{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T10:28:44Z","timestamp":1777112924181,"version":"3.51.4"},"reference-count":45,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Suboptimal medication adherence among individuals with diabetes presents a significant challenge in low-income nations. Growing evidence demonstrates the effectiveness of text messaging interventions to enhance medication adherence. This study assesses the intention to use Short Messaging Service (SMS) based reminder services in promoting drug adherence among diabetic patients and associated factors in Addis Ababa, Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>An institution-based cross-sectional study was conducted from February 06, 2023, to March 27, 2023, in Addis Ababa, Ethiopia. A sample of 351 patients was selected using systematic random sampling. Structured questionnaires were used for data collection. Binary and multivariable logistic regression models were used to analyze the association between intention to use SMS reminders to promote drug adherence among individuals with diabetes and related factors.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 333 respondents, with a 94.87% response rate, were interviewed for this study. The majority of respondents, 66.4 % (95% CI [61.9\u201371.2]), expressed an intention to use SMS-based reminder services to promote their drug adherence. Age &lt; 45 years (AOR = 5.73, 95% CI [2.07\u201315.73]), higher educational level (AOR = 3.03, 95% CI [1.16\u20137.90]), type of diabetes (AOR = 3.71, 95% CI [1.16\u20137.90]), oral medication users (AOR = 2.99, 95% CI [1.42\u20136.32]), SMS as a preferred medium for communication (AOR = 2.86, 95% CI [1.17\u20137.00]) were deemed to be important variables linked to intention to use SMS reminders to promote drug adherence among individuals with diabetes.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The findings suggest the majority of individuals with diabetes have intention to use SMS reminders to enhance adherence. This result indicates the potential for utilization of SMS reminders to enhance adherence to diabetic medications. Furthermore, the findings highlight the importance of tailored interventions that take into account patient characteristics and preferences as factors that influence intention when designing such an intervention.<\/jats:p>\n<\/jats:sec>","DOI":"10.7717\/peerj.18297","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T10:46:42Z","timestamp":1731494802000},"page":"e18297","source":"Crossref","is-referenced-by-count":2,"title":["Intention to use short messaging services for promoting drug adherence among individuals with diabetes in Addis Ababa, Ethiopia"],"prefix":"10.7717","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4189-6943","authenticated-orcid":true,"given":"Solomon","family":"Alem","sequence":"first","affiliation":[{"name":"Epidemiology and Biostatistics, Addis Continental Institute of Public Health (ACIPH), Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Gulema","sequence":"additional","affiliation":[{"name":"Global Health and Health Policy, Addis Continental Institute of Public Health (ACIPH), Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4443","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"10.7717\/peerj.18297\/ref-1","doi-asserted-by":"publisher","first-page":"956","DOI":"10.14419\/ijet.v7i3.20.28425","article-title":"Using technology acceptance model (TAM) model to assess the lecturers\u2019 behavioral intention to use e- learning system in University of Babylon","volume":"7","author":"Abboodi","year":"2018","journal-title":"International Journal of Engineering & Technology"},{"key":"10.7717\/peerj.18297\/ref-2","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1186\/s13104-017-3025-7","article-title":"Medication adherence and its associated factors among diabetic patients at Zewditu Memorial Hospital, Addis Ababa, Ethiopia","volume":"10","author":"Ali","year":"2017","journal-title":"BMC Research Notes"},{"key":"10.7717\/peerj.18297\/ref-3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0970-258X.323446","article-title":"Text messaging improves diabetes-related knowledge of patients in India: a quasi-experimental study","volume":"34","author":"Basu","year":"2021","journal-title":"National Medical Journal of India"},{"issue":"4","key":"10.7717\/peerj.18297\/ref-4","doi-asserted-by":"publisher","first-page":"324","DOI":"10.20529\/IJME.2018.048","article-title":"Under-recognised ethical dilemmas of diabetes care in resource-poor settings","volume":"3","author":"Basu","year":"2018","journal-title":"Indian Journal of Medical Ethics"},{"issue":"4","key":"10.7717\/peerj.18297\/ref-5","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1007\/s11747-019-00680-8","article-title":"Technology readiness: a meta-analysis of conceptualizations of the construct and its impact on technology usage","volume":"48","author":"Blut","year":"2020","journal-title":"Journal of the Academy of Marketing Science"},{"key":"10.7717\/peerj.18297\/ref-6","doi-asserted-by":"publisher","first-page":"1499","DOI":"10.2147\/PPA.S364604","article-title":"Willingness to receive mHealth messages among diabetic patients at Mizan Tepi University teaching hospital: implications for digital health","volume":"16","author":"Bogale","year":"2022","journal-title":"Patient Preference and Adherence"},{"issue":"3","key":"10.7717\/peerj.18297\/ref-7","doi-asserted-by":"publisher","first-page":"953","DOI":"10.12973\/eurasia.2017.00652a","article-title":"Factors influencing the behavioural intention to use statistical software: the perspective of the Slovenian students of social sciences","volume":"13","author":"Brezav\u0161\u010dek","year":"2016","journal-title":"EURASIA Journal of Mathematics Science and Technology Education"},{"key":"10.7717\/peerj.18297\/ref-8","volume-title":"EDHS ethiopian demographic and health survey, 2016","author":"Central Statistical, Agency (CSA)","year":"2016"},{"issue":"3","key":"10.7717\/peerj.18297\/ref-9","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.ecl.2021.05.012","article-title":"Characterizing multimorbidity from type 2 diabetes","volume":"50","author":"Cicek","year":"2021","journal-title":"Endocrinology and Metabolism Clinics of North America"},{"issue":"2","key":"10.7717\/peerj.18297\/ref-10","doi-asserted-by":"publisher","first-page":"e14078","DOI":"10.2196\/14078","article-title":"The mobile alliance for maternal action text message-based mHealth intervention for maternal care in South Africa: qualitative user study","volume":"7","author":"Coleman","year":"2020","journal-title":"JMIR Human Factors"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-11","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1186\/s12902-022-01133-0","article-title":"Non-adherence to medication and associated factors among type 2 diabetes patients at Clinique Medicale Fraternite, Rwanda: a cross-sectional study","volume":"22","author":"de Murwanashyaka","year":"2022","journal-title":"BMC Endocrine Disorders"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-12","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s13690-019-0347-z","article-title":"The determinants of anti-diabetic medication adherence based on the experiences of patients with type 2 diabetes","volume":"77","author":"Dehdari","year":"2019","journal-title":"Archives of Public Health"},{"key":"10.7717\/peerj.18297\/ref-13","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1186\/s12889-019-7687-z","article-title":"Acceptability and feasibility of short message service to improve ART medication adherence among people living with HIV\/AIDS receiving antiretroviral treatment at Adama Hospital Medical College, Central Ethiopia","volume":"19","author":"Endebu","year":"2019","journal-title":"BMC Public Health"},{"key":"10.7717\/peerj.18297\/ref-14","doi-asserted-by":"publisher","first-page":"4081","DOI":"10.2147\/DMSO.S428210","article-title":"Willingness to receive mHealth services among patients with diabetes on chronic follow-up in public hospitals in Eastern Ethiopia: multicenter mixed-method study","volume":"16","author":"Firdisa","year":"2023","journal-title":"Diabetes, Metabolic Syndrome and Obesity"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-15","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1186\/s43058-020-00050-4","article-title":"Predicting implementation: comparing validated measures of intention and assessing the role of motivation when designing behavioral interventions","volume":"1","author":"Fishman","year":"2020","journal-title":"Implementation Science Communications"},{"issue":"5","key":"10.7717\/peerj.18297\/ref-16","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1007\/s10461-015-1192-x","article-title":"A randomized controlled trial of personalized text message reminders to promote medication adherence among HIV-positive adolescents and young adults","volume":"20","author":"Garofalo","year":"2016","journal-title":"AIDS and Behavior"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-17","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1186\/s13643-019-1014-8","article-title":"Medication adherence influencing factors\u2014an (updated) overview of systematic reviews","volume":"8","author":"Gast","year":"2019","journal-title":"Systematic Reviews"},{"issue":"23","key":"10.7717\/peerj.18297\/ref-18","doi-asserted-by":"publisher","first-page":"3028","DOI":"10.1161\/CIRCULATIONAHA.108.768986","article-title":"Medication adherence: its importance in cardiovascular outcomes","volume":"119","author":"Ho","year":"2009","journal-title":"Circulation"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-19","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1177\/1357633X15586641","article-title":"Use of and interest in mobile health for diabetes self-care in vulnerable populations","volume":"22","author":"Humble","year":"2016","journal-title":"Journal of Telemedicine and Telecare"},{"issue":"9","key":"10.7717\/peerj.18297\/ref-20","doi-asserted-by":"publisher","first-page":"e005805","DOI":"10.1161\/CIRCOUTCOMES.119.005805","article-title":"Effects of mobile text messaging on glycemic control in patients with coronary heart disease and diabetes mellitus: a randomized clinical trial","volume":"12","author":"Huo","year":"2019","journal-title":"Circulation: Cardiovascular Quality and Outcomes"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-21","doi-asserted-by":"publisher","first-page":"e0209654","DOI":"10.1371\/journal.pone.0209654","article-title":"Capacity and willingness to use information technology for managing chronic diseases among patients: a cross-sectional study in Lahore, Pakistan. Fu K wa, editor","volume":"14","author":"Iftikhar","year":"2019","journal-title":"PLOS ONE"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-22","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1093\/pubmed\/fdv009","article-title":"Mobile phone use and willingness to pay for SMS for diabetes in Bangladesh","volume":"38","author":"Ismal","year":"2016","journal-title":"Journal of Public Health"},{"key":"10.7717\/peerj.18297\/ref-23","doi-asserted-by":"publisher","first-page":"e021766","DOI":"10.1136\/bmjopen-2018-021766","article-title":"Access to mobile phone and willingness to receive mHealth services among patients with diabetes in Northwest Ethiopia: a cross-sectional study","volume":"9","author":"Jemere","year":"2019","journal-title":"BMJ Open"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-24","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1186\/s12911-015-0193-z","article-title":"Willingness to receive text message medication reminders among patients on antiretroviral treatment in North West Ethiopia: a cross-sectional study","volume":"15","author":"Kebede","year":"2015","journal-title":"BMC Medical Informatics and Decision Making"},{"issue":"4","key":"10.7717\/peerj.18297\/ref-25","doi-asserted-by":"publisher","first-page":"604","DOI":"10.2337\/dc14-2098","article-title":"Determinants of adherence to diabetes medications: findings from a large pharmacy claims database","volume":"38","author":"Kirkman","year":"2015","journal-title":"Diabetes Care"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-26","doi-asserted-by":"publisher","first-page":"21","DOI":"10.4301\/S1807-17752017000100002","article-title":"The literature review of technology adoption models and theories for the novelty technology","volume":"14","author":"Lai","year":"2017","journal-title":"JISTEM"},{"key":"10.7717\/peerj.18297\/ref-27","article-title":"Technology acceptance model: a review","author":"Marikyan","year":"2023"},{"key":"10.7717\/peerj.18297\/ref-28","doi-asserted-by":"publisher","first-page":"605","DOI":"10.2147\/JMDH.S298167","article-title":"Barriers and facilitators of mobile text message reminder system implementation in improving child vaccination: a qualitative study in Northwest Ethiopia","volume":"14","author":"Mekonnen","year":"2021","journal-title":"JMDH"},{"issue":"6","key":"10.7717\/peerj.18297\/ref-29","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.1016\/j.pec.2021.10.011","article-title":"User preferences for and engagement with text messages to support antihypertensive medication adherence: findings from a pilot study evaluating an emergency department-based behavioral intervention","volume":"105","author":"Nelson","year":"2022","journal-title":"Patient Education and Counseling"},{"issue":"3","key":"10.7717\/peerj.18297\/ref-30","doi-asserted-by":"publisher","first-page":"668","DOI":"10.9745\/GHSP-D-20-00685","article-title":"Using mHealth to improve timeliness and quality of maternal and newborn health in the primary health care system in Ethiopia","volume":"9","author":"Nigussie","year":"2021","journal-title":"Global Health: Science and Practice"},{"key":"10.7717\/peerj.18297\/ref-31","doi-asserted-by":"publisher","first-page":"29","DOI":"10.11604\/pamj.2020.37.29.25174","article-title":"Mobile phone ownership and willingness to receive mHealth services among patients with diabetes mellitus in South-West, Nigeria","volume":"37","author":"Olamoyegun","year":"2020","journal-title":"Pan African Medical Journal"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-32","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1007\/s12126-010-9077-9","article-title":"Diffusion of technology: frequency of use for younger and older adults","volume":"36","author":"Olson","year":"2011","journal-title":"Ageing International"},{"issue":"12","key":"10.7717\/peerj.18297\/ref-33","doi-asserted-by":"publisher","first-page":"100418","DOI":"10.1016\/j.conctc.2019.100418","article-title":"The use of text messaging for improving adherence to anti-diabetic regimen and glycaemic control in low-resource settings of South Africa: a study protocol for a randomised controlled trial","volume":"15","author":"Owolabi","year":"2019","journal-title":"Contemporary Clinical Trials Communications"},{"issue":"8","key":"10.7717\/peerj.18297\/ref-34","doi-asserted-by":"publisher","first-page":"e110","DOI":"10.2196\/mhealth.7144","article-title":"The impact of text messaging on medication adherence and exercise among postmyocardial infarction patients: randomized controlled pilot trial","volume":"5","author":"Pandey","year":"2017","journal-title":"JMIR mHealth and uHealth"},{"issue":"9","key":"10.7717\/peerj.18297\/ref-35","doi-asserted-by":"publisher","first-page":"1932","DOI":"10.1111\/jan.12400","article-title":"A quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence","volume":"70","author":"Park","year":"2014","journal-title":"Journal of Advanced Nursing"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-36","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1186\/s12911-019-0830-z","article-title":"Epileptic patients\u2019 willingness to receive cell-phone based medication reminder in Northwest Ethiopia","volume":"19","author":"Senay","year":"2019","journal-title":"BMC Medical Informatics and Decision Making"},{"key":"10.7717\/peerj.18297\/ref-37","doi-asserted-by":"publisher","first-page":"e000322","DOI":"10.1136\/bmjdrc-2016-000322","article-title":"Willingness of patients with diabetes to use an ICT-based self-management tool: a cross-sectional study","volume":"5","author":"Shibuta","year":"2017","journal-title":"BMJ Open Diabetes Research & Care"},{"key":"10.7717\/peerj.18297\/ref-38","doi-asserted-by":"publisher","first-page":"600","DOI":"10.14742\/ajet.940","article-title":"Analysis of the technology acceptance model in examining students\u2019 behavioural intention to use an eportfolio system","volume":"27","author":"Shroff","year":"2011","journal-title":"Australasian Journal of Educational Technology"},{"key":"10.7717\/peerj.18297\/ref-39","article-title":"The IT security adoption conundrum: an initial step toward validation of applicable measures","author":"Shropshire","year":"2007"},{"issue":"3","key":"10.7717\/peerj.18297\/ref-40","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1001\/jamainternmed.2015.7667","article-title":"Mobile telephone text messaging for medication adherence in chronic disease: a meta-analysis","volume":"176","author":"Thakkar","year":"2016","journal-title":"JAMA Internal Medicine"},{"issue":"1","key":"10.7717\/peerj.18297\/ref-41","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s12978-019-0725-6","article-title":"Health workers\u2019 experiences with the Safe Delivery App in West Wollega Zone, Ethiopia: a qualitative study","volume":"16","author":"Thomsen","year":"2019","journal-title":"Reproductive Health"},{"key":"10.7717\/peerj.18297\/ref-42","doi-asserted-by":"publisher","first-page":"275","DOI":"10.3389\/fphar.2018.01454","article-title":"Comparison of interventions to improve long-term medication adherence across different clinical conditions: a systematic review with network meta-analysis","volume":"9","author":"Torres-Robles","year":"2018","journal-title":"Frontiers in Pharmacology"},{"key":"10.7717\/peerj.18297\/ref-43","doi-asserted-by":"publisher","first-page":"e100761","DOI":"10.1136\/bmjhci-2023-100761","article-title":"Willingness of diabetes mellitus patients to use mHealth applications and its associated factors for self-care management in a low-income country: an input for digital health implementation","volume":"30","author":"Walle","year":"2023","journal-title":"BMJ Health & Care Informatics"},{"issue":"17\u201318","key":"10.7717\/peerj.18297\/ref-44","doi-asserted-by":"publisher","first-page":"2554","DOI":"10.1111\/jocn.12471","article-title":"A single-item self-report medication adherence question predicts hospitalisation and death in patients with heart failure","volume":"23","author":"Wu","year":"2014","journal-title":"Journal of Clinical Nursing"},{"issue":"7","key":"10.7717\/peerj.18297\/ref-45","doi-asserted-by":"publisher","first-page":"100167","DOI":"10.1016\/j.ijans.2019.100167","article-title":"Prevalence of anti-diabetic medication adherence and determinant factors in Ethiopia: a systemic review and meta-analysis, 2019","volume":"11","author":"Yazew","year":"2019","journal-title":"International Journal of Africa Nursing Sciences"}],"container-title":["PeerJ"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/peerj.com\/articles\/18297.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/peerj.com\/articles\/18297.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/peerj.com\/articles\/18297.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/peerj.com\/articles\/18297.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T10:46:48Z","timestamp":1731494808000},"score":1,"resource":{"primary":{"URL":"https:\/\/peerj.com\/articles\/18297"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,13]]},"references-count":45,"alternative-id":["10.7717\/peerj.18297"],"URL":"https:\/\/doi.org\/10.7717\/peerj.18297","archive":["CLOCKSS","LOCKSS","Portico"],"relation":{},"ISSN":["2167-8359"],"issn-type":[{"value":"2167-8359","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,13]]},"article-number":"e18297"}}