Author:
Zambo Dikai,Moyo Dumisani,Tanthuma Gobe,Chapman Jennifer,Re Vincent Lo,Graziani Amelia,Lowenthal Elizabeth,Hanrahan Nancy,Littman-Quinn Ryan,Kovarik Carrie,Albarracin Dolores,Holmes John H.,Gross Robert,Coppock Dagan
Abstract
Summary
Background: Adherence to antiretroviral medication leads to HIV suppression and decreased morbidity and mortality. In resource- limited settings, the dependence on paper medical charts and unstable electronic health records creates a challenge to monitoring medication adherence. A pharmacy-based strategy that utilizes existing cellular phone infrastructure may lead to a more stable system to monitor adherence.
Objectives: To develop and evaluate the usability of a smartphone-based software application (app) for tracking antiretroviral medication refill data in a resource-limited setting.
Methods: A pharmacy-based smartphone app for tracking HIV medication adherence was developed through a multi-step rapid prototyping process. The usability of the app was assessed during the daily activities of pharmacy dispensers at HIV clinics in and around Gaborone, Botswana using a validated computer usability survey.
Results: The study demonstrated the effective development of and favorable end-user responses to a pharmacy-based HIV medication adherence app. End users had suggestions for minor changes to improve the app’s functionality.
Conclusions: In resource-limited settings where electronic health record support is limited, such a system was feasible and appealing. In the future, this system may allow for improved HIV medication adherence tracking and be applied to medications beyond antiretrovirals.
Funder
Penn Center for AIDS Research
Subject
Health Information Management,Advanced and Specialised Nursing,Health Informatics
Cited by
12 articles.
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