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Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study

INTRODUCTION: Mobile phone technologies have been promoted to improve adherence to antiretroviral therapy (ART). We studied the receptiveness of patients in a rural Ugandan setting to the use of short messaging service (SMS) communication for such purposes. METHODS: We performed a cross-sectional an...

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Autores principales: Kim, Jiho, Zhang, Wendy, Nyonyitono, Maureen, Lourenco, Lillian, Nanfuka, Mastula, Okoboi, Stephen, Birungi, Josephine, Lester, Richard T, Kaleebu, Pontiano, Munderi, Paula, Moore, David M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International AIDS Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676808/
https://www.ncbi.nlm.nih.gov/pubmed/26654029
http://dx.doi.org/10.7448/IAS.18.1.20311
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author Kim, Jiho
Zhang, Wendy
Nyonyitono, Maureen
Lourenco, Lillian
Nanfuka, Mastula
Okoboi, Stephen
Birungi, Josephine
Lester, Richard T
Kaleebu, Pontiano
Munderi, Paula
Moore, David M
author_facet Kim, Jiho
Zhang, Wendy
Nyonyitono, Maureen
Lourenco, Lillian
Nanfuka, Mastula
Okoboi, Stephen
Birungi, Josephine
Lester, Richard T
Kaleebu, Pontiano
Munderi, Paula
Moore, David M
author_sort Kim, Jiho
collection PubMed
description INTRODUCTION: Mobile phone technologies have been promoted to improve adherence to antiretroviral therapy (ART). We studied the receptiveness of patients in a rural Ugandan setting to the use of short messaging service (SMS) communication for such purposes. METHODS: We performed a cross-sectional analysis measuring mobile phone ownership and literacy amongst patients of The AIDS Support Organisation (TASO) in Jinja, Uganda. We performed bivariate and multivariate logistic regression analyses to examine associations between explanatory variables and a composite outcome of being literate and having a mobile phone. RESULTS: From June 2012 to August 2013, we enrolled 895 participants, of whom 684 (76%) were female. The median age was 44 years. A total of 576 (63%) were both literate and mobile phone users. Of these, 91% (527/ 576) responded favourably to the potential use of SMS for health communication, while only 38.9% (124/319) of others were favourable to the idea (p<0.001). A lower proportion of literate mobile phone users reported optimal adherence to ART (86.4% vs. 90.6%; p=0.007). Male participants (AOR=2.81; 95% CI 1.83–4.30), sub-optimal adherence (AOR=1.76; 95% CI 1.12–2.77), those with waged or salaried employment (AOR=2.35; 95% CI 1.23–4.49), crafts/trade work (AOR=2.38; 95% CI 1.11–5.12), or involved in petty trade (AOR=1.85; 95% CI 1.09–3.13) (in comparison to those with no income) were more likely to report mobile phone ownership and literacy. CONCLUSIONS: In a rural Ugandan setting, we found that over 60% of patients could potentially benefit from a mobile phone-based ART adherence support. However, support for such an intervention was lower for other patients.
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spelling pubmed-46768082015-12-14 Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study Kim, Jiho Zhang, Wendy Nyonyitono, Maureen Lourenco, Lillian Nanfuka, Mastula Okoboi, Stephen Birungi, Josephine Lester, Richard T Kaleebu, Pontiano Munderi, Paula Moore, David M J Int AIDS Soc Research Article INTRODUCTION: Mobile phone technologies have been promoted to improve adherence to antiretroviral therapy (ART). We studied the receptiveness of patients in a rural Ugandan setting to the use of short messaging service (SMS) communication for such purposes. METHODS: We performed a cross-sectional analysis measuring mobile phone ownership and literacy amongst patients of The AIDS Support Organisation (TASO) in Jinja, Uganda. We performed bivariate and multivariate logistic regression analyses to examine associations between explanatory variables and a composite outcome of being literate and having a mobile phone. RESULTS: From June 2012 to August 2013, we enrolled 895 participants, of whom 684 (76%) were female. The median age was 44 years. A total of 576 (63%) were both literate and mobile phone users. Of these, 91% (527/ 576) responded favourably to the potential use of SMS for health communication, while only 38.9% (124/319) of others were favourable to the idea (p<0.001). A lower proportion of literate mobile phone users reported optimal adherence to ART (86.4% vs. 90.6%; p=0.007). Male participants (AOR=2.81; 95% CI 1.83–4.30), sub-optimal adherence (AOR=1.76; 95% CI 1.12–2.77), those with waged or salaried employment (AOR=2.35; 95% CI 1.23–4.49), crafts/trade work (AOR=2.38; 95% CI 1.11–5.12), or involved in petty trade (AOR=1.85; 95% CI 1.09–3.13) (in comparison to those with no income) were more likely to report mobile phone ownership and literacy. CONCLUSIONS: In a rural Ugandan setting, we found that over 60% of patients could potentially benefit from a mobile phone-based ART adherence support. However, support for such an intervention was lower for other patients. International AIDS Society 2015-12-10 /pmc/articles/PMC4676808/ /pubmed/26654029 http://dx.doi.org/10.7448/IAS.18.1.20311 Text en © 2015 Kim J et al; licensee International AIDS Society http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kim, Jiho
Zhang, Wendy
Nyonyitono, Maureen
Lourenco, Lillian
Nanfuka, Mastula
Okoboi, Stephen
Birungi, Josephine
Lester, Richard T
Kaleebu, Pontiano
Munderi, Paula
Moore, David M
Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study
title Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study
title_full Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study
title_fullStr Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study
title_full_unstemmed Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study
title_short Feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural Uganda: a cross-sectional study
title_sort feasibility and acceptability of mobile phone short message service as a support for patients receiving antiretroviral therapy in rural uganda: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676808/
https://www.ncbi.nlm.nih.gov/pubmed/26654029
http://dx.doi.org/10.7448/IAS.18.1.20311
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