Video-Based Directly Observed Therapy (ViDOT) as a Strategic Tool to Improve Medication Adherence in Epilepsy: A...

Area of Science:

• Neurology
• Public Health
• Digital Health

Background:

• Epilepsy prevalence is highest in Central Africa, particularly in rural areas, exacerbated by treatment gaps and poor infrastructure.
• Poor drug adherence and limited access to specialized care are significant challenges for epilepsy management in the region.

Purpose of the Study:

• To review the literature on Video-based Directly Observed Therapy (ViDOT) for chronic diseases, focusing on its application in improving epilepsy care.
• To assess the potential of ViDOT in addressing drug adherence challenges in epilepsy patients.

Main Methods:

• A narrative review of existing literature was conducted using PubMed and Google Scholar.
• Relevant publications on ViDOT and chronic diseases, specifically epilepsy, were identified and assessed.

Main Results:

• Poor drug adherence is a major risk factor for adverse outcomes in epilepsy patients.
• ViDOT shows potential to significantly improve drug adherence, reduce waiting times, enhance access to care, and decrease stigma.
• Potential benefits also include reduced neurologist workload and cost-effectiveness, though network coverage is a challenge.

Conclusions:

• Psychoeducation on epilepsy and anti-epileptic drugs (AEDs) is crucial for improving adherence.
• ViDOT offers a promising mHealth solution for disseminating vital information to epilepsy patients and caregivers, promoting better health outcomes.