Epidemiology and Biostatistics, Addis Continental Institute of Public Health (ACIPH), Addis Ababa, Ethiopia.
Global Health and Health Policy, Addis Continental Institute of Public Health (ACIPH), Addis Ababa, Ethiopia.
PeerJ. 2024 Nov 13;12:e18297. doi: 10.7717/peerj.18297. eCollection 2024.
Suboptimal medication adherence among individuals with diabetes presents a significant challenge in low-income nations. Growing evidence demonstrates the effectiveness of text messaging interventions to enhance medication adherence. This study assesses the intention to use Short Messaging Service (SMS) based reminder services in promoting drug adherence among diabetic patients and associated factors in Addis Ababa, Ethiopia.
An institution-based cross-sectional study was conducted from February 06, 2023, to March 27, 2023, in Addis Ababa, Ethiopia. A sample of 351 patients was selected using systematic random sampling. Structured questionnaires were used for data collection. Binary and multivariable logistic regression models were used to analyze the association between intention to use SMS reminders to promote drug adherence among individuals with diabetes and related factors.
A total of 333 respondents, with a 94.87% response rate, were interviewed for this study. The majority of respondents, 66.4 % (95% CI [61.9-71.2]), expressed an intention to use SMS-based reminder services to promote their drug adherence. Age < 45 years (AOR = 5.73, 95% CI [2.07-15.73]), higher educational level (AOR = 3.03, 95% CI [1.16-7.90]), type of diabetes (AOR = 3.71, 95% CI [1.16-7.90]), oral medication users (AOR = 2.99, 95% CI [1.42-6.32]), SMS as a preferred medium for communication (AOR = 2.86, 95% CI [1.17-7.00]) were deemed to be important variables linked to intention to use SMS reminders to promote drug adherence among individuals with diabetes.
The findings suggest the majority of individuals with diabetes have intention to use SMS reminders to enhance adherence. This result indicates the potential for utilization of SMS reminders to enhance adherence to diabetic medications. Furthermore, the findings highlight the importance of tailored interventions that take into account patient characteristics and preferences as factors that influence intention when designing such an intervention.
在低收入国家，糖尿病患者的药物治疗依从性不理想是一个重大挑战。越来越多的证据表明，短信干预措施可以有效提高药物治疗依从性。本研究评估了在埃塞俄比亚亚的斯亚贝巴使用短信服务（SMS）提醒服务促进糖尿病患者药物治疗依从性的意愿及其相关因素。
这是一项 2023 年 2 月 6 日至 3 月 27 日在埃塞俄比亚亚的斯亚贝巴进行的基于机构的横断面研究。使用系统随机抽样选择了 351 名患者作为样本。采用结构化问卷进行数据收集。使用二项和多变量逻辑回归模型分析了糖尿病患者使用 SMS 提醒来促进药物治疗依从性的意愿与相关因素之间的关系。
共有 333 名受访者（94.87%的应答率）接受了这项研究的访谈。大多数受访者（66.4%[95%CI[61.9-71.2]）表示愿意使用基于短信的提醒服务来促进他们的药物治疗依从性。年龄<45 岁（AOR=5.73，95%CI[2.07-15.73]）、较高的教育水平（AOR=3.03，95%CI[1.16-7.90]）、糖尿病类型（AOR=3.71，95%CI[1.16-7.90]）、口服药物使用者（AOR=2.99，95%CI[1.42-6.32]）、SMS 作为首选沟通媒介（AOR=2.86，95%CI[1.17-7.00]）被认为是与糖尿病患者使用 SMS 提醒来促进药物治疗依从性意愿相关的重要变量。
研究结果表明，大多数糖尿病患者有意愿使用 SMS 提醒来提高治疗依从性。这一结果表明，利用 SMS 提醒来提高糖尿病药物治疗依从性是可行的。此外，研究结果还强调了在设计此类干预措施时，需要考虑到患者的特征和偏好等因素，制定针对性的干预措施，以提高意愿。
