{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T15:00:44Z","timestamp":1769094044449,"version":"3.49.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,1,16]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">The Active Community Case Management Platform is a cloud\u2010based technology developed to facilitate rheumatic heart disease case management by health care providers. This study aimed to design and pilot an automated short message service (SMS) intervention to support secondary prophylaxis adherence.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">We developed a concise library of messages to support secondary antibiotic prophylaxis. The SMS intervention used TextIT, an interface that enables users to send out interactive SMS messages at scale. The message bank was piloted in a cohort of 50 patients with rheumatic heart disease randomized into 2 groups. Group 1 received standard support (nurse\u2010led\/Active Community Case Management Platform). Group 2 received standard support plus SMS intervention for 2\u2009months in the Lira and Gulu districts of Northern Uganda. We collected qualitative data on participants' experiences and assessed treatment adherence. Using a sequential user\u2010centered process consisting of 4 phases (phases 1\u20134), we developed a message bank (n=43) deployed during our pilot study. There were no between\u2010group differences in treatment adherence or acceptance. Interviews of participants indicated that the intervention was viewed positively. A total of 75% of SMS recipients responded to the messages, and 25% called the study staff to acknowledge receipt of text messages.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">This study has successfully developed a bank of SMS messages to support secondary antibiotic prophylaxis adherence. We have demonstrated the feasibility and acceptability of SMS technology in rheumatic heart disease care management. Future work will include integrating automated SMS into the Active Community Case Management Platform and a larger study of integrated SMS to reduce health care worker burden for patient support and improve adherence to secondary antibiotic prophylaxis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.031252","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T10:12:33Z","timestamp":1705399953000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["User\u2010Centered Design to Develop Automated Short Message Service Messaging for Patient Support of Rheumatic Heart Disease Secondary Antibiotic Prophylaxis"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0781-8601","authenticated-orcid":false,"given":"Ndate","family":"Fall","sequence":"first","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center Cincinnati OH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Odong","sequence":"additional","affiliation":[{"name":"Uganda Heart Institute Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenipher","family":"Thembo","sequence":"additional","affiliation":[{"name":"Uganda Heart Institute Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7955-3481","authenticated-orcid":false,"given":"Jafesi","family":"Pulle","sequence":"additional","affiliation":[{"name":"Uganda Heart Institute Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Hoekzema","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center Cincinnati OH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8453-818X","authenticated-orcid":false,"given":"Joselyn","family":"Rwebembera","sequence":"additional","affiliation":[{"name":"Uganda Heart Institute Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1001-273X","authenticated-orcid":false,"given":"Sarah","family":"de Loizaga","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center Cincinnati OH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4010-9951","authenticated-orcid":false,"given":"Doreen","family":"Nakagaayi","sequence":"additional","affiliation":[{"name":"Uganda Heart Institute Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2272-9153","authenticated-orcid":false,"given":"Neema","family":"Minja","sequence":"additional","affiliation":[{"name":"Uganda Heart Institute Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Webel","sequence":"additional","affiliation":[{"name":"University of Washington Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6341-9595","authenticated-orcid":false,"given":"David","family":"Watkins","sequence":"additional","affiliation":[{"name":"University of Washington Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4963-355X","authenticated-orcid":false,"given":"Andrea","family":"Beaton","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center Cincinnati OH"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.010"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60692-4"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61728-0"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.118810"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266717"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0000000000000065"},{"key":"e_1_3_1_8_2","unstructured":"RapidPro . 2023. 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