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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International AIDS Society
2015
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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. |
format | Online Article Text |
id | pubmed-4676808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | International AIDS Society |
record_format | MEDLINE/PubMed |
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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