Journal
AIDS AND BEHAVIOR
Volume 14, Issue 6, Pages 1294-1301Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-010-9720-1
Keywords
mHealth; Mobile phones; Adherence data collection; Resource-limited settings
Funding
- NIAID NIH HHS [P30 AI042853] Funding Source: Medline
- NIMH NIH HHS [K24 MH087227, R21 MH083306, R01 MH054907, R21MH083306, R21 MH083306-01, K24 MH092242, K23 MH087228] Funding Source: Medline
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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
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