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Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
Mohd Fazeli Sazali1, Syed Sharizman Syed Abdul Rahim1, Ahmad Hazim Mohammad1
1Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu.
Tuberculosis and Respiratory Diseases
|January 4, 2023
Summary
Tuberculosis treatment adherence is challenging due to long therapy durations. Digital technology, guided by the Health Belief Model, offers a promising solution to improve medication adherence and overcome limitations of directly observed therapy (DOT).
Area of Science:
- Public Health
- Infectious Diseases
- Health Behavior
Background:
- Tuberculosis (TB) remains a leading infectious cause of death globally.
- Standard 6-month anti-TB therapy is crucial but faces adherence challenges.
- Non-adherence negatively impacts clinical and public health outcomes.
Purpose of the Study:
- To review evidence on TB medication non-adherence and its factors.
- To evaluate the efficacy of directly observed therapy (DOT) and alternatives.
- To explore the role of digital technology and the Health Belief Model (HBM) in improving adherence.
Main Methods:
- Narrative review methodology.
- Analysis of related articles on TB medication adherence.
- Synthesis of evidence on digital health interventions and HBM.
Main Results:
- Conventional DOT has significant drawbacks, including inconvenience and reduced quality of life.
- Digital technology presents a viable tool to enhance DOT implementation.
- Integrating HBM into digital platforms shows potential for behavior change and improved adherence.
Conclusions:
- Digital technology offers a scalable solution to improve TB medication adherence.
- The Health Belief Model provides a framework for designing effective digital adherence interventions.
- Addressing DOT limitations through technology is key to better TB management.
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