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

TitleDevelopment and Usability of a Smartphone Application for Tracking Antiretroviral Medication Refill Data for Human Immunodeficiency Virus.
Publication TypeJournal Article
Year of Publication2017
AuthorsCoppock D, Zambo D, Moyo D, Tanthuma G, Chapman J, Re VLo, Graziani A, Lowenthal ED, Hanrahan N, Littman-Quinn R, Kovarik C, Albarracin D, Holmes JH, Gross R
JournalMethods Inf Med
Volume56
Issue5
Pagination351-359
Date Published2017
ISSN2511-705X
KeywordsAnti-Retroviral Agents, Demography, Drug Prescriptions, Female, HIV, HIV Infections, Humans, Male, Medication Adherence, Smartphone, Surveys and Questionnaires
Abstract

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.

DOI10.3414/ME17-01-0045
Alternate JournalMethods Inf Med
PubMed ID29582932
Grant ListPenn Center for AIDS Research / / T32-AI055435 / International
K23 MH095669 / MH / NIMH NIH HHS / United States
D43 TW009781 / TW / FIC NIH HHS / United States