Assistant Professor
Infectious Diseases | Faculty of Medicine
Director | Neglected Global Diseases Initiative
Research Interests:

Project Name: Global mHealth (WelTel) listed on the Implementation Research page.

My work includes strengthening health systems through patient centered use of mobile phone technology in developing world settings. Cell phones are being rapidly taken up in developing countries, representing a leap frog technology that can be harnessed to improve patient to healthcare worker communications and health outcomes for patients. Supporting field work in managing globally neglected tropical diseases is envisioned.

Relevant NGDI Articles

2013

A pilot study of the feasibility of a vaginal washing  cessation intervention among Kenyan female sex   workers. Masese L, McClelland RS, Gitau R, Wanje G, Shafi J, Kashonga F, Ndinya-Achola JO, Lester R,   Richardson BA, Kurth A. Sex Transm Infect. 2013 May;89(3):217-22.

Acting locally: innate mucosal immunity in resistance to HIV-1  Infection in Kenyan commercial sex workers. Yao XD, Omange RW, Henrick BM, Lester RT, Kimani J, Ball TB, Plummer FA, Rosenthal KL. Mucosal Immunol. 2014 Mar;7(2):268-79.

Ask, don’t tell – mobile phones to improve HIV care. Lester RT. N Engl J Med. 2013 Nov 7;369(19):1867-8.

Cephalosporin and azithromycin susceptibility in Neisseria gonorrhoeae isolates by site of infection, British Columbia, 2006 to 2011. Hottes TS, Lester RT, Hoang LM, McKay R, Imperial M, Gilbert M, Patrick D, Wong T, Martin I, Ogilvie G. Sex Transm Dis. 2013 Jan;40(1):46-51.

Direct-acting antiviral therapies for hepatitis C genotype 1 infection: a multiple treatment comparison meta-analysis. Cooper C, Lester R, Thorlund K, Druyts E, El Khoury AC, Yaya S, Mills EJ. QJM. 2013 Feb;106(2):153-63.

Factors associated with intention to use internet-based testing for sexually transmitted infections among men who have sex with men. Gilbert M, Hottes TS, Kerr T, Taylor D, Fairley CK, Lester R, Wong T, Trussler T, Marchand R, Shoveller J, Ogilvie G. J Med Internet Res. 2013 Nov 14;15(11):e254.

How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT. Soc Sci Med. 2013 Sep;93:194-202.

Male sex and the risk of mortality among individuals enrolled in   antiretroviral therapy programs in Africa: a systematic review and meta-analysis. Druyts E, Dybul M, Kanters S, Nachega J, Birungi J, Ford N, Thorlund K, Negin J, Lester R, Yaya S, Mills EJ. AIDS. 2013 Jan 28;27(3):417-25. Review.

Mobile phone text messages for improving adherence to antiretroviral therapy (ART): an individual patient data meta-analysis of randomised trials. Mbuagbaw L, van der Kop ML, Lester RT, Thirumurthy H, Pop-Eleches C, Ye C, Smieja M, Dolovich L, Mills EJ, Thabane L. BMJ Open. 2013 Dec 17;3(12):e003950.

Mobile phone text messages for improving adherence to antiretroviral therapy (ART): a protocol for an individual patient data meta-analysis of randomised trials. Mbuagbaw L, van der Kop ML, Lester RT,      Thirumurthy H, Pop-Eleches C, Smieja M, Dolovich L, Mills EJ, Thabane L. BMJ Open. 2013 May 28;3(5). pii: e002954.

The effect of weekly short message service communication on patient retention in care in the first year after HIV diagnosis: study protocol for a randomised controlled trial (WelTel Retain). van der Kop ML, Ojakaa DI, Patel A, Thabane L, Kinagwi K, Ekström AM, Smillie K, Karanja S, Awiti P, Mills E, Marra C, Kyomuhangi LB, Lester RT. BMJ Open. 2013 Jun 20;3(6). pii: e003155.

2012

Adherence to antiretroviral therapy: Supervision or support? Mills EJ, Lester R and Ford N.  Lancet Infect Dis 2012 12(2):97-98.

In-Depth Analysis of Patient-Clinician Cell Phone Communication during the WelTel Kenya1 Antiretroviral Adherence Trial. van der Kop ML, Karanja S, Thabane L, Marra C, Chung MH, Gelmon L, Kimani J and Lester RT.   PLoS ONE 2012 7(9)

M-health for health behaviour change in resource-limited settings: Applications to HIV care and beyond.  Thirumurthy H and Lester RT. Bull WHO 2012 90(5):390-392..

Promoting long term adherence to antiretroviral treatment.  Mills EJ, Lester R and Ford N. BMJ 2012, 344:e4173.

The Cameroon Mobile Phone SMS (CAMPS) Trial: A Randomized Trial of Text Messaging versus Usual Care for Adherence to Antiretroviral Therapy. Mbuagbaw L, Thabane L, Ongolo-Zogo P, Lester RT, Mills EJ, Smieja M, Dolovich L and Kouanfack C.  PLoS ONE  2012 7(12)

 2011

The Cameroon mobile phone SMS (CAMPS) trial: a protocol for a randomized controlled trial of mobile phone text messaging versus usual care for improving adherence to highly active anti-retroviral therapy. Mbuagbaw L, Thabane L, Ongolo-Zogo P, Lester RT, Mills E, Volmink J, Yondo D, Essi MJ, Bonono-Momnougui R-C, Mba R, Ndongo JS, Nkoa FC, and Ondoa HA. Trials 2011, Vol12:1:5.

 2010

Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomized trial. Lester RT, Ritvo P, Mills EJ, Kariri A, Karanja S, Chung MH, Jack W, et al. 2010. The Lancet Vol376. pp. 1838–45.