Factors associated with willingness to use mHealth interventions for medication adherence among people living with HIV attending a tertiary hospital in sub-Saharan Africa.

Autor: Ojo JO; Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria.; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Ipinnimo TM; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Afolayan AC; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Adewoye KR; Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria.; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Erinomo OO; Department of Anatomic Pathology, Federal Teaching Hospital, Ido Ekiti and Department of Anatomic Pathology, Afe Babalola University, Ado Ekiti, Nigeria., Ajayi PO; Department of Community Medicine, Ekiti State University, Ado-Ekiti, Nigeria., Sanni TA; Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria.; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Ogundun OA; Osun State Primary Healthcare Board, Osogbo, Nigeria., Ogunsakin JO; South Atlantic Health Systems, Abuja, Nigeria., Oluwayemi AL; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Esan GB; Department of Community Medicine, Ekiti State University, Ado-Ekiti, Nigeria., Omoyele OO; Faculty of Basic Medical Sciences, Department of Public Health, Osun State University, Osogbo, Nigeria., Asake OT; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Adetona A; Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria., Aderinwale OA; Department of Obstetrics and Gynaecology, Federal Medical Center, Abeokuta, Nigeria., Olasehinde OK; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria., Adeniyi IO; Department of Medicine, Afe Babalola University, Ado-Ekiti, Nigeria., Ipinnimo OM; Department of Obstetrics and Gynaecology, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria., Ibikunle AI; Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria.; Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Aug 15; Vol. 19 (8), pp. e0309119. Date of Electronic Publication: 2024 Aug 15 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0309119
Abstrakt: Introduction: There is increasing evidence in favor of enhancing adherence to antiretroviral therapy (ART) in people living with HIV (PLHIV) through mobile health (mHealth) assessment and intervention. The study aims to establish the willingness to adopt mobile phone technology to enhance adherence to ART among PLHIV.
Methods: The Researchers adopted a cross-sectional survey. Systematic sampling was employed in selecting 237 PLHIV in the HIV clinic for adults at Ido-Ekiti's Federal Teaching Hospital, Nigeria. Data collection was via a 33-item semi-structured questionnaire administered by the interviewer. Information collected via the questionnaire included details on ownership of mobile phone technology, its usage, and willingness to use it to improve adherence to HIV medication. Descriptive statistics coupled with multivariate regression was employed in analyzing data, with the level of significance at 5%.
Results: The respondent's had a mean ±SD age of 46.6 ±10 years. Most of the participants were female (77.6%), and have been on ART for over 2years (88.2%). The vast majority of study participants 233 (98.3%) owned a mobile phone. 168 (70.9%) of them were willing to embrace mHealth interventions on medication adherence. Some of the factors influencing the respondent's willingness to receive the intervention were older age (OR = 0.05, 95%Cl:[0.01-0.24]), having formal education (OR = 7.12, 95%Cl:[3.01-16.53]), being diagnosed over 10years ago (OR = 15.63, 95%Cl:[3.02-80.83]) and previous use of phone to send text messages, record video, access the internet, send email and search the internet for health-related information (OR = 2.2, 95%Cl:[1.2-3.9]; OR = 1.8, 95%Cl:[1.0-3.2]; OR = 2.5, 95%Cl:[1.4-4.7]; OR = 2.7, 95%Cl:[1.2-5.5] and OR = 2.0, 95%Cl:[1.0-3.8]) respectively.
Conclusion: Many of the PLHIV had a cellphone and expressed willingness on their part to use it in receiving reminders to take their medication. Older age, formal education and internet users were significantly more willing to get reminders to take their medication.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Ojo et al. 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 author and source are credited.)
Databáze: MEDLINE
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