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. 2020 Sep 10;22(9):e18038. doi: 10.2196/18038

Table 2.

Factors influencing implementation of adherence monitors and associated interventions according to the Consolidated Framework for Implementation Research domains. The category of participant endorsing each factor is indicated per the footnote.

Intervention Outer Inner Individual Process
  • Metrics of value

    • Improved monitoring and support for adherencea

    • Tool for management of viremiab

    • Improved clinical outcomesa

    • Facilitation of differentiated careb

  • Device and SMSc featuresa

  • Real-time monitoring versus stored recordsa

  • Structural determinants of healthb

  • International normsb

  • Funding in the context of costs and benefitsb

  • Data-informed counselinga

  • Quality of counselinga

  • Clinic moralea

  • Existing infrastructure and care expendituresb

  • Facilitation of efficient care deliveryb

  • Need for in-service training, staffing, and supportb

  • Desire for healtha

  • Desire to please cliniciansd

  • Not using monitors as planneda

  • Poverty, stigma, and privacya

  • Decision making by the Ministry of Health and other fundersa

  • Sustainabilityb

  • Target populationa

  • Coordination across the health care systemb

aBoth health care administrators/clinicians and antiretroviral therapy client.

bHealth care administrators/clinicians only.

cSMS: short message service.

dAntiretroviral therapy clients only.