Factors Associated with Willingness to Use Mobile Phone Technology Interventions for Medication Adherence among HIV-Positive Patients Attending a Tertiary Hospital – Nigeria, 2018

  • Viral hepatitis and HIV
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There is growing evidence supporting mobile phone technology assessment and intervention to improve antiretroviral therapy (ART) adherence. Also, there is a critical need to improve ART adherence among persons with HIV infection. We, therefore, assessed willingness to use mobile phone technology interventions (MPTI) to improve ART adherence among persons with HIV infection.
We conducted a cross-sectional survey using a systematic random sampling technique to select 237 HIV-positive patients attending adult HIV clinic at Federal Teaching Hospital, Ido-Ekiti between January and April 2018. We used a 33-item semi-structured interviewer-administered questionnaire to collect data on ownership, utilization, and willingness to use MPTI to enhance adherence to HIV medication. We analyzed data using descriptive statistics and multivariate logistic regression at 5% level of significance.
Majority of respondents 233 (98.3 %) owned a cellphone, and 168(70.9 %) were willing to receive MPTIs on medication adherence. Respondents who were aged 60 years and above (AOR=0.05, 95%Cl: 0.01-0.24) were less likely to be willing to use MPTI to enhance ART adherence than those who were less than 40 years old. Respondents with tertiary education (AOR=7.12, 95%Cl: 3.01-16.53) were more likely to be willing to use MPTIs to enhance medication adherence than those without formal education. Respondents that had been diagnosed more than 10 years ago (AOR=15.63, 95%Cl: 3.02-80.83) were more likely to be willing to use MPTIs to enhance ART adherence than those diagnosed less than two years ago
High proportions of HIV-positive patients had a cell phone and were willing to use it as a medication reminder. There is a need to incorporate MPTIs in strengthening adherence among all HIV-infected as they have shown they are open to employing these strategies in the management of their illness. Findings and recommendations were shared with the caregivers, the hospital management and supporting organizations.

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