Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria.
Identifieur interne : 000529 ( Main/Exploration ); précédent : 000528; suivant : 000530Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria.
Auteurs : Adedotun A. Adetunji [Nigeria] ; Sufiyan A. Muyibi [Nigeria] ; Martins Imhansoloeva [Nigeria] ; Olusola M. Ibraheem [Nigeria] ; Adegbenga Sunmola [Nigeria] ; Olubunmi O. Kolawole [Nigeria] ; Oluwasina O. Akinrinsola [Nigeria] ; James O. Ojo-Osagie [Nigeria] ; Olusola A. Mosuro [Nigeria] ; Josephine O. Abiolu [Nigeria] ; Achiaka E. Irabor [Nigeria] ; Prosper Okonkwo [Nigeria] ; Isaac F. Adewole [Nigeria] ; Babafemi O. Taiwo [États-Unis]Source :
- AIDS care [ 1360-0451 ] ; 2017.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Femelle, Groupes focalisés, Humains, Infections à VIH (traitement médicamenteux), Jeune adulte, Mâle, Nigeria, Observance du traitement médicamenteux, Ordonnances médicamenteuses, Préférence du patient, Recherche qualitative, Rendez-vous et plannings, Soutien social, Téléphones portables, Établissements de soins ambulatoires, Études transversales.
- MESH :
- traitement médicamenteux : Infections à VIH.
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Femelle, Groupes focalisés, Humains, Jeune adulte, Mâle, Nigeria, Observance du traitement médicamenteux, Ordonnances médicamenteuses, Préférence du patient, Recherche qualitative, Rendez-vous et plannings, Soutien social, Téléphones portables, Établissements de soins ambulatoires, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Ambulatory Care Facilities, Appointments and Schedules, Cell Phones, Cross-Sectional Studies, Drug Prescriptions, Female, Focus Groups, HIV Infections (drug therapy), Health Services Accessibility, Humans, Male, Medication Adherence, Middle Aged, Nigeria, Patient Preference, Qualitative Research, Social Support, Young Adult.
- MESH :
- drug therapy : HIV Infections.
- Adolescent, Adult, Ambulatory Care Facilities, Appointments and Schedules, Cell Phones, Cross-Sectional Studies, Drug Prescriptions, Female, Focus Groups, Health Services Accessibility, Humans, Male, Medication Adherence, Middle Aged, Nigeria, Patient Preference, Qualitative Research, Social Support, Young Adult.
Abstract
In sub-Saharan African areas where antiretroviral (ARV) drugs are not available through community pharmacies, clinic-based pharmacies are often the primary source of ARV drug refills. Social pressure is mounting on treatment providers to adjust ARV refill services towards user-friendly approaches which prioritize patients' convenience and engage their resourcefulness. By this demand, patients may be signalling dissatisfaction with the current provider-led model of monthly visits to facility-based pharmacies for ARV refill. Mobile phones are increasingly popular in sub-Saharan Africa, and have been used to support ARV treatment goals in this setting. A patient-centred response to on-going social pressure requires treatment providers to view ARV refill activities through the eyes of patients who are negotiating the challenges of day-to-day life while contemplating their next refill appointment. Using focus groups of five categories of adult patients receiving combination ARV therapy, we conducted this cross-sectional qualitative study to provide insight into modifiable gaps between patients' expectations and experiences of the use of mobile phones in facility-based ARV refill service at a public HIV clinic in Nigeria. A notable finding was patients' preference for harnessing informal social support (through intermediaries with mobile phones) to maintain adherence to ARV refill appointments when they could not present in person. This evolving social support strategy also has the potential to enhance defaulter tracking. Our study findings may inform the development of ARV refill strategies and the design of future qualitative studies on client-provider communication by mobile phones in under-resourced HIV treatment programmes.
DOI: 10.1080/09540121.2016.1226476
PubMed: 27632470
Affiliations:
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Adetunji</name><affiliation wicri:level="1"><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>a Department of Family Medicine , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Muyibi, Sufiyan A" sort="Muyibi, Sufiyan A" uniqKey="Muyibi S" first="Sufiyan A" last="Muyibi">Sufiyan A. Muyibi</name><affiliation wicri:level="1"><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>a Department of Family Medicine , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Imhansoloeva, Martins" sort="Imhansoloeva, Martins" uniqKey="Imhansoloeva M" first="Martins" last="Imhansoloeva">Martins Imhansoloeva</name><affiliation wicri:level="1"><nlm:affiliation>b Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>b Department of Epidemiology and Medical Statistics, College of Medicine , University of Ibadan , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Ibraheem, Olusola M" sort="Ibraheem, Olusola M" uniqKey="Ibraheem O" first="Olusola M" last="Ibraheem">Olusola M. Ibraheem</name><affiliation wicri:level="1"><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>c APIN Plus , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Sunmola, Adegbenga" sort="Sunmola, Adegbenga" uniqKey="Sunmola A" first="Adegbenga" last="Sunmola">Adegbenga Sunmola</name><affiliation wicri:level="1"><nlm:affiliation>d Department of Psychology , University of Ibadan , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>d Department of Psychology , University of Ibadan , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Kolawole, Olubunmi O" sort="Kolawole, Olubunmi O" uniqKey="Kolawole O" first="Olubunmi O" last="Kolawole">Olubunmi O. Kolawole</name><affiliation wicri:level="1"><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>c APIN Plus , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Akinrinsola, Oluwasina O" sort="Akinrinsola, Oluwasina O" uniqKey="Akinrinsola O" first="Oluwasina O" last="Akinrinsola">Oluwasina O. Akinrinsola</name><affiliation wicri:level="1"><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>c APIN Plus , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Ojo Osagie, James O" sort="Ojo Osagie, James O" uniqKey="Ojo Osagie J" first="James O" last="Ojo-Osagie">James O. Ojo-Osagie</name><affiliation wicri:level="1"><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>c APIN Plus , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Mosuro, Olusola A" sort="Mosuro, Olusola A" uniqKey="Mosuro O" first="Olusola A" last="Mosuro">Olusola A. Mosuro</name><affiliation wicri:level="1"><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>a Department of Family Medicine , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Abiolu, Josephine O" sort="Abiolu, Josephine O" uniqKey="Abiolu J" first="Josephine O" last="Abiolu">Josephine O. Abiolu</name><affiliation wicri:level="1"><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>c APIN Plus , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Irabor, Achiaka E" sort="Irabor, Achiaka E" uniqKey="Irabor A" first="Achiaka E" last="Irabor">Achiaka E. Irabor</name><affiliation wicri:level="1"><nlm:affiliation>a Department of Family Medicine , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>a Department of Family Medicine , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Okonkwo, Prosper" sort="Okonkwo, Prosper" uniqKey="Okonkwo P" first="Prosper" last="Okonkwo">Prosper Okonkwo</name><affiliation wicri:level="1"><nlm:affiliation>e AIDS Prevention Initiative in Nigeria Ltd. Gte ., Abuja , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>e AIDS Prevention Initiative in Nigeria Ltd. Gte ., Abuja </wicri:regionArea><wicri:noRegion>Abuja </wicri:noRegion></affiliation></author><author><name sortKey="Adewole, Isaac F" sort="Adewole, Isaac F" uniqKey="Adewole I" first="Isaac F" last="Adewole">Isaac F. Adewole</name><affiliation wicri:level="1"><nlm:affiliation>c APIN Plus , University College Hospital , Ibadan , Nigeria.</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>c APIN Plus , University College Hospital , Ibadan </wicri:regionArea><wicri:noRegion>Ibadan </wicri:noRegion></affiliation></author><author><name sortKey="Taiwo, Babafemi O" sort="Taiwo, Babafemi O" uniqKey="Taiwo B" first="Babafemi O" last="Taiwo">Babafemi O. Taiwo</name><affiliation wicri:level="1"><nlm:affiliation>f Division of Infectious Diseases, Feinberg School of Medicine , Northwestern University , Chicago , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>f Division of Infectious Diseases, Feinberg School of Medicine , Northwestern University , Chicago </wicri:regionArea><wicri:noRegion>Chicago </wicri:noRegion></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Ambulatory Care Facilities</term><term>Appointments and Schedules</term><term>Cell Phones</term><term>Cross-Sectional Studies</term><term>Drug Prescriptions</term><term>Female</term><term>Focus Groups</term><term>HIV Infections (drug therapy)</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Medication Adherence</term><term>Middle Aged</term><term>Nigeria</term><term>Patient Preference</term><term>Qualitative Research</term><term>Social Support</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Infections à VIH (traitement médicamenteux)</term><term>Jeune adulte</term><term>Mâle</term><term>Nigeria</term><term>Observance du traitement médicamenteux</term><term>Ordonnances médicamenteuses</term><term>Préférence du patient</term><term>Recherche qualitative</term><term>Rendez-vous et plannings</term><term>Soutien social</term><term>Téléphones portables</term><term>Établissements de soins ambulatoires</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Ambulatory Care Facilities</term><term>Appointments and Schedules</term><term>Cell Phones</term><term>Cross-Sectional Studies</term><term>Drug Prescriptions</term><term>Female</term><term>Focus Groups</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Medication Adherence</term><term>Middle Aged</term><term>Nigeria</term><term>Patient Preference</term><term>Qualitative Research</term><term>Social Support</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Nigeria</term><term>Observance du traitement médicamenteux</term><term>Ordonnances médicamenteuses</term><term>Préférence du patient</term><term>Recherche qualitative</term><term>Rendez-vous et plannings</term><term>Soutien social</term><term>Téléphones portables</term><term>Établissements de soins ambulatoires</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In sub-Saharan African areas where antiretroviral (ARV) drugs are not available through community pharmacies, clinic-based pharmacies are often the primary source of ARV drug refills. Social pressure is mounting on treatment providers to adjust ARV refill services towards user-friendly approaches which prioritize patients' convenience and engage their resourcefulness. By this demand, patients may be signalling dissatisfaction with the current provider-led model of monthly visits to facility-based pharmacies for ARV refill. Mobile phones are increasingly popular in sub-Saharan Africa, and have been used to support ARV treatment goals in this setting. A patient-centred response to on-going social pressure requires treatment providers to view ARV refill activities through the eyes of patients who are negotiating the challenges of day-to-day life while contemplating their next refill appointment. Using focus groups of five categories of adult patients receiving combination ARV therapy, we conducted this cross-sectional qualitative study to provide insight into modifiable gaps between patients' expectations and experiences of the use of mobile phones in facility-based ARV refill service at a public HIV clinic in Nigeria. A notable finding was patients' preference for harnessing informal social support (through intermediaries with mobile phones) to maintain adherence to ARV refill appointments when they could not present in person. This evolving social support strategy also has the potential to enhance defaulter tracking. Our study findings may inform the development of ARV refill strategies and the design of future qualitative studies on client-provider communication by mobile phones in under-resourced HIV treatment programmes.</div></front></TEI><affiliations><list><country><li>Nigeria</li><li>États-Unis</li></country></list><tree><country name="Nigeria"><noRegion><name sortKey="Adetunji, Adedotun A" sort="Adetunji, Adedotun A" uniqKey="Adetunji A" first="Adedotun A" last="Adetunji">Adedotun A. Adetunji</name></noRegion><name sortKey="Abiolu, Josephine O" sort="Abiolu, Josephine O" uniqKey="Abiolu J" first="Josephine O" last="Abiolu">Josephine O. Abiolu</name><name sortKey="Adewole, Isaac F" sort="Adewole, Isaac F" uniqKey="Adewole I" first="Isaac F" last="Adewole">Isaac F. Adewole</name><name sortKey="Akinrinsola, Oluwasina O" sort="Akinrinsola, Oluwasina O" uniqKey="Akinrinsola O" first="Oluwasina O" last="Akinrinsola">Oluwasina O. Akinrinsola</name><name sortKey="Ibraheem, Olusola M" sort="Ibraheem, Olusola M" uniqKey="Ibraheem O" first="Olusola M" last="Ibraheem">Olusola M. Ibraheem</name><name sortKey="Imhansoloeva, Martins" sort="Imhansoloeva, Martins" uniqKey="Imhansoloeva M" first="Martins" last="Imhansoloeva">Martins Imhansoloeva</name><name sortKey="Irabor, Achiaka E" sort="Irabor, Achiaka E" uniqKey="Irabor A" first="Achiaka E" last="Irabor">Achiaka E. Irabor</name><name sortKey="Kolawole, Olubunmi O" sort="Kolawole, Olubunmi O" uniqKey="Kolawole O" first="Olubunmi O" last="Kolawole">Olubunmi O. Kolawole</name><name sortKey="Mosuro, Olusola A" sort="Mosuro, Olusola A" uniqKey="Mosuro O" first="Olusola A" last="Mosuro">Olusola A. Mosuro</name><name sortKey="Muyibi, Sufiyan A" sort="Muyibi, Sufiyan A" uniqKey="Muyibi S" first="Sufiyan A" last="Muyibi">Sufiyan A. Muyibi</name><name sortKey="Ojo Osagie, James O" sort="Ojo Osagie, James O" uniqKey="Ojo Osagie J" first="James O" last="Ojo-Osagie">James O. Ojo-Osagie</name><name sortKey="Okonkwo, Prosper" sort="Okonkwo, Prosper" uniqKey="Okonkwo P" first="Prosper" last="Okonkwo">Prosper Okonkwo</name><name sortKey="Sunmola, Adegbenga" sort="Sunmola, Adegbenga" uniqKey="Sunmola A" first="Adegbenga" last="Sunmola">Adegbenga Sunmola</name></country><country name="États-Unis"><noRegion><name sortKey="Taiwo, Babafemi O" sort="Taiwo, Babafemi O" uniqKey="Taiwo B" first="Babafemi O" last="Taiwo">Babafemi O. Taiwo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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