Table 3 Participants quotes related to each construct of acceptability
Themes related to | Theoretical framework construct | Example of quotation |
|---|---|---|
Needs | Perceived benefits | “…because it reminds me, you find that mothers, like we, are very busy. But, when you see the message, ohoo, you say ‘let me count some few minutes’. It reminds you that its time.” 45-year-old married woman |
“Firstly, the device stores well the medications. Secondly, you get motivation of taking medications because you know that you have something (device) and third, it is not easy for someone to recognize it even if someone sees it…” 32-year-old single woman | ||
“This device does not make a sound while using it. If you just take the pills out of the usual medication containers, the person in the second room will hear, it does ‘karakaka’. 30 years-old single woman | ||
Perceived effectiveness | “SMS reminders helped a lot because they made me to take medications on time or they would remind me to take my pills when I forgot.” 28 years old married woman | |
“I think it has made me to take my medication on time. Because I never miss a pill, but it's just I don’t take them on time. Few times I take them correctly on time.” 34 years old married woman | ||
“Another thing, it makes me to not be forgetful, since I keep remembering that there is a device that I have to open to take my drugs.” 23 years old single woman | ||
Affective attitude | “Actually, the way it’s working, I see it is good, that is, I love it very much, very, very much.” 34 years old married woman | |
“…. we would like to be given (DAT) to all the people with this problem.” 31 years old married woman | ||
“It would be nice to receive reminder message, because most people right now use the phone. So, if someone got a reminder text that you have to take your medication at certain time. It would be very helpful, because someone would know… if I didn't take the medication they will know (health care people).” 31 years married woman | ||
Ethicality | “The device is acceptable, because you are at peace when you are with it, as you can bring it with you when you go out or travel with it without someone else noticing what you have.” 23 years old married woman | |
“I share my phone with my child. Even though my child knows this problem and I have no problem with it and he also keep my secret.” 37 years old single woman | ||
“…it's not easy to know what is inside the device.” 32 years old single woman | ||
Intervention coherence | “…. I don’t know. I just know it’s a thing to store medications.” 45 years old married woman | |
“… for this device, when I open it, it turns on the lights. It sends information that I took the medication. So, health care providers or researchers, will really know that, I follow what I have been taught in the clinic.” 31 years old married woman | ||
“It is this way, I open and take the cartridge out. I take my pills and then I close it and return it inside.” 23 years old married woman | ||
Self-efficacy | “I felt good using the device, because I told to myself: ‘they gave it to me because they think I was capable of using it.’” 29 years old married woman | |
“…. it didn't last even a few seconds, because after I received the SMS I knew it’s for my health.” 29 years old married woman | ||
Barriers | Perceived severity | “These people are watching me. My child refused to give me medicine from the device. He said ‘mother, they will see me there’. My husband also said: ‘you will use yourself that device because they will see us, we will not touch your device.’” – 28 years old married woman |
“But this device, even if you place it in your handbag you can go anywhere but it’s difficult for someone to know.” 29 years old married woman | ||
Perceived susceptibility | “…Eeeh medicine… someone might ask what medicine you are taking?…… For me, a solution is that the word medicines should be removed, because someone will know that.” – 29 years old married woman | |
“The issue of the message is good. But the challenge was at the very beginning when I was used to be reminded with the message to take “medication”. Now it made me worried to think where I left my phone on the table, while I am outside or am taking bath.”—29 years old married woman | ||
Perceived burden | “About two times, I noticed I didn’t receive SMS.” 30 years old single women | |
“I felt bad the first time before getting the advice because you can find I took medications on time and then I receive SMS that you haven’t taken on time, that’s where it confused me.” 25 years old married woman | ||
“I normally receive reminder SMS although I have already taken [pills].” 30 years old single woman | ||
Contents | Cues to action | “….. I feel like education which is related to HIV is important to me, because I didn’t even know how to give medication to my child, which I was given for 42 days after I gave birth.” 30 years old single woman |
“I also bought Septrin without knowing its function. I was just following the instruction which was given to me by the health provider.” 30 years old single woman | ||
“Mmmm…my opinion is that there should be a system people would be sent a medication reminder message from the clinic. This would help our fellows to remember the time to take medication, as there was our neighbour who died, because he stayed three months without taking medication.” 31 years old married woman | ||
Suggested content for reminder and education | “There is a message which has irritated me. It is the one of “use medication on time”, that word “medication.” 30 years old single woman | |
“I would choose SMS that even when someone else get to see it he/she will not understand the meaning of that SMS.” 30 years old single woman | ||
“For me, the solution is the word medicines to be removed, because someone might know that am taking medication.” 29 years old married woman | ||
… they should probably be, “remember to eat fruit for your health” …. “eat fruit”, “drink water”, “remember to drink water.” 33 years old married woman | ||
“I would like to know, for example, for a mother with such a disease, how long she should breastfeed.” 33 years old married woman | ||
“Why do they say that a child is at danger of getting infected after a year while they grow tooth after six months?” 30 years old single woman | ||
“I would like to receive education about taking medications, because it will help me remember well and I will know very well that if I don't take medications, I will get this and this, I will be like this.” 45 years old married woman | ||
“Education should be about how to avoid overthinking.” 30 years old single woman | ||
“Other education to receive, I think, should be about food/nutrition meaning balanced diet for other people like us. When I say other people, it does not mean I am not among of them aa– no but it is only that for me I do really care about my health.” 23 years old single woman | ||
“Then you (research team/health care workers) can also take note of maybe the person's clinics visit dates and call her maybe the day before visit to remind.” 29 years old married woman | ||
“Interviewer: And what about educative ones, after how long should they be sent?” “Responder: I think educational message should be sent each week.” 30 years old single woman | ||
“For me I like to receive the reminders every day.” 30 years old single woman |