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Description:Text Messaging Intervention to Improve Antiretroviral Adherence among HIV -Positive Youth (TXTXT) is an individual-level intervention for HIV-positive adolescents and young adults with poor medication adherence. The intervention consisted of daily youth -friendly 2-way text messages delivered over 6 months. Text messages were used to remind participants to take their medication and confirm that the medication was taken. Int ervention participants tailored and personalized text message reminders to their medication regimen, including the number and time of dosages. Text message reminders and follow-up messages were also personalized to reflect content meaningful to their culture or other sources of identity. To protect confidentiality, intervention participants were encouraged to delete messages after taking medication, use messages that would not reveal their HIV status or mention medication, and received information about phone confidentiality (e.g., passcode protection). Message delivery was timed to coincide with the participant’s dosing schedule. Youth-friendly motivational or encouraging follow-up messages were delivered that were based on the youth’s responses to taking their medication (e.g., “Well done!” or “You can do it!"). All text messages were sent to participants’ personal cell phones.
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