{"doi":"10.1089/tmj.2024.0196","title":"Acceptability of Teleconsultation Services for HIV Care in Nigeria: A Mixed Methods Study","abstract":"Introduction: Access to HIV care remains challenging, especially for patients living in remote areas, despite advances in antiretroviral treatment. The acceptability of teleconsultations for routine HIV care post-COVID is not well-explored. We explored factors influencing teleconsultation acceptability among people living with HIV (PLWH) and attending a tertiary care center in Kano, Nigeria. Methods: We used a cross-sectional mixed methods study design. Structured questionnaires were administered to 415 PLWH, supplemented by in-depth interviews with a subsample ( n = 20). Logistic regression models and thematic analysis were used for data analyses. Results: Of 415 respondents, 55.7% ( n = 231) expressed willingness for teleconsultations. Primary motivations included convenience/efficiency (46.7%, n = 194), elimination of travel expenses (31.8%, n = 132), and remote access to specialist care (17.3%, n = 72). Reasons for reluctance included distrust of technology (61.9%, n = 260) and privacy concerns (37.1%, n = 156). Acceptance was higher among males (adjusted odds ratio (aOR) =1.58, 95% confidence interval (CI) = 1.12–3.72), participants with at least secondary education (aOR = 1.47, 95% CI = 1.27–4.97), monthly income ≥30,000 Naira (aOR = 2.16, 95% CI = 1.21–7.31), currently married (aOR = 3.26, 95% CI = 1.16–5.65), and participants without comorbidities (aOR = 2.03, 95% CI = 1.18–4.24). PLWH who self-assessed as being in good health (aOR = 3.77, 95% CI = 1.44–9.94), used the internet regularly (aOR = 3.12, 95% CI = 2.17–5.37), or were aware of telemedicine (aOR = 3.24, 95% CI = 2.45–7.68) were also more accepting of telehealth services. Themes highlighted the need to offer teleconsultation as an optional service. Conclusion: Teleconsultation acceptance among PLWH was influenced by sociodemographic, clinical, and technology-related factors. Successful integration of teleconsultation services for PLWH in similar settings necessitates targeted educational interventions and assessment of organizational readiness.","journal":"Telemedicine Journal and e-Health","year":2024,"id":481298,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9388,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1267499,"name":"Zubairu Iliyasu","orcid":"0000-0002-8669-1863","position":1,"is_corresponding":false},{"id":1267500,"name":"Aminatu A. Kwaku","orcid":"0000-0003-3604-231X","position":2,"is_corresponding":false},{"id":1320962,"name":"Abdullahi Sani","orcid":"0009-0008-4154-5396","position":3,"is_corresponding":false},{"id":1267958,"name":"Nafisa S. Nass","orcid":null,"position":4,"is_corresponding":false},{"id":1267501,"name":"Taiwo Gboluwaga Amole","orcid":"0000-0002-3931-2314","position":5,"is_corresponding":false},{"id":1267959,"name":"Hadiza M. Abdullahi","orcid":null,"position":6,"is_corresponding":false},{"id":1267960,"name":"Amina U. Abdullahi","orcid":null,"position":7,"is_corresponding":false},{"id":789120,"name":"Fatimah I. Tsiga-Ahmed","orcid":"0000-0003-4207-7981","position":8,"is_corresponding":false},{"id":1272241,"name":"Abubakar Mohammed Jibo","orcid":"0000-0003-4654-6669","position":9,"is_corresponding":false},{"id":1321366,"name":"Humayra A. Bashir MBBCh","orcid":null,"position":10,"is_corresponding":false},{"id":820637,"name":"Hamisu M. Salihu","orcid":"0000-0002-7829-4200","position":11,"is_corresponding":false},{"id":353143,"name":"Muktar H. Aliyu","orcid":"0000-0001-9504-4679","position":12,"is_corresponding":false},{"id":1267957,"name":"Bilkisu Z. Iliyasu","orcid":null,"position":0,"is_corresponding":true}],"reference_count":55,"raw_metadata":null,"created_at":"2026-07-19T02:07:06.225103Z","pmid":"39229755","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}