Medication Management Companion (MMC) for a Rural Kenyan Community

Oduor, Erick; Nyota, Timothy; Wachira, Charles; Osebe, Sam; Remy, Sekou L.; Walcott, Aisha

doi:10.1145/3272973.3274041

Cited by 4 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most studies (4/10, 40%) had an average study period of about 12 months [36,37,40,43]. It is noteworthy that 6 of the 10 included studies were registered clinical trials that had unpublished results at the time of conducting this review [40][41][42][43][44][45]. The principal investigators of the included registered clinicals trials were contacted in order to ascertain the progress of the trials; however, no response was received at the time of concluding this review.…”

Section: Included Studiesmentioning

confidence: 99%

“…The number of studies with unpublished results and the variation in outcomes across studies made it difficult to conduct a meta-analysis. All included studies had an mHealth component, although some studies used a multimethod mHealth intervention approach, wherein support telephone calls were combined with educational instructions [38,41] or the use of mobile phone apps were combined with user interviews [44]. However, short messaging [36,37,42,45] and telephone calls [38,40,41,43] were the most common mHealth interventions.…”

Section: Included Studiesmentioning

confidence: 99%

“…Although studies had varied outcomes, most had treatment adherence (1/10, 10%) [44], cardiometabolic outcomes (5/10, 50%) [37,[40][41][42][43], or both (3/10, 30%) [35,36,45] as their primary or secondary study outcomes. The other studies had a combination of other outcomes that were not limited to treatment adherence or cardiometabolic outcomes, such as physical activity and the self-management of diabetes [38,42].…”

Section: Included Studiesmentioning

confidence: 99%

“…The majority of the studies (9/10, 90%) were conducted in hospital or clinic settings [35][36][37][38][40][41][42][43]45], whereas 10% (1/10) of the studies were conducted in a community setting in a rural area [44]. Furthermore, most of the studies were conducted in the high-income countries of Spain (2/10, 20%), the United States of America (4/10, 40%), and Australia (1/10, 10%…”

Section: Included Studiesmentioning

confidence: 99%

“…A total of 10 studies met the inclusion criteria and were included in the review. The majority of studies included in this review were conducted in high-income countries (7/10, 70%) [35,36,38,[40][41][42][43], and only a handful of studies were from LMICs (3/10, 30%) [37,44,45].…”

Section: Principal Findingsmentioning

confidence: 99%

See 4 more Smart Citations

mHealth Interventions for Treatment Adherence and Outcomes of Care for Cardiometabolic Disease Among Adults Living With HIV: Systematic Review

Odukoya¹,

Ohazurike²,

Akanbi³

et al. 2021

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background The success of antiretroviral therapy has led to an increase in life expectancy and an associated rise in the risk of cardiometabolic diseases (CMDs) among people living with HIV. Objective Our aim was to conduct a systematic review to synthesize the existing literature on the patterns of use and effects of mobile health (mHealth) interventions for improving treatment adherence and outcomes of care for CMD among people living with HIV. Methods A systematic search of multiple databases, including PubMed-MEDLINE, Embase, CINAHL, Scopus, Web of Science, African Journals online, ClinicalTrials.gov, and the World Health Organization Global Index Medicus of peer-reviewed articles, was conducted with no date or language restrictions. Unpublished reports on mHealth interventions for treatment adherence and outcomes of care for CMD among adults living with HIV were also included in this review. Studies were included if they had at least 1 component that used an mHealth intervention to address treatment adherence or 1 or more of the stated outcomes of care for CMD among people living with HIV. Results Our search strategy yielded 1148 unique records. In total, 10 articles met the inclusion criteria and were included in this review. Of the 10 studies, only 4 had published results. The categories of mHealth interventions ranged from short messaging, telephone calls, and wearable devices to smartphone and desktop web-based mobile apps. Across the different categories of interventions, there were no clear patterns in terms of consistency in the use of a particular intervention, as most studies (9/10, 90%) assessed a combination of mHealth interventions. Short messaging and telephone calls were however the most common interventions. Half of the studies (5/10, 50%) reported on outcomes that were indirectly linked to CMD, and none of them provided reliable evidence for evaluating the effectiveness of mHealth interventions for treatment adherence and outcomes of care for CMD among people living with HIV. Conclusions Due to the limited number of studies and the heterogeneity of interventions and outcome measures in the studies, no definitive conclusions could be drawn on the patterns of use and effects of mHealth interventions for treatment adherence and outcomes of care for CMD among people living with HIV. We therefore recommend that future trials should focus on standardized outcomes for CMD. We also suggest that future studies should consider having a longer follow-up period in order to determine the long-term effects of mHealth interventions on CMD outcomes for people living with HIV. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42018086940; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42018086940

show abstract