RP-Department of Community Health

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Browsing RP-Department of Community Health by Subject "Adherence"

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    Effectiveness of mhealth in Improving Medication Adherence Among Hypertensive Patients on Follow-Up in a Tertiary Hospital in Central Kenya: a Randomized Controlled Trial
    (Medip Academy., 2023-04) Mutua, Ernest; Agina, Bonaventure O.; Mwanzo, Isaac
    Background: Non-adherence to medication is documented in the literature as a major barrier to blood pressure control among patients on treatment for hypertension. This study sought to evaluate the potential effectiveness of a mHealth intervention in supporting medication adherence among hypertensive patients on follow up. Methods: We undertook a single blind parallel randomized controlled trial among hypertensive patients undergoing follow up care in Nyeri County Referral Hospital between January and December, 2020. The trial comprised of two arms, with a total of 120 patients randomized on a 1:1 ratio. Patients in the experimental group were put on an educational health intervention comprising of mobile phone delivered SMS messages and interactive voice calls. Patients in the control group were continued on the usual care offered in the hospital’s medical outpatient clinic. The primary endpoint was medication adherence. Data was analyzed through the intention to treat approach at 5% significance level. Results: A total of 112 participants (93.3%) were retained in the study at the end of follow up. The proportion of patients who were adherent to their prescribed medications was higher by 38.3% among participants in the experimental arm compared to those in the control group (p<0.001). The odds of being adherent to medications was 6.1 times higher for patients who had received the study’s intervention compared to those in the control group (95% CI 2.6, 14.3). Conclusions: The mHealth intervention applied in this study was effective in improving medication adherence among patients on treatment for hypertension
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    Factors Affecting Adherence to PrEP Services Among Men Who Have Sex with Men in Nairobi Kenya
    (European Journal of Pharmaceutical and Medical Research, 2019) Maureen, Akolo; Osero, Justus; Kebira, Anthony; Kimani, Joshua; Gichuki, Richard; Gelmon, Lawrence
    In May 2017 Kenya rolled out PrEP among key and priority populations and this included Men who have sex with men (MSM) but. An Experimental study with mixed methods of data collection was done among the MSM to check if addressing factors that hinder adherence to PrEP services can improve adherence levels. Two facilities serving MSM were selected purposively, eligible MSM who have been on PrEP for at most a week were selected through simple random sampling and randomized to either arm. Intervention arm received PrEP refills, HIV testing, personalized counseling on importance of adhehering to PrEP services, they were sent short message reminder a day prior to their facility return date, pill count was used with 24 hour self recall on medication taken. Control arm received PrEP government services only which include PrEP refills, HIV testing and self report on adherence to pills. Both arms were followed for 6 months that is at month 1, 3 and 6. 84 study participants enrolled on each arm. Factor affecting MSM adherence on PrEP was assessed at month 1 and 6. Focused group discussions were carried out. Quantitative and qualitative data was analyzed. At month six intervention arm had a significant difference on factors affecting adherence to PrEP services compared to the control arm.