Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study

Abstract HIV presents an ongoing, serious issue within the global public health domain, with prevalence across all nations. Mobile health (m-Health) is the use of mobile and wireless devices to improve health outcomes, health care services, and health research has been shown to have the capacity to...

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Main Authors: Chinelo Judith Ezelote, Eunice Anyalewechi Nwoke, Sally Nkechinyere Ibe, Blessed Okwuchi Nworuh, Chimezie Christian Iwuala, Obinna Godwin Udujih, Christopher Chike Anunonwu Okereke, Joy Nkechi Osuoji, Eleanor Asuzu, Oghenekowhoro Stephen Eyarefe, Ugochukwu Emmanuel Felix, Alexis Ebikonbowei Okaba
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-93964-9
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author Chinelo Judith Ezelote
Eunice Anyalewechi Nwoke
Sally Nkechinyere Ibe
Blessed Okwuchi Nworuh
Chimezie Christian Iwuala
Obinna Godwin Udujih
Christopher Chike Anunonwu Okereke
Joy Nkechi Osuoji
Eleanor Asuzu
Oghenekowhoro Stephen Eyarefe
Ugochukwu Emmanuel Felix
Alexis Ebikonbowei Okaba
author_facet Chinelo Judith Ezelote
Eunice Anyalewechi Nwoke
Sally Nkechinyere Ibe
Blessed Okwuchi Nworuh
Chimezie Christian Iwuala
Obinna Godwin Udujih
Christopher Chike Anunonwu Okereke
Joy Nkechi Osuoji
Eleanor Asuzu
Oghenekowhoro Stephen Eyarefe
Ugochukwu Emmanuel Felix
Alexis Ebikonbowei Okaba
author_sort Chinelo Judith Ezelote
collection DOAJ
description Abstract HIV presents an ongoing, serious issue within the global public health domain, with prevalence across all nations. Mobile health (m-Health) is the use of mobile and wireless devices to improve health outcomes, health care services, and health research has been shown to have the capacity to improve medication adherence. Good adherence to ART is beneficial to patients and the public. This study aimed to assess the reported usability and satisfaction of m-Health among people living with HIV/AIDS (PLWHA). The study included PLWHA under care at the Federal University Teaching Hospital (FUTH) Owerri who were previously enrolled in m-Health intervention programme. A total of 50 participants were purposefully selected for this study. This descriptive-qualitative study lasted for 3 months. In-depth interviews were conducted with 50 participants who had completed at least 7 weeks since enrolling in the trial. Data results were grouped into five main themes: varying usefulness of the intervention, the need for confidentiality, concerns about delivery modes, reasons for non-compliance, and barriers to attending appointments. Majority of the participants expressed satisfaction with the intervention they received, while some discontinued before the end due to reasons such as faith healing, use of herbal drugs, and fear of disclosure. The study emphasizes the need to integrate m-Health into standard care for PLWHA to enhance adherence to antiretroviral therapy (ART) refill schedules, medication dosage, and timing of intake. Due to the ongoing demand for more diverse and advanced technology, using mobile health to assist PLWHA in adhering to their medication is very feasible. Text messaging, phone calls, and WhatsApp audio notes have been recognized as valuable tools for promoting medication adherence and facilitating timely drug refills. The findings underscored the factors affecting patients’ readiness, acceptance, and the barriers to effectively utilizing mobile health solutions for managing adherence challenges. The majority of study participants expressed satisfaction with the ease of use of this m-Health intervention. They reported that it helped them with the timely intake of their medication at the correct dosage, prompt refills, and keeping appointments with healthcare personnel. It is important to integrate m-Health into standard hospital procedures. Future studies should focus on developing an app that automatically tracks medication intake for PLWHA.
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spelling doaj-art-4f37861a97cd44abbd103dfe49d26ead2025-08-20T03:01:34ZengNature PortfolioScientific Reports2045-23222025-03-0115111010.1038/s41598-025-93964-9Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative studyChinelo Judith Ezelote0Eunice Anyalewechi Nwoke1Sally Nkechinyere Ibe2Blessed Okwuchi Nworuh3Chimezie Christian Iwuala4Obinna Godwin Udujih5Christopher Chike Anunonwu Okereke6Joy Nkechi Osuoji7Eleanor Asuzu8Oghenekowhoro Stephen Eyarefe9Ugochukwu Emmanuel Felix10Alexis Ebikonbowei Okaba11Public Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriPublic Health Department, Federal University of Technology OwerriDental Technology Department, Federal University of Technology OwerriDental Technology Department, Federal University of Technology OwerriDepartment of Biological Sciences, University of AfricaAbstract HIV presents an ongoing, serious issue within the global public health domain, with prevalence across all nations. Mobile health (m-Health) is the use of mobile and wireless devices to improve health outcomes, health care services, and health research has been shown to have the capacity to improve medication adherence. Good adherence to ART is beneficial to patients and the public. This study aimed to assess the reported usability and satisfaction of m-Health among people living with HIV/AIDS (PLWHA). The study included PLWHA under care at the Federal University Teaching Hospital (FUTH) Owerri who were previously enrolled in m-Health intervention programme. A total of 50 participants were purposefully selected for this study. This descriptive-qualitative study lasted for 3 months. In-depth interviews were conducted with 50 participants who had completed at least 7 weeks since enrolling in the trial. Data results were grouped into five main themes: varying usefulness of the intervention, the need for confidentiality, concerns about delivery modes, reasons for non-compliance, and barriers to attending appointments. Majority of the participants expressed satisfaction with the intervention they received, while some discontinued before the end due to reasons such as faith healing, use of herbal drugs, and fear of disclosure. The study emphasizes the need to integrate m-Health into standard care for PLWHA to enhance adherence to antiretroviral therapy (ART) refill schedules, medication dosage, and timing of intake. Due to the ongoing demand for more diverse and advanced technology, using mobile health to assist PLWHA in adhering to their medication is very feasible. Text messaging, phone calls, and WhatsApp audio notes have been recognized as valuable tools for promoting medication adherence and facilitating timely drug refills. The findings underscored the factors affecting patients’ readiness, acceptance, and the barriers to effectively utilizing mobile health solutions for managing adherence challenges. The majority of study participants expressed satisfaction with the ease of use of this m-Health intervention. They reported that it helped them with the timely intake of their medication at the correct dosage, prompt refills, and keeping appointments with healthcare personnel. It is important to integrate m-Health into standard hospital procedures. Future studies should focus on developing an app that automatically tracks medication intake for PLWHA.https://doi.org/10.1038/s41598-025-93964-9Mobile healthARTPLWHAMedication adherence
spellingShingle Chinelo Judith Ezelote
Eunice Anyalewechi Nwoke
Sally Nkechinyere Ibe
Blessed Okwuchi Nworuh
Chimezie Christian Iwuala
Obinna Godwin Udujih
Christopher Chike Anunonwu Okereke
Joy Nkechi Osuoji
Eleanor Asuzu
Oghenekowhoro Stephen Eyarefe
Ugochukwu Emmanuel Felix
Alexis Ebikonbowei Okaba
Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study
Scientific Reports
Mobile health
ART
PLWHA
Medication adherence
title Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study
title_full Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study
title_fullStr Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study
title_full_unstemmed Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study
title_short Experiences of people living with HIV/AIDS in selected hospitals in Imo state, Nigeria, regarding the usability and satisfaction of reminders using M-health features: a qualitative study
title_sort experiences of people living with hiv aids in selected hospitals in imo state nigeria regarding the usability and satisfaction of reminders using m health features a qualitative study
topic Mobile health
ART
PLWHA
Medication adherence
url https://doi.org/10.1038/s41598-025-93964-9
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