The effect of a mhealth intervention on anti-tuberculosis medication adherence in Delhi, India: A quasi-experimental study

Santra, Sahadev; Garg, Suneela; Basu, Saurav; Sharma, Nandini; Singh, Mongjam Meghachandra; Khanna, Ashwani

doi:10.4103/ijph.ijph_879_20

Cited by 12 publications

(3 citation statements)

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“…Intervensi mHealth pada pasien TB efektif dalam meningkatkan kepatuhan terapi DOTS (Santra et al, 2021). (Mohammed et al, 2016).…”

Section: Quasi-experimental Studyunclassified

“…Penularan tuberkulosis dapat disebabkan keterlambatan diagnosis, hal tesebut juga dapat disebabkan kurangnya pengetahuan masyarakat tentang gejala tuberkulosis (Kusuma, 2019). Kepatuhan juga dapat dipengaruhi faktor akses ke layanan kesehatan dan komunikasi antara perawat dan pasien (Santra et al, 2021). Akses pengobatan pasien tuberkulosis terganggu karena pembatasan kontak antara tenaga kesehatan dengan pasien di masa pandemi COVID-19 (Sekandi et al, 2021).…”

Section: Pembahasan Aplikasi Pengingat Minum Obatunclassified

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Efektivitas Mobile Health terhadap Kepatuhan Minum Obat Pasien Tuberkulosis

Fuadiati,

Sukartini,

Makhfudli

2023

JOTING

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This study aims to review the effectiveness of mobile health on medication adherence in tuberculosis patients. The method used is the Preferred Reporting Items for Systemic Review and Meta-Analysis (PRISMA) Guidelines with an online literature search strategy using the google chrome search engine CINAHL, PubMed, SAGE, Science Direct, and Scopus. The year of the literature source was taken from 2016 to 2021. From the articles searched, 7 articles were obtained and reviewed. The results of this study indicate that of the 7 articles reviewed, 5 articles indicate the necessary role of technology, namely the application of drug-taking supervisors to improve drug adherence for tuberculosis patients. The 2 articles stated that reminders to take medication via SMS were not considered optimal. In conclusion, the role of drug monitoring application technology is effective in increasing drug adherence for tuberculosis patients, while reminders to take medication via SMS are considered less effective. Keywords: Mobile Health, Medicine Adherence, Telemedicine, Tuberculosis Patient

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“…Intervensi mHealth pada pasien TB efektif dalam meningkatkan kepatuhan terapi DOTS (Santra et al, 2021). (Mohammed et al, 2016).…”

Section: Quasi-experimental Studyunclassified

Section: Pembahasan Aplikasi Pengingat Minum Obatunclassified

Efektivitas Mobile Health terhadap Kepatuhan Minum Obat Pasien Tuberkulosis

Fuadiati,

Sukartini,

Makhfudli

2023

JOTING

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“…Digital health technologies that leverage the use of mobile phones may therefore become widely accessible and used in the Indian context, given the mixed literacy rates and low income [16][17][18]. Among disease states, adherence to ATT is an attractive target for intervention using mobile phone technology [15,19]. Traditional directly observed treatment, short-course (DOTS) has had suboptimal uptake during the COVID-19 pandemic due to public health measures, and while relaxation of these measures may improve DOTs access, the use of digital health-mediated ATT adherence monitoring is promising [20].…”

Section: Principal Findingsmentioning

confidence: 99%

The Acceptability of Adherence Support via Mobile Phones for Antituberculosis Treatment in South India: Exploratory Study (Preprint)

Jose¹,

Vaz²,

Chai³

et al. 2022

Preprint

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UNSTRUCTURED India has the greatest burden of Tuberculosis (TB). But over 15% of the people on antitubercular therapy (ATT) in India are non-adherent. Several adherence monitoring techniques deployed in India to enhance ATT adherence have had modest effects. Increased adoption of mobile phones and other technologies pose potential solutions to measuring and intervening in ATT adherence. Several technology-based interventions around ATT adherence have been demonstrated in other countries. Given this potential, we sought to understand formative acceptance of mobile phone adherence supports for ATT using self-administered quantitative measures among 100 patients on ATT at the TB treatment Center (TTC) at a tertiary care center in Thrissur, Kerala, India. The participants were recruited using convenience sampling after obtaining written informed consent. Trained study staff administered the questionnaire in the local language of the participant. Of the 100 participants diagnosed with TB on directly observed treatment short course (DOTS), 90% used mobile phones routinely, and 84% owned a mobile phone. Ninety-five percent knew how to use the calling function, while 65% did not know how to use the SMS function on their mobile phone. Overall, 89% of the participants did not consider mobile phone-based ATT adherence interventions an intrusion in their privacy; 93% did not fear stigma if the adherence reminder was received by someone else. Most (95%) of the study participants preferred mobile phone reminders instead of DOTS. The most preferred reminder modality was voice calls (N=80, 80%) compared to SMS reminders (N=5, 5%). We found a high uptake of mobile phones among patients with TB in India. Preference of voice call reminders among the participants should be considered and strengthening the current adherence monitoring system is deemed appropriate. Future ATT adherence interventions should consider integrating mobile phone based daily reminders.

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