University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Med Inform Decis Mak. 2019 Jun 24;19(1):109. doi: 10.1186/s12911-019-0830-z.
Poor adherence compromises medication treatment effectiveness which results in suboptimal illness control. This can lead to increased use of healthcare services, reduction in patients' quality of life and increased healthcare costs. Reminding patients of their medication intake increases their adherence. Therefore, this study aimed to assess the willingness of epileptic patients to receive cell-phone based medication reminders and its associated factors in Northwest Ethiopia.
Institution based cross sectional study was conducted in the study period scheduled from March 1 to April 30, 2018 to interview 422 study participants at University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia. Systematic random sampling was used to select 422 epileptic patients. A structured interviewer administered questionnaire was used to collect data and analyzed by using SPSS version 21. Binary and multivariate logistic regression analysis was performed to identify the determinant factors for willingness to receive cell-phone based medication reminders. P < 0.05 at 95% confidence interval was considered statistically significant.
A total of 394 (93% response rate) respondents were interviewed. The majority of respondents 262 (66.5%) owned a cellphone. Among the participants 271 (68.8%) were willing to receive reminder messages. In the multivariate regression analysis; living in urban areas (AOR = 5.63, 95% CI; 3.18-9.96), experience of forgetting things (AOR = 2.63, 95% CI; 1.44-4.80), forgetting to take Long-term Antiepileptic Drugs (AEDs) (AOR = 2.17, 95% CI; 1.06-4.43) and average monthly income ≥2000 birr (AOR = 2.43, 95% CI; 1.03-5.75) were significantly associated with willingness to receive cell-phone medication reminders. Pertaining to marital status; being married (AOR = 5.75, 95% CI; 1.11-29.70) or divorced (AOR = 5.15, 95% CI; 1.29-20.49) participants were also more willing to receive cell-phone medication reminders as compared to singles.
Most respondents have a cellphone and were willing to use it as a medication reminder. Marital status, place of residence, average monthly income, experience of forgetting things since they started AED, forget to take AED are the most notable factors that are associated with the willingness of patients to receive cell phone drug reminder messages.
药物治疗效果不佳会导致患者的依从性降低，进而影响疾病控制效果。这可能导致医疗服务利用率增加、患者生活质量下降和医疗费用增加。提醒患者按时服药可以提高其依从性。因此，本研究旨在评估埃塞俄比亚西北部癫痫患者接受基于手机的药物提醒的意愿及其相关因素。
本研究为 2018 年 3 月 1 日至 4 月 30 日期间在贡德尔大学综合和专科医院进行的基于机构的横断面研究，共访谈了 422 名研究参与者。采用系统随机抽样方法选取了 422 名癫痫患者。使用结构化访谈者管理的问卷收集数据，并使用 SPSS 版本 21 进行分析。采用二项和多变量逻辑回归分析确定接受基于手机的药物提醒意愿的决定因素。置信区间为 95%，P 值<0.05 被认为具有统计学意义。
共访谈了 394 名（93%的应答率）受访者。大多数受访者（66.5%）拥有手机。在参与者中，271 名（68.8%）愿意接受提醒信息。在多变量回归分析中，居住在城市地区（AOR=5.63，95%CI；3.18-9.96）、有遗忘事情的经历（AOR=2.63，95%CI；1.44-4.80）、忘记服用长期抗癫痫药物（AED）（AOR=2.17，95%CI；1.06-4.43）和月收入≥2000 比尔（AOR=2.43，95%CI；1.03-5.75）与愿意接受基于手机的药物提醒显著相关。就婚姻状况而言，已婚（AOR=5.75，95%CI；1.11-29.70）或离婚（AOR=5.15，95%CI；1.29-20.49）的参与者比单身参与者更愿意接受基于手机的药物提醒。
大多数受访者都有手机，愿意使用手机作为药物提醒。婚姻状况、居住地、月收入、开始服用 AED 后忘记事情的经历、忘记服用 AED 是与患者接受手机药物提醒信息意愿相关的最显著因素。
