results. We analyzed the content and emerging themes in relation to the Theory of Planned Behavior. Results: We interviewed and achieved thematic saturation with ten household contacts. Nine received TB-negative results and one a TB-positive result. Household contacts reported relief upon receiving SMS confirming their TB status, but also said they lacked confidence in the results delivered by SMS. Some worried that negative results were incorrect until they spoke to a lay health worker (LHW). Household contacts said their long-term intentions to request help or seek care were influenced by perceived consequences of not observing the LHW’s instructions related to the SMS and follow-up procedures; beliefs about the curability of TB; anticipated support from LHWs; and perceived barriers to responding to an SMS request for further evaluation. Conclusion: Household contacts experienced relief when they received results. However, they were less confident about results delivered via SMS than results delivered by LHWs. Delivery of results by SMS should complement continued interaction with LHWs, not replace them.en_US
dc.identifier.citationGgita, J. M., Katahoire, A., Meyer, A. J., Nansubuga, E., Nalugwa, T., Turimumahoro, P., ... & Davis, J. L. (2020). Experiences and intentions of Ugandan household tuberculosis contacts receiving test results via text message: an exploratory study. BMC public health, 20(1), 1-10. https://doi.org/10.1186/s12889-020-8427-0en_US
dc.identifier.urihttps://doi.org/10.1186/s12889-020-8427-0
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7029
dc.language.isoenen_US
dc.publisherBMC public healthen_US
dc.subjectmHealthen_US
dc.subjectTuberculosisen_US
dc.subjectText messageen_US
dc.subjectMobile phoneen_US
dc.subjectCommunity health workeren_US
dc.titleExperiences and intentions of Ugandan household tuberculosis contacts receiving test results via text message: an exploratory studyen_US
dc.typeArticleen_US
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