{"doi":"10.1177/20552076241297746","title":"SMS reminders for monitoring tuberculosis treatment among women in Greater Accra region, Ghana","abstract":"<jats:p>Tuberculosis (TB) disease has been of public health interest for decades. Its effect on women is more pronounced in their reproductive years. Nonadherence to treatment among people with TB undermines treatment outcomes and worsens the disease. Directly observed therapy for TB requires patients to take their medicine under observation. Mobile phones present the most potential in providing privacy. This study examined the use of short message service (SMS) reminders for monitoring TB treatment adherence among women in the Greater Accra Region, Ghana. A quasi-experimental approach was used to assess the effect of SMS reminder intervention in two phases. Ten facilities were divided into two groups of five, with 105 and 125 for intervention and control groups, respectively. Adherence was assessed using the Medication Adherence Rating Scale for both groups before and after implementing the intervention and thereafter compared. STATA 15 was used to analyze data. Bivariate analyses were performed to assess medication uptake and factors associated with medication nonadherence between the intervention and control groups. p Values &lt; .05 were considered significant. The SMS reminder messages had positive effect on adherence (odds ratio = 4.45, 95% confidence interval = 1.64, 12.11, p &lt; .01). Educational level was the only variable significantly associated with TB treatments adherence. The findings suggest that a one-way SMS is feasible for supporting adherence to TB treatment in Ghana and other similar contexts.</jats:p>","journal":"DIGITAL HEALTH","year":2024,"id":645519,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1680904,"name":"Agnes Millicent Kotoh","orcid":null,"position":1,"is_corresponding":false},{"id":1680905,"name":"Philip Teg-Nefaah Tabong","orcid":null,"position":2,"is_corresponding":false},{"id":1680906,"name":"Ernest Tei Maya","orcid":null,"position":3,"is_corresponding":false},{"id":1259523,"name":"Kwasi Torpey","orcid":"0000-0003-1628-2922","position":4,"is_corresponding":false},{"id":601024,"name":"Awewura Kwara","orcid":"0000-0002-1118-8331","position":5,"is_corresponding":false},{"id":1125581,"name":"Margaret Lartey","orcid":null,"position":6,"is_corresponding":false},{"id":743381,"name":"Richard Adanu","orcid":"0000-0001-8053-6793","position":7,"is_corresponding":false},{"id":1680903,"name":"Caroline Dinam Badzi","orcid":"0000-0002-3966-1282","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"SMS reminders for monitoring tuberculosis treatment among women in Greater Accra region, Ghana","abstract":"<jats:p>Tuberculosis (TB) disease has been of public health interest for decades. Its effect on women is more pronounced in their reproductive years. Nonadherence to treatment among people with TB undermines treatment outcomes and worsens the disease. Directly observed therapy for TB requires patients to take their medicine under observation. Mobile phones present the most potential in providing privacy. This study examined the use of short message service (SMS) reminders for monitoring TB treatment adherence among women in the Greater Accra Region, Ghana. A quasi-experimental approach was used to assess the effect of SMS reminder intervention in two phases. Ten facilities were divided into two groups of five, with 105 and 125 for intervention and control groups, respectively. Adherence was assessed using the Medication Adherence Rating Scale for both groups before and after implementing the intervention and thereafter compared. STATA 15 was used to analyze data. Bivariate analyses were performed to assess medication uptake and factors associated with medication nonadherence between the intervention and control groups. p Values &lt; .05 were considered significant. The SMS reminder messages had positive effect on adherence (odds ratio = 4.45, 95% confidence interval = 1.64, 12.11, p &lt; .01). Educational level was the only variable significantly associated with TB treatments adherence. The findings suggest that a one-way SMS is feasible for supporting adherence to TB treatment in Ghana and other similar contexts.</jats:p>","is_dataset_classified":null,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"39569396","pmcid":"PMC11577461","openalex_id":"https://openalex.org/W4404548928","authors":[],"funders":[{"funder_name":"University of Florida-University of Ghana Training Program in Tuberculosis and HIV Research in Ghana and funded by the Fogarty International Center at the National Institutes of Health","grant_id":"TW010055","title":null},{"funder_name":"FIC NIH HHS","grant_id":"D43 TW010055","title":null},{"funder_name":"National Institutes of Health","grant_id":"1D43TW010055-01","title":"Training Program in Tuberculosis and HIV Research in Ghana"}],"total_grants":3,"fwci":1.3481,"citation_percentile":0.84012754,"influential_citations":0,"citation_trend":[{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"gold","license":"cc-by-nc","oa_locations":[{"url":"https://doi.org/10.1177/20552076241297746","host_type":"journal"},{"url":"https://doi.org/10.1177/20552076241297746","host_type":"publisher"},{"url":"https://journals.sagepub.com/doi/pdf/10.1177/20552076241297746","host_type":"publisher"},{"url":"https://journals.sagepub.com/doi/full-xml/10.1177/20552076241297746","host_type":"publisher"},{"url":"https://pubmed.ncbi.nlm.nih.gov/39569396","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11577461","host_type":"repository"},{"url":"https://doaj.org/article/d6c8e33f25b94ffb90d34fa269778182","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11577461/pdf/10.1177_20552076241297746.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC11577461","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC11577461?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1177/20552076241297746","host_type":""}],"fields_of_study":["Mobile Health and mHealth Applications","Health Literacy and Information Accessibility","ICT in Developing Communities","03 medical and health sciences","0305 other medical science"],"mesh_terms":[],"keywords":["Medicine","Short Message Service","Intervention (counseling)","Tuberculosis","Odds ratio","Confidence interval","Medication adherence","Public health","Family medicine","Disease","Environmental health","Bivariate analysis","Internal medicine","Psychiatry","Nursing","Technology","Adherence","Treatment","Women","Ghana","Mobile Phones","Sms","Computer applications to medicine. 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