Use of Smartphone-Based Video Directly Observed Therapy to Increase Tuberculosis Medication Adherence: An Interventional Study.

IF 0.5 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Galen Medical Journal Pub Date : 2023-07-03 eCollection Date: 2023-01-01 DOI:10.31661/gmj.v12i.3067
Manal M Al Daajani, Abdullah J Alsahafi, Abdullah M Algarni, Abdulhamed L Moawwad, Ahmed A Osman, Khalid Y A Algaali, Mohammed Abdalaziz, Muhammad A Halwani, Shrooq M Aldajani, Nazik M H Mohammed, Heassah S Alshamrani, Mohammed N Alshahrani, Ghadah M Albostani, Naif G Alshammari, Rami S Alzahrani, Saadiya O Alsomali, Ibrahim Assiri
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Abstract

Background: Tuberculosis (TB) treatment through Directly Observed Therapy (DOT) has an alternative form of video surveillance therapy (VOT) that utilizes the technological capabilities of smartphones to provide patients with low-cost access to doctors without impacting their work and personal life. We aimed to assess TB patients' drug compliance, perceptions, and feasibility towards smartphone-based video direct observed therapy (VDOT) in Jeddah, KSA.

Materials and methods: We conducted a prospective non-randomized interventional study. We delivered smartphone-based VDOT among previously unstudied patients to monitor adherence to the treatment regimen. The expected total number of VDOT sessions was1200. We conducted post-intervention interviews to assess acceptability and satisfaction.

Results: In this study, we included 20 participants, 16 of whom were males, with a mean age of 34.3 (±12.5) years. No side effects to the treatments were identified in all participants. The adherence rate for the total period was 93% and 99.5%, measured by the first and second methods, respectively. Most participants were satisfied with the VDOT experience, the time spent on sessions, and the approach's privacy.

Conclusion: This study provides promising results for the feasibility and effectiveness of smartphone-based VDOT for TB treatment to increase adherence which was indicated by a high compliance rate, acceptability, and high satisfaction level.

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使用基于智能手机的视频直接观察疗法提高肺结核药物治疗的依从性:一项干预性研究。
背景:通过直接观察疗法(DOT)进行肺结核(TB)治疗有一种视频监控疗法(VOT)的替代形式,它利用智能手机的技术能力为患者提供低成本的就医途径,同时不影响他们的工作和个人生活。我们的目的是评估沙特阿拉伯吉达的结核病患者对基于智能手机的视频直接观察疗法(VDOT)的药物依从性、看法和可行性:我们开展了一项前瞻性非随机干预研究。我们向以前未研究过的患者提供基于智能手机的 VDOT,以监测治疗方案的依从性。预计VDOT的总次数为1200次。我们进行了干预后访谈,以评估接受度和满意度:在这项研究中,我们共纳入了 20 名参与者,其中 16 人为男性,平均年龄为 34.3 (±12.5) 岁。所有参与者均未发现治疗副作用。通过第一种和第二种方法测量,整个疗程的坚持率分别为 93% 和 99.5%。大多数参与者对 VDOT 体验、疗程时间和方法的私密性表示满意:这项研究为基于智能手机的 VDOT 在结核病治疗中提高依从性的可行性和有效性提供了可喜的结果,依从率高、可接受性强且满意度高。
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Galen Medical Journal
Galen Medical Journal MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
0.00%
发文量
13
期刊介绍: GMJ is open access, peer-reviewed journal in English and supported by Noncommunicable Diseases (NCD) Research Center of Fasa University of Medical Sciences that publishing by Salvia Medical Sciences Ltd. GMJ will consider all types of the following scientific papers for publication: - Editorial’s choice - Original Researches - Review articles - Case reports - Case series - Letter (to editors, to authors, etc) - Short communications - Medical Idea
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