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Description:The Pager Messaging intervention (i.e., pager messaging only or pager messaging with peer support) is an individual-level intervention. Each patient receives a 2-way pager and a message schedule customized to the patient’s daily medication regimen. In addition to dose reminders (which include medication names familiar to the patient and number of pills to be taken), 3 other types of text messages are sent: (1) educational (referring to side effects and their management, medication benefits, understanding laboratory values, th e importance of adherence, drug interactions, proper medication storage, resistance, and selfadvocacy); (2) entertainment (jokes or thoughts for the day); and (3) adherence assessments. A confirmation return page is requested for every message sent. There are a minimum of 3 daily pager messages for the first 2 months, with frequency gradually tapering in the last month to avoid a rebound in non-adherence. The patients are asked to wear the pager at all waking moments from the first contact till the end of the intervention.
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