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RECRUITINGINTERVENTIONAL

My Mobile Wallet: An Intervention for Tuberculosis Medication Adherence in Rural Uganda

My Mobile Wallet: An Intervention to Support Access to Tuberculosis Care and Medication Adherence in Rural Uganda

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The goal of this clinical trial is to develop My Mobile Wallet- a behavioral and economic intervention to support tuberculosis treatment adherence in rural southwestern Uganda. The main question\[s\] it aims to answer are: • Determine the optimal design and develop My Mobile Wallet as an intervention to support tuberculosis medication adherence • Assess the initial feasibility and acceptability of using My Mobile Wallet to support tuberculosis medication. Participants will use My Mobile Wallet intervention for a period of six months. Researchers will compare My Mobile Wallet intervention versus standard care to see if there is an impact on tuberculosis medication adherence.

Who May Be Eligible (Plain English)

Who May Qualify: - Newly diagnosed with TB per the clinic records (TB patients living with HIV will also be eligible) - Starting TB treatment now or been on TB treatment for \<2 weeks - Owning a mobile phone - Aged 18 years and older - Live in Mbarara District - Willing to grow hair on the head and to allow a small thatch of it/hair (10-25 strands/0.02 ng/mg) to be cut at month 2 and 4 in the study - Willing and able to give consent. Who Should NOT Join This Trial: - Unable to use mobile money-based SMS (train and test this skill at recruitment) - Severe mental condition limiting the ability to provide consent Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Newly diagnosed with TB per the clinic records (TB patients living with HIV will also be eligible) * Starting TB treatment now or been on TB treatment for \<2 weeks * Owning a mobile phone * Aged 18 years and older * Live in Mbarara District * Willing to grow hair on the head and to allow a small thatch of it/hair (10-25 strands/0.02 ng/mg) to be cut at month 2 and 4 in the study * Willing and able to give consent. Exclusion Criteria: * Unable to use mobile money-based SMS (train and test this skill at recruitment) * Severe mental condition limiting the ability to provide consent

Treatments Being Tested

OTHER

SMS texts + incentives + Wisepill device for medication monitoring

For the first two months, 54 participants will receive i) daily SMS medication reminders, ii) monthly mobile money for transport to the clinic, and iii) monthly mobile money incentives if \>90% medication adherence. For the remaining four months, the participants will receive: i) weekly medication SMS reminders, ii) monthly mobile money for transport to the clinic, iv) monthly mobile money incentives if \>90% medication adherence.

OTHER

SMS texts only + Wisepill device for medication monitoring

For the first 2 months, 54 participants will receive daily SMS medication reminders, ii). For the remaining 4 months, the participants will receive weekly medication SMS reminders. All participants will also receive a Wisepill device for medication monitoring.

OTHER

Wisepill device for medication monitoring only

Participants (54) in the Control arm will not receive SMS reminders or mobile money. All participants will also receive a Wisepill device for medication monitoring.

Locations (1)

Mbarara Regional Referral Hospital
Mbarara, Uganda