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Digital Adherence Technologies Linked to Mobile Money Incentives for Medication Adherence Among People Living With
Angella Musiimenta1,2, Wilson Tumuhimbise1,2, Esther Atukunda3
1Faculty of Computing and Informatics, Mbarara University of Science and Technology, Mbarara, Uganda.
JMIR Human Factors
|May 31, 2024
Summary
Integrating digital adherence technologies with mobile money incentives proved feasible and acceptable for improving tuberculosis medication adherence in a low-income Ugandan setting. This approach addresses financial barriers and enhances patient engagement in treatment.
Area of Science:
- Public Health
- Digital Health
- Infectious Disease Management
Background:
- Digital adherence technologies (DATs) combined with mobile money incentives may enhance tuberculosis medication adherence.
- The feasibility and acceptability of integrating DATs with financial incentives for tuberculosis treatment remain underexplored, particularly in low-income settings.
Purpose of the Study:
- To assess the feasibility and acceptability of the My Mobile Wallet intervention for tuberculosis medication adherence.
- The intervention integrates real-time adherence monitoring, SMS reminders, and mobile money incentives in a low-income Ugandan context.
Main Methods:
- A purposive sample of 39 adults with tuberculosis was recruited from Mbarara Regional Referral Hospital, Uganda.
- Data on feasibility and acceptability were collected via interviews and questionnaires using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework.
- Feasibility also involved tracking the functionality of the electronic pillbox, SMS delivery, and mobile money transactions; data were analyzed qualitatively and quantitatively.
Main Results:
- All participants found the My Mobile Wallet intervention feasible and easy to use, with high rates of SMS (97.4%) and adherence data transmission (98.37%).
- The intervention was acceptable, as it improved medication adherence, alleviated financial burdens through incentives, and provided timely reminders.
- Participants preferred daily SMS reminders and perceived real-time monitoring as encouraging commitment, fostering emotional support and healthcare connection.
Conclusions:
- The My Mobile Wallet intervention, combining adherence monitoring, SMS reminders, and mobile money incentives, is feasible and acceptable for tuberculosis patients in low-resource settings.
- This integrated approach effectively addresses poverty-based structural barriers that often hinder tuberculosis treatment adherence and care.
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