Designing, Developing, pilot implementation and evaluation of a mobile android based tool to improve health outcomes in adolescents and young adults living with HIV: An Agile model Human-Centered Design Science three-phase Methodology.
Résumé
Abstract Purpose: The objective of this study was to close the gap in healthcare providers’ skills, training and information sharing in HIV management by developing a mHealth artifact, with the aim of improving health management outcomes. Methods: This study used a three-phase Design Science human-centred methodology to develop the AnnMac android based communication application artifact. The design science methodology used consisted of problem identification, solution design and evaluation of the AnnMac application user experiences and impact. A descriptive cross-sectional case study used data collected from the literature review, and primary data from the participatory research approach. Secondly we used data collected from the AnnMac application user experiences and impact evaluation. Results: The AnnMac application was designed, developed, pilot implemented and registered on Google store and was ready for download by January 2020. Conclusions The evaluation of the AnnMac android mobile application showed a high rate (<85%) of adoption due to its simple-to-use features resulted in improved adherence to antiretroviral therapy and viral load suppression among patients and improved health care worker satisfaction and engagement in HIV care. Furthermore, the AnnMac m-health android based communication application helped health care providers communicate and engage with adolescents and young adults living with HIV using relevant guidelines and tailor made messages or information. In addition the AnnMac m-health android based communication application enabled health care providers manage adolescents and young adults living with HIV healthcare progress in improving their HIV management resulting in improved adherence to antiretroviral therapy and viral load suppression among patients.
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