Patient perceptions of video directly observed therapy for tuberculosis: a systematic review

Chen, En Chi; Owaisi, Rumia; Goldschmidt, Leah; Maimets, Ilo-Katryn; Daftary, Amrita

doi:10.1016/j.jctube.2023.100406

Cited by 2 publications

References 27 publications

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Patient and provider perceptions of the impact of COVID-19 on tuberculosis healthcare access and delivery: A qualitative study of the complexities of a pandemic within a pandemic

Brehon,

Hung,

Miciak

et al. 2024

Preprint

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Objective: We aimed to explore patient and provider perspectives of the impact of the COVID-19 pandemic on tuberculosis healthcare access and service delivery. Methods: We used Interpretive Description, a qualitative approach with the end-goal of informing decisions and actions in clinical practice. Levesque et al.’s “Conceptual framework of access to health care” informed the development of our interview guides. Interviews were conducted virtually and confidentially transcribed verbatim. Data generation and analysis occurred concurrently. Analysis was informed by Braun and Clarke’s six phases of reflexive thematic analysis. Strategies to enhance rigour and trustworthiness of the findings were utilized. Results: We completed 15 interviews: 6 with patients and 9 with providers. Three key themes were generated: (a) Diagnostic hurdles created delay; (b) Hybrid services promote health equity; and (c) Navigating the complexities of a pandemic within a pandemic. Diagnosing tuberculosis was challenging even prior to the pandemic since some providers lacked experience and familiarity with the condition. The diagnostic process was further complicated with the onset of the COVID-19 pandemic. However, COVID-19 also introduced streamlined virtual care for patients which was convenient and improved access but was not viewed as being equivalent to in-person care. The intersection of the COVID-19 and tuberculosis pandemics created competition for limited resources while highlighting learnings that may positively impact future tuberculosis care. Conclusions: Our findings can inform health system leadership about how the COVID-19 pandemic impacted care of other public health threats like tuberculosis, helping to prepare more effectively and equitably for future challenges.

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Patient and provider perceptions of the impact of COVID-19 on tuberculosis healthcare access and delivery: A qualitative study of the complexities of a pandemic within a pandemic

Brehon,

Hung,

Miciak

et al. 2024

Preprint

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Effectiveness of Video-Observed Therapy in Tuberculosis Management: A Systematic Review

Sundaram,

Ahmad Zaki,

Shankar

et al. 2024

Cureus

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This systematic review aimed to assess the association between video-observed therapy (VOT) and treatment adherence among TB patients and the benefits and limitations of this treatment modality. The systematic review used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow guideline. Multiple databases including Cochrane, Lilacs, PubMed, Scopus, Lancet, Google Scholar, Science Direct, Directory of Open Access Journal (DOAJ), and BMC were employed to identify relevant articles published between 2012 and 2024. All data were extracted using a standardized data extraction form and both narrative and quantitative approaches were used to present the review outcomes and available evidence. Twenty-nine articles were included in the final analysis, with most using a prospective cohort (n = 10) research design. Treatment adherence rates were relatively higher in TB patients managed using VOT relative to those subjected to direct-observed therapies (DOTs). Likewise, using the VOT approach in most interventional studies lacking a control group depicted higher treatment adherence rates post-intervention. Although asynchronous VOT was used in most studies compared to the synchronous approach, the treatment adherence level was not significantly different between the two methods of VOT delivery. The predominant benefits of VOT include time-saving, cost-effectiveness, flexibility, and fewer self-reported side effects, whereas the main limitation was the privacy of patients’ data and information. Video-directly observed therapy (VDOT) is a promising approach for TB treatment with the capacity to improve adherence to medication regimes and reduce the cost of treatment, stigmatization, and burden on healthcare providers.

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Patient perceptions of video directly observed therapy for tuberculosis: a systematic review

Cited by 2 publications

References 27 publications

Patient and provider perceptions of the impact of COVID-19 on tuberculosis healthcare access and delivery: A qualitative study of the complexities of a pandemic within a pandemic

Patient and provider perceptions of the impact of COVID-19 on tuberculosis healthcare access and delivery: A qualitative study of the complexities of a pandemic within a pandemic

Effectiveness of Video-Observed Therapy in Tuberculosis Management: A Systematic Review

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