Perceptions of HIV infected patients on the use of cell phone as a tool to support their antiretroviral adherence; a cross-sectional study in a large referral hospital in KenyaReport as inadecuate




Perceptions of HIV infected patients on the use of cell phone as a tool to support their antiretroviral adherence; a cross-sectional study in a large referral hospital in Kenya - Download this document for free, or read online. Document in PDF available to download.

BMC Public Health

, 13:987

Infectious Disease epidemiology

Abstract

BackgroundClinical trials were conducted to assess the feasibility of using a cell phone text messaging-based system to follow up Human Immunodeficiency Virus HIV infected patients on antiretroviral ARTs and assess for improved adherence to their medication. However there is need to evaluate the perceptions of the HIV infected patients towards the use of these cell phones in an effort to better aid in the clinical management of their HIV infection. The objective of this study was therefore to determine the perceptions of HIV infected patients on the use of cell phone text messaging as a tool to support adherence to their ART medication.

MethodsA cross sectional survey was conducted among patients receiving Highly Active Anti-Retroviral Therapy HAART at the Kenyatta National Hospital Comprehensive Care Clinic in Nairobi between May and July, 2011. Pre-tested questionnaires were used to collect the socio-demographic and perceptions data. The recruitment of the participants was done using the random probability sampling method and statistical analysis of data performed using Statistical Package for Social Sciences SPSS version 16.0.

ResultsA total of 500 HIV infected patients Male-107, Female-307 aged 19-72 years were interviewed. The majority of individuals 99% had access to cell phones and 99% of the HIV infected patients interviewed supported the idea of cell phone use in management of their HIV infection. A large proportion 46% claimed that they needed cell phone access for medical advice and guidance on factors that hinder their adherence to medication and only 3% of them needed it as a reminder to take their drugs. The majority 72% preferred calling the healthcare provider with their own phones for convenience and confidential purposes with only 0.4% preferring to be called or texted by the health care provider. Most 94%, especially the older patients, had no problem with their confidentiality being infringed in the process of the conversation as per the bivariate analysis results.

ConclusionCell phone communications are acceptable and in fact preferable over cell phone reminders.

KeywordsHIV ART Adherence Cell phone Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-13-987 contains supplementary material, which is available to authorized users.

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Author: Florence Kinyua - Michael Kiptoo - Gideon Kikuvi - Joseph Mutai - Adrienne FA Meyers - Peter Muiruri - Elijah Songok

Source: https://link.springer.com/



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