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Table 3 Acceptability Results

From: A randomized controlled trial study of the acceptability, feasibility, and preliminary impact of SITA (SMS as an Incentive To Adhere): a mobile technology-based intervention informed by behavioral economics to improve ART adherence among youth in Uganda

Acceptability ComponentQuotes
Intervention Coherence“If […] you have the device, it helps you remember to take your drugs on time and also keeps drugs safe and helps to inspire you with the messages.” (Treatment Group 1)
Affective AttitudeEnjoying the Competition: “I would not love to lose SITA because it really changes a lot of people’s lives, and it has really changed my life because if I compare, sincerely speaking, my life now with the life backward or before SITA, it was really miserable in that I didn’t have anything to push me. But now with this project, there was competition, I was competing with the rest of my colleagues. I always wanted good marks from SITA, so it really encouraged me with all my friends. It really changed our lives. It was very wonderful.” (Treatment Group 1)
Increased Morale: “When you have the Wisepill device, it comes to your mind that someone will know whether you took drugs or not so it was always boosting morale.” (Treatment Group 2)
Helpful Reminders: “[SITA] was so good generally especially to us who used not to take our drugs well so it reminded us so much (Treatment Group 1)
Self-EfficacyUse of Wisepill Device: “You can easily move with it without anyone knowing what you are carrying and it’s only you that knows. One can easily mistake it for a power bank and not mind about it. It was very good especially making it easy to move with it rather than moving with medication containers while making noise.” (Treatment Group 2)
Use of SMS Messages: “I was eager to see the message because I very much wanted to see my percentage. Whenever, I saw my percentage for example like 30% or 50%, I would ask myself why it is 50%? I would ask myself, [and] it seemed here I skipped some minutes, so I am going to start to have to be punctual because poor adherence denied me a chance of the right percentage.” (Treatment Group 1)
Perceived EffectivenessTaking medication on time: “According to me, [Wisepill] is good because I used to take my drugs on a daily basis but not on time. It used to motivate me and I would say, let me take drugs on time so that I score good marks because someone is monitoring me, so it always reminded me to take drugs on time. That was its merit.” (Treatment Group 1)
Improved their overall quality of life: “It made me happy because before they gave it to me, I [thought] that even if I take the medication at the time I want, so long as I take, but for me it taught me that I have to take it on time... It made me set an alarm in my phone. If it rings I just know that I am missing something. In other words, it changed my life.” (Treatment Group 1)