Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda

<h4>Background</h4> Tuberculosis (TB) continues to persist with a high disease burden globally. Non-adherence to treatment remains a major problem to TB control. In Uganda, one in every four TB patients does not adhere to their TB medication. The purpose of this study was to design, deve...

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Main Authors: Kenneth Kidonge Katende, Mercy R. Amiyo, Sarah Nabukeera, Ian Mugisa, Patrick Kaggwa, Stellah Namatovu, Simon Peter Atwiine, Simon Kasasa
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462710/?tool=EBI
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author Kenneth Kidonge Katende
Mercy R. Amiyo
Sarah Nabukeera
Ian Mugisa
Patrick Kaggwa
Stellah Namatovu
Simon Peter Atwiine
Simon Kasasa
author_facet Kenneth Kidonge Katende
Mercy R. Amiyo
Sarah Nabukeera
Ian Mugisa
Patrick Kaggwa
Stellah Namatovu
Simon Peter Atwiine
Simon Kasasa
author_sort Kenneth Kidonge Katende
collection DOAJ
description <h4>Background</h4> Tuberculosis (TB) continues to persist with a high disease burden globally. Non-adherence to treatment remains a major problem to TB control. In Uganda, one in every four TB patients does not adhere to their TB medication. The purpose of this study was to design, develop and assess implementation of a voice-text-based mobile application to support TB patients’ adherence to medication. <h4>Methods</h4> Design science research methodology (DSRM) was utilized to develop a voice-text-based mobile health application. Agile software methodology was used to achieve steps of DSRM that are; design and development. Focus group discussions (FGDs) and Key informant interviews (KIIs) were conducted and data analysed using thematic content analysis. <h4>Results</h4> During problem identification, Stigma, transport costs, being asymptomatic, drug side effects, lack of family support were identified as challenges affecting adherence. Technologies identified and used for the development of the voice-text application included; extensible mark-up language (XML) File, Apache server, Ubuntu Server, Hypertext Pre-processor, and jQuery. In the pilot study, 27 voice messages were broadcasted, 85.2% were delivered, 103 text messages were sent and 92.2% were delivered to the intended recipients. <h4>Conclusions</h4> Voice-text message mobile health application can be used to reach a wider patient population and it has the capability of addressing some of the challenges affecting TB medication adherence.
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spelling doaj.art-033fc005bf9d4d1c8dcbeba6fa2adb9b2022-12-22T03:46:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in UgandaKenneth Kidonge KatendeMercy R. AmiyoSarah NabukeeraIan MugisaPatrick KaggwaStellah NamatovuSimon Peter AtwiineSimon Kasasa<h4>Background</h4> Tuberculosis (TB) continues to persist with a high disease burden globally. Non-adherence to treatment remains a major problem to TB control. In Uganda, one in every four TB patients does not adhere to their TB medication. The purpose of this study was to design, develop and assess implementation of a voice-text-based mobile application to support TB patients’ adherence to medication. <h4>Methods</h4> Design science research methodology (DSRM) was utilized to develop a voice-text-based mobile health application. Agile software methodology was used to achieve steps of DSRM that are; design and development. Focus group discussions (FGDs) and Key informant interviews (KIIs) were conducted and data analysed using thematic content analysis. <h4>Results</h4> During problem identification, Stigma, transport costs, being asymptomatic, drug side effects, lack of family support were identified as challenges affecting adherence. Technologies identified and used for the development of the voice-text application included; extensible mark-up language (XML) File, Apache server, Ubuntu Server, Hypertext Pre-processor, and jQuery. In the pilot study, 27 voice messages were broadcasted, 85.2% were delivered, 103 text messages were sent and 92.2% were delivered to the intended recipients. <h4>Conclusions</h4> Voice-text message mobile health application can be used to reach a wider patient population and it has the capability of addressing some of the challenges affecting TB medication adherence.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462710/?tool=EBI
spellingShingle Kenneth Kidonge Katende
Mercy R. Amiyo
Sarah Nabukeera
Ian Mugisa
Patrick Kaggwa
Stellah Namatovu
Simon Peter Atwiine
Simon Kasasa
Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda
PLoS ONE
title Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda
title_full Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda
title_fullStr Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda
title_full_unstemmed Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda
title_short Design, development, and testing of a voice-text mobile health application to support Tuberculosis medication adherence in Uganda
title_sort design development and testing of a voice text mobile health application to support tuberculosis medication adherence in uganda
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462710/?tool=EBI
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