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The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study

BACKGROUND: India has the greatest burden of tuberculosis (TB). However, over 15% of the people on antitubercular therapy (ATT) in India are nonadherent. Several adherence monitoring techniques deployed in India to enhance ATT adherence have had modest effects. Increased adoption of mobile phones an...

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Autores principales: Jose, Nisha K, Vaz, Clint, Chai, Peter R, Rodrigues, Rashmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9143769/
https://www.ncbi.nlm.nih.gov/pubmed/35560021
http://dx.doi.org/10.2196/37124
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author Jose, Nisha K
Vaz, Clint
Chai, Peter R
Rodrigues, Rashmi
author_facet Jose, Nisha K
Vaz, Clint
Chai, Peter R
Rodrigues, Rashmi
author_sort Jose, Nisha K
collection PubMed
description BACKGROUND: India has the greatest burden of tuberculosis (TB). However, over 15% of the people on antitubercular therapy (ATT) in India are nonadherent. Several adherence monitoring techniques deployed in India to enhance ATT adherence have had modest effects. Increased adoption of mobile phones and other technologies pose potential solutions to measuring and intervening in ATT adherence. Several technology-based interventions around ATT adherence have been demonstrated in other countries. OBJECTIVE: The objective of our study was to understand the acceptance of mobile phone adherence supports for ATT using self-administered quantitative measures among patients with TB in South India. METHODS: This exploratory study was conducted at a TB treatment center (TTC) at a tertiary care center in Thrissur District, Kerala, India. We recruited 100 patients with TB on ATT using convenience sampling after obtaining written informed consent. Trained study staff administered the questionnaire in Malayalam, commonly spoken in Kerala, India. We used frequency, mean, median, and SD or IQR to describe the data. RESULTS: Of the 100 participants diagnosed with TB on ATT, 90% used mobile phones routinely, and 84% owned a mobile phone. Ninety-five percent of participants knew how to use the calling function, while 65% of them did not know how to use the SMS function on their mobile phone. Overall, 89% of the participants did not consider mobile phone–based ATT adherence interventions an intrusion in their privacy, and 93% did not fear stigma if the adherence reminder was received by someone else. Most (95%) of the study participants preferred mobile phone reminders instead of directly observed treatment, short-course. Voice calls (n=80, 80%) were the more preferred reminder modality than SMS reminders (n=5, 5%). CONCLUSIONS: Mobile phones are likely an acceptable platform to deliver ATT adherence interventions among individuals with TB in South India. Preference of voice call reminders may inform the architecture of future adherence interventions surrounding ATT in South India.
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spelling pubmed-91437692022-05-29 The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study Jose, Nisha K Vaz, Clint Chai, Peter R Rodrigues, Rashmi JMIR Form Res Original Paper BACKGROUND: India has the greatest burden of tuberculosis (TB). However, over 15% of the people on antitubercular therapy (ATT) in India are nonadherent. Several adherence monitoring techniques deployed in India to enhance ATT adherence have had modest effects. Increased adoption of mobile phones and other technologies pose potential solutions to measuring and intervening in ATT adherence. Several technology-based interventions around ATT adherence have been demonstrated in other countries. OBJECTIVE: The objective of our study was to understand the acceptance of mobile phone adherence supports for ATT using self-administered quantitative measures among patients with TB in South India. METHODS: This exploratory study was conducted at a TB treatment center (TTC) at a tertiary care center in Thrissur District, Kerala, India. We recruited 100 patients with TB on ATT using convenience sampling after obtaining written informed consent. Trained study staff administered the questionnaire in Malayalam, commonly spoken in Kerala, India. We used frequency, mean, median, and SD or IQR to describe the data. RESULTS: Of the 100 participants diagnosed with TB on ATT, 90% used mobile phones routinely, and 84% owned a mobile phone. Ninety-five percent of participants knew how to use the calling function, while 65% of them did not know how to use the SMS function on their mobile phone. Overall, 89% of the participants did not consider mobile phone–based ATT adherence interventions an intrusion in their privacy, and 93% did not fear stigma if the adherence reminder was received by someone else. Most (95%) of the study participants preferred mobile phone reminders instead of directly observed treatment, short-course. Voice calls (n=80, 80%) were the more preferred reminder modality than SMS reminders (n=5, 5%). CONCLUSIONS: Mobile phones are likely an acceptable platform to deliver ATT adherence interventions among individuals with TB in South India. Preference of voice call reminders may inform the architecture of future adherence interventions surrounding ATT in South India. JMIR Publications 2022-05-13 /pmc/articles/PMC9143769/ /pubmed/35560021 http://dx.doi.org/10.2196/37124 Text en ©Nisha K Jose, Clint Vaz, Peter R Chai, Rashmi Rodrigues. Originally published in JMIR Formative Research (https://formative.jmir.org), 13.05.2022. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Jose, Nisha K
Vaz, Clint
Chai, Peter R
Rodrigues, Rashmi
The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study
title The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study
title_full The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study
title_fullStr The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study
title_full_unstemmed The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study
title_short The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study
title_sort acceptability of adherence support via mobile phones for antituberculosis treatment in south india: exploratory study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9143769/
https://www.ncbi.nlm.nih.gov/pubmed/35560021
http://dx.doi.org/10.2196/37124
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