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Digital Health Interventions to Enhance Tuberculosis Treatment Adherence: Scoping Review
Sol Lee1, Vasuki Rajaguru2, Joon Sang Baek3
1Yonsei University Health System, Yonsei University, Seoul, Republic of Korea.
JMIR Mhealth and Uhealth
|December 6, 2023
Summary
Digital health interventions (DHIs) show promise for tuberculosis (TB) self-management. Further development is needed to improve TB treatment adherence through enhanced bidirectional communication strategies.
Area of Science:
- Digital health technologies
- Health informatics
- Public health
Background:
- Digital health technologies are integral to modern healthcare, particularly for managing chronic and infectious diseases like tuberculosis (TB).
- These technologies encompass computing platforms, software, and sensors designed for patient care and disease management.
- Their application in managing tuberculosis (TB) is a growing area of interest.
Purpose of the Study:
- To conduct a comprehensive literature review on digital health interventions (DHIs) for improving TB treatment adherence.
- To identify key strategies for the successful adoption of DHIs in TB management.
- To assess the current evidence on the effectiveness of digital health in TB care.
Main Methods:
- A systematic literature search was performed across major databases (PubMed, Cochrane Library, Embase, Scopus) for studies published between January 2012 and March 2022.
- Included studies focused on web-based or mobile interventions, medication adherence, and digital health technologies for TB treatment.
- The review encompassed randomized controlled trials and studies on mobile health and ubiquitous health technology.
Main Results:
- Twenty-seven relevant studies were identified and categorized by intervention type and outcomes.
- SMS text messaging (30%), medicine reminders (22%), and web-based direct observation therapy (33%) were prominent DHIs.
- Digital health significantly improved disease management for patients and healthcare providers, though bidirectional communication interventions were underrepresented.
Conclusions:
- Digital health interventions (DHIs) demonstrate potential for enhancing tuberculosis (TB) self-management.
- Evidence on the impact of digital technologies on TB treatment adherence is still developing.
- There is a critical need to develop robust communication systems to encourage patient engagement and self-management in TB treatment.
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