Appraising perception, accessibility and uptake of DAT among patients with TB.

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2024-06-01 DOI:10.5588/pha.24.0009

C Ogbudebe, B Odume, I Gordon, 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: Poor adherence to TB treatment poses a significant public health threat to TB control programmes. The sustainability of directly observed treatment has been questioned because of its non-patient-centred approach and resource-intensive nature, and Digital Adherence Technologies (DATs) provide a suitable alternative. This study assessed the feasibility and acceptability of DATs among patients with TB.

Methods: This descriptive study was conducted in eight states in Nigeria among all patients with drug-susceptible TB.

Result: A total of 230 patients (89.1%) own a phone that no one else uses, and 18 (7.0%) use a family phone. A higher proportion of 189 (73.3%) have airtime credit and 119 (46.1%) have internet credit on their phone. In addition, 216 (83.7%) stated that the reminders they received on their phone helped them remember to take their medicine. Only 11 (4.3%) patients missed a dose of the TB medicine. Equally, 11 (4.3%) patients had taken their TB medicine without using DAT. Of these, 7 (63.3%) did not use DATs because they forgot to text medication labels, and 3 (27.6%) did so because of poor network. Only four (1.6%) purchased additional items to support the use of DATs.

Conclusion: DATs are acceptable in a wide variety of settings, even with reported challenges. Implementation efforts should ensure access, address technical challenges, and minimise additional cost to patients.

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评估肺结核患者对 DAT 的认知、可及性和使用情况。

导言：结核病治疗依从性差对结核病控制计划构成了重大的公共卫生威胁。直接观察治疗因其不以病人为中心的方法和资源密集的性质，其可持续性受到质疑，而数字依从性技术（DAT）则提供了一个合适的替代方案。本研究评估了肺结核患者对数字坚持治疗技术的可行性和接受程度：这项描述性研究在尼日利亚 8 个州的所有药物敏感型肺结核患者中进行：共有 230 名患者（89.1%）拥有一部无人使用的电话，18 名患者（7.0%）使用家庭电话。有 189 人（73.3%）的手机有通话时间积分，119 人（46.1%）的手机有上网积分。此外，有 216 人（83.7%）表示手机上的提醒有助于他们记住服药时间。只有 11 名（4.3%）患者漏服了一剂结核病药物。同样，有 11 名 (4.3%) 患者在未使用 DAT 的情况下服用了结核病药物。其中，7 人（63.3%）没有使用 DAT，因为他们忘记写药物标签，3 人（27.6%）没有使用 DAT，因为网络不发达。只有 4 人（1.6%）购买了额外的物品来支持 DAT 的使用：结论：即使存在报告中提到的挑战，DAT 在各种环境中都是可以接受的。实施工作应确保可及性，解决技术难题，并尽量减少患者的额外费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.