Perception, acceptability and challenges of digital adherence technology among TB healthcare workers.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2024-06-01 DOI:10.5588/pha.24.0008

I Gordon, B Odume, C Ogbudebe, O Chukwuogo, N Nwokoye, S Useni, E Efo, M Gidado, E Aniwada, A Ihesie, D Nongo, R Eneogu, O Chijioke-Akaniro, C Anyaike

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Abstract

Introduction: Successful treatment of TB requires high levels of adherence to treatment. This has been found to be below optimal with directly observed therapy (DOT), and digital adherence technologies (DATs) offer a promising approach to non-adherence to medication and improving treatment outcomes. This study explores the perception, acceptability, and challenges of DATs among healthcare workers (HCWs).

Methods: The study was conducted in eight states in Nigeria among Health Care workers involved in treating patients with TB. This was a descriptive cross-sectional study using an open questionnaire and analysed using IBM SPSS v25.

Results: Twenty-three HCWs (95.8%) agreed that DATs helped them provide better support and counselling to their patients. All of them would recommend DATs to their patients and found it easy to explain them. Eleven (45.8%) of them were not able to use DATs on a few occasions; their reasons were poor network (n = 9, 37.5%) and (n = 1, 4.2%) power failure.

Conclusion: DATs help HCWs provide better support and care regarding real-time tracking of their patients' adherence to treatment and possibly reduction of attrition. This implies that DATs are a suitable alternative to DOT to help HCWs provide the best care and support to their patients towards achieving the End TB targets.

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结核病医护人员对数字坚持治疗技术的认知、接受程度和挑战。

导言：结核病的成功治疗需要很高的治疗依从性。研究发现，直接观察疗法（DOT）的依从性并不理想，而数字依从性技术（DATs）为解决不依从用药问题和改善治疗效果提供了一种很有前景的方法。本研究探讨了医护人员（HCWs）对数字依从性技术的认识、接受程度和面临的挑战：这项研究在尼日利亚的八个州进行，研究对象是参与治疗肺结核患者的医护人员。这是一项描述性横断面研究，采用开放式问卷调查，并使用 IBM SPSS v25 进行分析：23 名医护人员（95.8%）认为 DATs 有助于他们为患者提供更好的支持和咨询。他们都会向病人推荐 DAT，并认为解释 DAT 很容易。其中11人（45.8%）有几次无法使用数据机，原因是网络不畅（9人，37.5%）和停电（1人，4.2%）：结论：DAT 可帮助医护人员在实时跟踪患者的治疗依从性方面提供更好的支持和护理，并可能减少流失。这意味着 DAT 是 DOT 的合适替代品，可帮助医护人员为患者提供最好的护理和支持，以实现终结结核病的目标。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.