Timing Of Messages And Perceived Self-Efficacy For Treatment Among People Living With Hiv/Aids In Homa Bay County, Kenya

Purpose: The purpose of this study was to ascertain the effect of timing of mobile phone text messaging (as a communication strategy employed in the text for adherence intervention) on perceived self-efficacy for treatment among people living with HIV/AIDS in Homa Bay County, Kenya. Methodology: Overall the study used a quasi-experimental design involving a control and an intervention group to assess the effect of the text messaging. This paper focusses on the intervention group. The key variables discussed in this paper are timing and perceived self-efficacy. The study comprised of both quantitative and qualitative data. Simple linear regression models and multi-linear regression models were used to estimate the relationship between the independent variable (timing of messages) and the dependent variable (self-efficacy). Qualitative data was analysed thematically and narratives provided under each section in verbatim. Findings: The intervention group of the study achieved a sample size of 77.92 per cent (n=247/317). Timing of the messages was found to have a statistically significant relationship with perceived self-efficacy as a standalone predictor variable. However when broken down into components (morning, noon and evening) none had a relationship with self-efficacy index. Similarly, when combined with other variables that were studied (type of messages, frequency and language), timing did not have a relationship with self-efficacy. Unique contribution to theory, practice and policy: Programs and partners involved in designing and implementing mHealth solutions need to consider and involve participants in determining communication strategies that can be effective. Timing is one of the many strategies that patients should take part in. This would ensure that interventions are highly acceptable and effective and ensure that it provides a sufficiently interesting and rewarding experience.