Development and Usability of a Smartphone Application for Tracking Antiretroviral Medication Refill Data for Human Immunodeficiency Virus

Dagan Coppock; Dikai Zambo; Dumisani Moyo; Gobe Tanthuma; Jennifer Chapman; Vincent Lo Re III; Amelia Graziani; Elizabeth Lowenthal; Nancy Hanrahan; Ryan Littman-Quinn; Carrie Kovarik; Dolores Albarracin; John H. Holmes; Robert Gross

doi:10.3414/ME17-01-0045

Methods of Information in Medicine, Inhaltsverzeichnis

Methods Inf Med 2017; 56(05): 351-359
DOI: 10.3414/ME17-01-0045

Paper

Schattauer GmbH

Development and Usability of a Smartphone Application for Tracking Antiretroviral Medication Refill Data for Human Immunodeficiency Virus

Dagan Coppock

¹University of Pennsylvania, Perelman School of Medicine, Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

,

Dikai Zambo

²Botswana-UPenn Partnership, University of Botswana, Gaborone, Botswana

,

Dumisani Moyo

³Boitekanelo College, Gaborone, Botswana

,

Gobe Tanthuma

⁴Institute of Health Sciences, Princess Marina Hospital Campus, Gaborone, Botswana

,

Jennifer Chapman

⁵Children’s Hospital of Philadelphia, Philadelphia, PA, USA

,

Vincent Lo Re III

¹University of Pennsylvania, Perelman School of Medicine, Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

⁶University of Pennsylvania, Perelman School of Medicine, Clinical Center for Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Philadelphia, PA, USA

,

Amelia Graziani

¹University of Pennsylvania, Perelman School of Medicine, Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

⁷University of Pennsylvania, Perelman School of Medicine, Department of Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

,

Elizabeth Lowenthal

⁵Children’s Hospital of Philadelphia, Philadelphia, PA, USA

⁶University of Pennsylvania, Perelman School of Medicine, Clinical Center for Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Philadelphia, PA, USA

,

Nancy Hanrahan

⁸Northeastern University, Bouve College of Health Sciences, School of Nursing, Boston, MA, USA

,

Ryan Littman-Quinn

²Botswana-UPenn Partnership, University of Botswana, Gaborone, Botswana

,

Carrie Kovarik

²Botswana-UPenn Partnership, University of Botswana, Gaborone, Botswana

⁹University of Pennsylvania, Perelman School of Medicine, Department of Dermatology, Philadelphia, PA, USA

,

Dolores Albarracin

¹⁰University of Illinois at Urbana-Champaign, Department of Psychology, Champaign, IL, USA

,

John H. Holmes

⁶University of Pennsylvania, Perelman School of Medicine, Clinical Center for Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Philadelphia, PA, USA

,

Robert Gross

¹University of Pennsylvania, Perelman School of Medicine, Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

⁶University of Pennsylvania, Perelman School of Medicine, Clinical Center for Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, Philadelphia, PA, USA

› Institutsangaben

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.

Keywords

Medical informatics - smartphone - mobile applications - medication adherence - HIV

Volltext

Referenzen

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