Effectiveness of Health Education Video in Improving Treatment Adherence among Patients with Tuberculosis: An Interventional Study from Bengaluru, India

Abstract

Background: Non-adherence to tuberculosis (TB) treatment might prolong disease transmission and also increases the risk of drug resistance. Various studies have been carried out to determine the predictors of non-adherence but intervention-based studies to address treatment adherence are scarce. This study intends to estimate the treatment adherence rates following delivery of patient-centered health education videos in the intervention tuberculosis unit (TU) and to compare the treatment adherence with that in the comparison TU. Methods: An interventional study was conducted in two TUs of Bengaluru urban district among all newly diagnosed TB cases on daily regimen treatment over a period of three months from November 2017 to January 2018. A patient centered health education video was developed and shown by the treatment supporters to all eligible participants consenting to participate in the intervention TU. The video was shown once at the beginning of intensive phase treatment and once in the continuation phase of treatment. A total of 100 patients, 21 from intervention TU and 79 from comparison TU formed the study sample. Patient details were obtained from their treatment cards. Data on missed doses per month per patient were also noted. Data were entered into Microsoft excel worksheet and analyzed using statistical package for social sciences. Data are expressed as frequency and percentages. Chi-square test was applied to compare groups. Results: The majority of the study participants were aged between 25 -44 years. Equal dis-How to cite this paperJournal of Tuberculosis Research tribution of cases was seen among males and females. Intervention TU had significantly higher number of pulmonary TB cases. Treatment adherence rates were 90.5% and 84.8% at end of intensive phase and 85% and 71.4% at end of continuation phase in the intervention and comparison TU respectively, and this difference was not statistically significant. Conclusion: Use of mobile video-based health education showed better treatment rates and was found to improve TB treatment adherence.

A Scoping Review on Accentuating the Pragmatism in the Implication of Mobile Health (mHealth) Technology for Tuberculosis Management in India

“…Scientific data have also discovered that patients have an optimistic attitude towards implementation of mHealth strategies [ 24 ]. After meticulous analysis it was explored that among the all the interventions, patients preferred video-based Direct Observation Treatment (DOT) followed by SMS and voice calls [ 26 , 30 , 32 ]. Contradicting this finding, a cross sectional study conducted in Pune put forth that the result acceptability of text messages was found to be minimal among TB patients [ 27 ].…”

Improvement of Patients’ Knowledge, Attitude, and Practice on Tuberculosis Treatment Using Video and Leaflet

“…A study in Bengaluru, India reported an increase in medication adherence by TB patients after being given an educational video highlighting essential TB information and emphasizing the importance of completing treatment. 29 In another study, it was reported that educational video could increase disease prevention behavior. 30 Furthermore, the effectiveness of using leaflet as a health promotion medium has been extensively reported.…”