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Partnerships make a difference: WelTel Kenya 1 - An Oak Tree Clinic & BCCDC partnership

This partnership between An Oak Tree Clinic and BCCDC aims to improve ART adherence and viral suppression rates through SMS patient support. The pilot study, WelTel BC1, showed promising results. The 5X5 groups cater to different demographics. Next steps include an expanded study and improving health outcomes through patient support.

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Partnerships make a difference: WelTel Kenya 1 - An Oak Tree Clinic & BCCDC partnership

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  1. An Oak Tree Clinic & BCCDC partnership “Partnerships make a difference”

  2. WelTel Kenya 1 • RCT – WelTel Kenya 1 • Kenya, 538 participants • SMS • May 2007- Oct 2008 FINDINGS: SMS patient support significantly improved ART adherence and rates of viral suppression (First report) • SMS patients 24% more likely to be adherent to ART • SMS patients 19% more likely to have suppressed VL

  3. The Pilot Study: WelTel BC1 • Prospective cohort study • 25 participants from Oak Tree Clinic • 5X5 groups • Jan 2012 – Sept 2012 • Weekly SMS started Apr 2012 • Objectives: • Feasibility • Acceptability • Platform development • Qualitative and Quantitative data • Effects on CD4 and VL

  4. The 5X5 Groups Youth:13-24 years of age. Mature: 50 years of age and older. ESL: born outside of Canada, & ESL Remote: > 3 hours travel time to reach clinic. Non-suppressed: CD4 < 200 & viral load >250 on two consecutive occasions.

  5. The Intervention

  6. Early findings Data from baseline interviews and focus groups: • Gaps in care • Interest in texting • Concerns about texting

  7. Next Steps • Learn from our experience, qualitative and quantitative data • Role out an expanded study at OTC in early 2013 for100 patients – BMS funded • A goal of improving ARV adherence and health outcomes through patient support • What is the way forward from here?

  8. Our Wel Tel Team Oak Tree Clinic Dr Melanie Murray Karen Freisen Rebecca Graham Dr Neora Pick Juanita Maginley Evelyn Maan BCCDC Sarah Levine Natasha Van Borek, Dr Rich Lester

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