Title

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

Year of Publication

2017

Number of Pages

351-359

Date Published

2017

ISSN Number

2511-705X

Abstract

<p><strong>BACKGROUND: </strong>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.</p>

<p><strong>OBJECTIVES: </strong>To develop and evaluate the usability of a smartphone-based software application (app) for tracking antiretroviral medication refill data in a resource-limited setting.</p>

<p><strong>METHODS: </strong>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.</p>

<p><strong>RESULTS: </strong>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.</p>

<p><strong>CONCLUSIONS: </strong>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.</p>

DOI

10.3414/ME17-01-0045

Alternate Title

Methods Inf Med

PMID

29582932

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