Kiburi Sarah Kanana, Paruk Saeeda, Chiliza Bonginkosi
Discipline of psychiatry, Nelson Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa.
Mbagathi Hospital, Nairobi Metropolitan Services, Nairobi, Kenya.
Front Digit Health. 2022 Aug 25;4:975168. doi: 10.3389/fdgth.2022.975168. eCollection 2022.
There is limited research on the use of digital interventions among individuals with opioid use disorders (OUD) in low-and-middle income countries. This study aimed to assess mobile phone ownership, digital technology use and acceptability of digital interventions for treatment among individuals on treatment for OUD in Nairobi, Kenya.
A cross-sectional study was conducted among individuals with OUD. Structured questionnaires were used to collect data on socio-demographic and clinical characteristics, use of mobile phones and other digital technology and acceptability of digital interventions for treatment.
One hundred and eighty participants were enrolled comprising 83.3% males with mean age of 31.5 years (SD 8.6). Mobile phone ownership was reported by 77.2% of participants of which 59.7% used smartphones. One hundred and sixty-six (92.2%) used phones to call, 82.8 and 77.2% used phones to send and receive text messages respectively; 30% used the internet; 57.2% had replaced the phone in past year and 51.1% of participants reported use of at least one social media platform, of these 44.4% had searched social media for information on drug use. Acceptability to receive treatment by phone was 95% and computer 49.4% with majority (88.1%) preferring a text message-based intervention. The preferred approach of delivery of a text message-based intervention were: one text message per day once a week, message to be personalized and individuals allowed to choose time and day to receive the message. Factors associated with acceptability of digital interventions were education level, being single, smartphone ownership and employment.
Majority of individuals on treatment for OUD had access to mobile phones but with high device turnover and limited access to computers and internet. There was high acceptability of digital interventions to provide treatment for OUDs, mostly through phones. These findings highlight factors to consider in the design of a digital intervention for this population.
在低收入和中等收入国家，针对患有阿片类药物使用障碍（OUD）的个体使用数字干预措施的研究有限。本研究旨在评估肯尼亚内罗毕接受OUD治疗的个体的手机拥有情况、数字技术使用情况以及数字干预措施用于治疗的可接受性。
对患有OUD的个体进行了一项横断面研究。使用结构化问卷收集有关社会人口统计学和临床特征、手机及其他数字技术的使用情况以及数字干预措施用于治疗的可接受性的数据。
共招募了180名参与者，其中男性占83.3%，平均年龄为31.5岁（标准差8.6）。77.2%的参与者报告拥有手机，其中59.7%使用智能手机。166人（92.2%）使用手机打电话，82.8%和77.2%的人分别使用手机收发短信；30%使用互联网；57.2%在过去一年更换过手机，51.1%的参与者报告使用过至少一个社交媒体平台，其中44.4%曾在社交媒体上搜索过有关药物使用的信息。通过电话接受治疗的可接受性为95%，通过计算机为49.4%，大多数人（88.1%）更喜欢基于短信的干预措施。基于短信的干预措施的首选交付方式为：每周一次，每天一条短信，短信要个性化，允许个体选择接收短信的时间和日期。与数字干预措施可接受性相关的因素包括教育水平、单身、拥有智能手机和就业情况。
大多数接受OUD治疗的个体能够使用手机，但手机更换频率高，使用计算机和互联网的机会有限。数字干预措施用于提供OUD治疗具有较高的可接受性，主要是通过手机。这些发现突出了在为该人群设计数字干预措施时需要考虑的因素。
