|dc.description.abstract||Mobile phone interventions such as text messaging have been used to improve
treatment adherence globally and in sub-Saharan Africa. Nevertheless, integrated
mobile phone intervention for adherence support in Ghana, has not been greatly
extensively explored. An explanatory integrated mixed method research approach
was employed within the context of a pragmatic paradigm to conduct a study in
In phase one; a randomised control trial was done to determine the effect of
mobile phone intervention on adherence in a two groups (Intervention and
Control). Respondents (n = 362) age 18-60 years, HIV seropositive, with access
to mobile phone were recruited and followed-up for six months.
The Control group received standard care while the Intervention group received
standard care, alarm prompting, weekly text messages and monthly voice calls.
The implementation of interventions was based on King's transactional model of
goal attainment while the logic model was used for intervention evaluation.
Primary (overall adherence: Self-report, visual analogue, pill identification, pill
count) and secondary (CD4 count and Body Mass Index) outcomes were
measured at baseline, month three and month six. In phase two, individual
interviews were conducted with six clients and two health professionals; three
focus group discussions were held with participants from the Intervention group at