Table 3. Feasibility and acceptability of real-time adherence monitor.
(N = 58, i.e. 19 in the daily SMS arm, 20 in the weekly SMS arm, 19 in the control arm) | |
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Feasibility issue | Comments |
Data loss* | 342/9224 (3.7%) of data were lost because of technical issues with the adherence monitors. |
Device malfunction* | 2 (3%) out of 60 devices malfunctioned due to technical failures and were replaced. |
Device battery changes* Taking pills from another source Reason(s) (n = 10) •Was traveling •Had not refilled the device Openings without pill removal (n = 8) •During refilling the monitor •Opened accidently |
Study staff replaced 4 batteries; poor mobile network resulted in repeated attempts to transmit the data which depleted the batteries before the anticipated battery lives. 10 (18%) of TB patients reported ever taking pills from another source during the study period. 7 (70%) 3 (30%) 4 (50%) 4 (50%) |
Acceptability | |
Perceived usefulness Perceived ease of use |
58 (100%) of TB patients reported that the real-time monitor: a) was useful in their TB medication adherence; b) helped them take their medication in time/as prescribed; d) positively affected the way they felt about taking medicine; e) and made it easier for TB patients to take their medication. 58 (100%) of TB patients found the real-time monitor easy to open and close, and remember to get pills. 45 (78%) of TB patients found the real-time monitor easy to travel with. |
Disclosure from the real-time monitor | 3 (5%) of TB patients reported that the adherence monitor resulted in unwanted disclosure of their TB status |
*Data about data loss, device malfunction, and battery changes were collected from Wisepill device. All other data were collected via patient questionnaires.