EFFECTIVENESS OF HEALTH EDUCATION MODULE DELIVERED THROUGH WHATSAPP TO ENHANCE TREATMENT ADHERENCE AND SUCCESSFUL OUTCOME OF TUBERCULOSIS IN SEREMBAN DISTRICT, NEGERI SEMBILAN, MALAYSIA

International Journal of Public Health and Clinical Sciences Pub Date : 2019-09-12 DOI:10.32827/ijphcs.6.4.145

I. NoorHaslinda, M. H. Juni

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引用次数: 3

Abstract

Introduction: Health education and awareness program have shown to be the factor that promote adherence behaviour and successful outcome of tuberculosis (TB). Mobile health (mHealth) initiative that utilize WhatsApp may help in achieving health objectives. Aims: This study aimed to determine the effectiveness of Health Education Module named TB@Clicks delivered through WhatsApp to enhance treatment adherence and successful outcome among pulmonary tuberculosis (PTB) patients. Methodology: A randomized controlled trial was done among all newly diagnosed TB cases registered in Seremban District between 1st of July 2017 until 9th of April 2018. The patients who fulfils the eligibility criteria were systematically selected and randomly assigned to receive TB@Clicks module through WhatsApp or continue with the existing conventional health education. The respondents were followed-up until treatment was completed. The estimated total sample size was 110. Adherence rate and treatment outcome were gathered from the record book in Health Clinics. Multivariate statistical analysis was conducted to determine the effectiveness of intervention on both outcomes. Result: A total of 110 PTB patients were recruited and 93 patients retained in the study (84.5%). Among them, 50 (90.9%) was from intervention group and 43 (78.2%) was from control group. There were 81.8% of respondents who received intervention adhered to TB treatment and 85.5% has the successful treatment outcome as compared to only 69.1% adherence and 70.9% with treatment success in control group but both were not statistically significant (p=0.121 & p=0.065). In multivariate analyses performed using generalized linear mixed models, PTB patients who had received intervention was 4.1 (95% CI = 1.16-14.87) times as likely to had successful treatment outcome as patients who had not received intervention. Conclusion: The TB@Clicks intervention module delivered through WhatsApp was effectively enhanced the treatment success rate but no significant effects on the adherence rate among PTB patients. Keywords: Pulmonary tuberculosis, mHealth, medication adherence

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通过whatsapp提供的健康教育模块的有效性，提高了马来西亚森美兰州seremban地区结核病的治疗依从性和成功结果

健康教育和意识规划已被证明是促进结核病(TB)依从性行为和成功结果的因素。利用WhatsApp的移动健康(mHealth)倡议可能有助于实现健康目标。目的:本研究旨在确定通过WhatsApp提供的健康教育模块TB@Clicks的有效性，以提高肺结核(PTB)患者的治疗依从性和成功结果。方法:在2017年7月1日至2018年4月9日期间在Seremban地区登记的所有新诊断结核病病例中进行了一项随机对照试验。系统选择符合资格标准的患者，随机分配到通过WhatsApp接受TB@Clicks模块或继续进行现有的常规健康教育。对应答者进行随访，直到治疗完成。估计总样本量为110。依从率和治疗结果从卫生诊所的记录簿中收集。通过多变量统计分析来确定干预对两种结果的有效性。结果:共招募了110例PTB患者，其中93例(84.5%)保留在研究中。其中干预组50例(90.9%)，对照组43例(78.2%)。接受干预的应答者中有81.8%的人坚持结核病治疗，85.5%的人治疗成功，而对照组只有69.1%的人坚持治疗，70.9%的人治疗成功，但两者均无统计学意义(p=0.121和p=0.065)。在使用广义线性混合模型进行的多变量分析中，接受干预的肺结核患者获得成功治疗结果的可能性是未接受干预患者的4.1倍(95% CI = 1.16-14.87)。结论:WhatsApp提供TB@Clicks干预模块可有效提高PTB患者的治疗成功率，但对依从性无显著影响。关键词:肺结核，移动医疗，药物依从性

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International Journal of Public Health and Clinical Sciences

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