Challenges in using mobile phones for collection of antiretroviral therapy adherence data in a resource-limited setting

Jessica E. Haberer, Julius Kiwanuka, Denis Nansera, Ira B. Wilson, David R. Bangsberg

Research output: Contribution to journalArticlepeer-review

105 Scopus citations

Abstract

Frequent antiretroviral therapy adherence monitoring could detect incomplete adherence before viral rebound develops and thus potentially prevent treatment failure. Mobile phone technologies make frequent, brief adherence interviews possible in resource-limited settings; however, feasibility and acceptability are unknown. Interactive voice response (IVR) and short message service (SMS) text messaging were used to collect adherence data from 19 caregivers of HIV-infected children in Uganda. IVR calls or SMS quantifying missed doses were sent in the local language once weekly for 3-4 weeks. Qualitative interviews were conducted to assess participant impressions of the technologies. Participant interest and participation rates were high; however, weekly completion rates for adherence queries were low (0-33%), most commonly due to misunderstanding of personal identification numbers. Despite near ubiquity of mobile phone technology in resource-limited settings, individual level collection of healthcare data presents challenges. Further research is needed for effective training and incentive methods.

Original languageEnglish (US)
Pages (from-to)1294-1301
Number of pages8
JournalAIDS and Behavior
Volume14
Issue number6
DOIs
StatePublished - Dec 2010
Externally publishedYes

Keywords

  • Adherence data collection
  • Mhealth
  • Mobile phones
  • Resource-limited settings

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Challenges in using mobile phones for collection of antiretroviral therapy adherence data in a resource-limited setting'. Together they form a unique fingerprint.

Cite this