Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria.
Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
PLoS One. 2024 Aug 15;19(8):e0309119. doi: 10.1371/journal.pone.0309119. eCollection 2024.
There is increasing evidence in favor of enhancing adherence to antiretroviral therapy (ART) in people living with HIV (PLHIV) through mobile health (mHealth) assessment and intervention. The study aims to establish the willingness to adopt mobile phone technology to enhance adherence to ART among PLHIV.
The Researchers adopted a cross-sectional survey. Systematic sampling was employed in selecting 237 PLHIV in the HIV clinic for adults at Ido-Ekiti's Federal Teaching Hospital, Nigeria. Data collection was via a 33-item semi-structured questionnaire administered by the interviewer. Information collected via the questionnaire included details on ownership of mobile phone technology, its usage, and willingness to use it to improve adherence to HIV medication. Descriptive statistics coupled with multivariate regression was employed in analyzing data, with the level of significance at 5%.
The respondent's had a mean ±SD age of 46.6 ±10 years. Most of the participants were female (77.6%), and have been on ART for over 2years (88.2%). The vast majority of study participants 233 (98.3%) owned a mobile phone. 168 (70.9%) of them were willing to embrace mHealth interventions on medication adherence. Some of the factors influencing the respondent's willingness to receive the intervention were older age (OR = 0.05, 95%Cl:[0.01-0.24]), having formal education (OR = 7.12, 95%Cl:[3.01-16.53]), being diagnosed over 10years ago (OR = 15.63, 95%Cl:[3.02-80.83]) and previous use of phone to send text messages, record video, access the internet, send email and search the internet for health-related information (OR = 2.2, 95%Cl:[1.2-3.9]; OR = 1.8, 95%Cl:[1.0-3.2]; OR = 2.5, 95%Cl:[1.4-4.7]; OR = 2.7, 95%Cl:[1.2-5.5] and OR = 2.0, 95%Cl:[1.0-3.8]) respectively.
Many of the PLHIV had a cellphone and expressed willingness on their part to use it in receiving reminders to take their medication. Older age, formal education and internet users were significantly more willing to get reminders to take their medication.
越来越多的证据表明，通过移动健康（mHealth）评估和干预，可以提高艾滋病毒感染者（PLHIV）对抗逆转录病毒治疗（ART）的依从性。本研究旨在确定 PLHIV 采用手机技术增强对 ART 依从性的意愿。
研究人员采用了横断面调查。在尼日利亚伊多-埃基蒂联邦教学医院的成人 HIV 诊所，采用系统抽样选择了 237 名 PLHIV。通过采访者进行的 33 项半结构式问卷收集数据。通过问卷收集的信息包括移动电话技术拥有情况、使用情况以及使用手机改善 HIV 药物依从性的意愿等详细信息。采用描述性统计和多变量回归分析数据，显著性水平为 5%。
受访者的平均年龄±标准差为 46.6±10 岁。大多数参与者为女性（77.6%），且接受 ART 治疗已超过 2 年（88.2%）。绝大多数研究参与者 233 人（98.3%）拥有手机。其中 168 人（70.9%）愿意接受关于药物依从性的 mHealth 干预措施。影响受访者接受干预意愿的一些因素包括年龄较大（OR=0.05，95%CI：[0.01-0.24]）、受过正规教育（OR=7.12，95%CI：[3.01-16.53]）、诊断时间超过 10 年（OR=15.63，95%CI：[3.02-80.83]）以及过去使用手机发送短信、录制视频、访问互联网、发送电子邮件和搜索互联网上的健康相关信息（OR=2.2，95%CI：[1.2-3.9]；OR=1.8，95%CI：[1.0-3.2]；OR=2.5，95%CI：[1.4-4.7]；OR=2.7，95%CI：[1.2-5.5]和 OR=2.0，95%CI：[1.0-3.8]）。
许多 PLHIV 都有手机，并表示愿意通过手机接收服药提醒。年龄较大、受过正规教育和互联网用户更愿意接受服药提醒。
