Feasibility and Acceptability of a Mobile Health Application Among Adolescents and Young Adults Living with HIV in Fako Division, South West, Cameroon: Guidance for Development

Abstract Mobile health applications have emerged as promising tools for improving healthcare delivery and patient outcomes, particularly in the context of HIV care. Adolescents and young adults living with HIV face unique challenges in accessing and adhering to treatment, making them a vulnerable population that could greatly benefit from mobile health interventions. In this study, we assessed the feasibility and acceptability of a mobile health application among adolescents and young adults living with HIV. This study was conducted from February to April 2023 in the four health districts within Fako Division. The study utilized a mixed-methods approach to gather comprehensive insights from HIV clients and their healthcare provider. Quantitative data were collected using a structured questionnaire, while qualitative data collection was conducted through focus group discussions (FGDs). Qualitative data was analyzed with Atlas.ti Version9 while the quantitative data analyzed with SPSS Version 25. Among the 119 participants enrolled, 102 (85.7%) demonstrated the ability to read and write while 111 (93.3%) were able to use social media platform. The proportion of participates aged ≤ 19 years who didn’t own a mobile phone was significantly higher (55.4%) among participants, compared to those aged 20–24 years (7.41%) (p = 0.001). Majority (86.6%) expressed the desire to use a mobile health application to facilitate the care and treatment services they receive. Participants expressed desired that software should be able to provide reminders and prevention tips, social corner, drug side effects and appointments. However, they had concerns about the confidentiality of their health information. This study reveals evidence of high proficiency in using mobile applications making it promising for mhealth application to be accepted. However, it also emphasizes the need to prioritize and implement a robust system to ensure privacy and confidentiality during the use of a mobile health application.