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, Amelia Graziani, Elizabeth Lowenthal, Nancy Hanrahan, Ryan Littman Quinn, Carrie Kovarik, Dolores Albarracin, John H. Holmes, Robert Gross

Research output: Contribution to journalArticle

Abstract

Background: Adherence to antiretroviral medication leads to HIV suppression and decreased morbidity and mortality. In resourcelimited 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.

Original languageEnglish (US)
Pages (from-to)351-359
Number of pages9
JournalMethods of Information in Medicine
Volume56
Issue number5
DOIs
StatePublished - Jan 1 2017

Keywords

  • HIV
  • Medical informatics
  • Medication adherence
  • Mobile applications
  • Smartphone

ASJC Scopus subject areas

  • Health Informatics
  • Advanced and Specialized Nursing
  • Health Information Management

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  • Cite this

    Coppock, D., Zambo, D., Moyo, D., Tanthuma, G., Chapman, J., Lo Re, V., Graziani, A., Lowenthal, E., Hanrahan, N., Quinn, R. L., Kovarik, C., Albarracin, D., Holmes, J. H., & Gross, R. (2017). Development and usability of a smartphone application for tracking antiretroviral medication refill data for human immunodeficiency virus. Methods of Information in Medicine, 56(5), 351-359. https://doi.org/10.3414/ME17-01-0045