![]() Nevertheless, the observed heterogeneity in the methods/outcome measures warrants a cautious interpretation of the findings. It is plausible that SMS reminders developed using the broader framework of the interpersonal health behaviour theory(ies) may have positive outcome. ConclusionĮffects of SMS intervention trends towards a significant improvement in ART adherence behaviour in PLWHA. The only study that evaluated QoL was underpowered and reported no significant change while there were no RCTs on PE. Only the SMS interventions that were developed using the Starks 3-steps Adherence model was associated with positive outcome. There was a significant improvement in ART adherence behaviour except in three underpowered studies. Therefore, a narrative synthesis of ten studies that met the inclusion criteria (n = 1621 participants at study completion) comprising males/females, aged ≥ 18 years, was done. ResultĪ pooled estimate of effect was not calculated due to the heterogeneity of methods and outcome measures. The primary outcomes were ART and PE adherence behaviours while the secondary outcome was QoL. Data were extracted and the quality of the study was assessed with the Physiotherapy Evidence Database (PEDro) tool. Two independent reviewers determined the eligibility of the studies. MethodsĮight databases–AMED, CINAHL, Cochrane Library, EMBASE, EMCARE, Ovid MEDLINE, PsycINFO, and PubMed-were searched up to December 2020, using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol.This review included only randomised control trials (RCTs) investigating the effectiveness of SMS in improving QoL or PE or ART adherence behaviour or a combination of these variables in PLWHA >18 years. Thus, the literature was appraised for evidence of SMS effectiveness in improving ART and PE adherence behaviours and QoL in PLWHA. ![]() Mobile text reminder (SMS) system is considered a viable strategy for targeting/facilitating healthy behavioural change including adherence to prescribed physical exercises (PE) and medication (antiretroviral therapy-ART) which should improve the quality of life (Qol) in people living with HIV/AIDS(PLWHA).
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