Evidence map›Paper›PMID 31969998›Full record

ArticleTuberculosis research and treatment2020

Mobile Health Technologies May Be Acceptable Tools for Providing Social Support to Tuberculosis Patients in Rural Uganda: A Parallel Mixed-Method Study.

Angella Musiimenta, Wilson Tumuhimbise, Esther C Atukunda, Aaron T Mugaba, Conrad Muzoora, Mari Armstrong-Hough, David Bangsberg, J Lucian Davis, Jessica E Haberer

Open access · hybridAbstract read
In one paragraph

Article in Tuberculosis research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Angella MusiimentaMbarara University of Science and Technology, Mbarara, Uganda.ORCID https://orcid.org/0000-0003-1983-696X
Wilson TumuhimbiseMbarara University of Science and Technology, Mbarara, Uganda.
Esther C AtukundaMbarara University of Science and Technology, Mbarara, Uganda.ORCID https://orcid.org/0000-0002-0045-0138
Aaron T MugabaMbarara University of Science and Technology, Mbarara, Uganda.
Conrad MuzooraMbarara University of Science and Technology, Mbarara, Uganda.
Mari Armstrong-HoughUganda Tuberculosis Implementation Research Consortium, Makerere University, Kampala, Uganda.
David BangsbergOregon Health & Science University-Portland State University School of Public Health, USA.
J Lucian DavisUganda Tuberculosis Implementation Research Consortium, Makerere University, Kampala, Uganda.
Jessica E HabererHarvard Medical School, Boston, MA, USA.
Mbarara University of Science and Technology · UGYale University · USHarvard University · USPortland State University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TB and Other Pulmonary Complications of AIDS Research Training ProgramD43TW009607 · FIC · YALE UNIVERSITY · PI DAVIS, JOHN LUCIAN, KATAMBA, ACHILLES · 2013 to 2022
$3.2M
Optimizing mHealth for adherence monitoring and interventionK24MH114732 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HABERER, JESSICA ELIZABETH · 2017 to 2021
$800k
Real time Tuberculosis Medication Adherence Intervention in Rural Southwestern UgandaK43TW010388 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI MUSIIMENTA, ANGELLA · 2016 to 2021
$602k
Patient-centered mobile technology interventions to improve maternal health in UgandaK43TW011004 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI ATUKUNDA, ESTHER CATHYLN · 2018 to 2022
$542k
FIC NIH HHS D43 TW009607FIC NIH HHS K43 TW010388FIC NIH HHS K43 TW011004NCATS NIH HHS UL1 TR001863NIMH NIH HHS K24 MH114732
6 · The paper itself

Abstract

backgroundSocial support has been shown to mitigate social barriers to medication adherence and improve tuberculosis (TB) treatment success rates. The use of mobile technology to activate social support systems among TB patients, however, has not been well explored. Moreover, studies that tie supportive SMS (Short Message Service) texts to electronic monitoring of TB medication adherence are lacking.

objectiveTo explore TB patients' current access to social support and perceptions of utilizing real-time adherence monitoring interventions to support medication adherence.

methodsWe purposively selected TB patients who owned phones, had been taking TB medications for ≥1 month, were receiving their treatment from Mbarara Regional Referral Hospital, and reported having ≥1 social supporter. We interviewed these patients and their social supporters about their access to and perceptions of social support. We used STATA 13 to describe participants' sociodemographic and social support characteristics. Qualitative data were analyzed using content analysis to derive categories describing accessibility and perceptions.

resultsTB patients report requesting and receiving a variety of different forms of social support, including instrumental (e.g., money for transport and other needs and medication reminders), emotional (e.g., adherence counselling), and informational (e.g., medication side effects) support through mobile phones. Participants felt that SMS notifications may motivate medication adherence by creating a personal sense of obligation to take medications regularly. Participants anticipated that limited financial resources and relationship dynamics could constrain the provision of social support especially when patients and social supporters are not oriented about their expectations.

conclusionMobile telephones could provide alternative approaches to providing social support for TB medication adherence especially where patients do not stay close to their social supporters. Further efforts should focus on optimized designs of mobile phone-based applications for providing social support to TB patients and training of TB patients and social supporters to match their expectations.

Identifiers

PMID31969998
PMCPMC6969997
OpenAlexW2999930344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.