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Technology-integrated nursing interventions to improve adherence to tuberculosis medication: a scoping review
Eli Indawati1, Cecep Eli Kosasih2, Hartiah Haroen3
1Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia. eli24002@mail.unpad.ac.id.
Background:
Despite global efforts, adherence to tuberculosis (TB) treatment remains suboptimal. Nurses play a crucial role in supporting treatment adherence through direct care and the integration of digital health tools. Nursing interventions utilizing technology have great potential to enhance medication adherence by providing education, reminders, and remote monitoring tailored to patient needs.
Objective:
To explore nursing interventions involving technology that improve medication adherence among TB patients.
Methods:
This scoping review followed the Arksey and O'Malley framework. Literature was systematically searched through Scopus, PubMed, and Web of Science using keywords such as "nursing intervention," "tuberculosis," and "medication adherence." Inclusion criteria encompassed studies published within the last ten years, involving people with TB, and describing technology-integrated nursing interventions aimed at improving treatment adherence. A total of 12 studies were included and thematically analyzed using a descriptive qualitative approach with NVivo software.
Results:
Five main themes were identified: (1) The effectiveness of digital technology in improving medication adherence, (2) Limitations in access to healthcare services and the role of technology as a solution, (3) Video technology for directly observed therapy (VDOT), (4) Interactive reminder system (Two-Way SMS), and (5) Patient motivation in adhering to TB treatment through digital technology. Nurses were central to assessing patients' needs, training them to use digital tools, and maintaining adherence through follow-up and education.
Conclusion:
Nursing interventions that incorporate digital technology, such as SMS reminders, VDOT, and mobile health applications are effective in supporting medication adherence among TB patients. These tools empower nurses to extend care beyond the clinical setting, particularly in underserved areas.
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