在乌干达实施数字坚持技术用于结核病治疗监督的障碍和促进因素:定性研究
Anna Leddy1, Joseph Ggita2, Christopher A Berger1
1Center for Tuberculosis and Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, San Francisco, CA, United States.
Journal of medical Internet research
|May 30, 2023
概括
99DOTS数字粘附技术在乌干达结核病治疗完成方面显示出前景. 解决移动接入和耻辱是最大限度地普及的关键,特别是在女性中.
科学领域:
- 数字健康数字健康
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 治疗完成是高负担国家的重大挑战.
- 99DOTS提供了一种低成本的数字粘附技术,用于监测和支持结核病治疗.
研究的目的:
- 评估99DOTS的可行性和可接受性,这是一个基于移动的结核病治疗支持系统.
- 确定在乌干达实施99DOTS的障碍和促进因素.
主要方法:
- 与乌干达30名结核病患者,12名卫生工作者和7名结核病官员进行深入采访.
- 利用能力,机会,动机和行为 (COM-B) 模型来探索感知和经验.
- 定性分析采用了框架方法.
主要成果:
- 发现99DOTS鼓励药物坚持,改善治疗监测,并加强患者与医疗服务提供者的关系.
- 障碍包括有限的识字率,手机充电接入,以及不良的网络连接.
- 性别差异出现了,女性报告了更高的耻辱担忧和移动访问问题,但也强调了坚持的好处.
结论:
- 99DOTS是一个可行的和可接受的战略,以支持乌干达的结核病药物坚持.
- 解决手机接入问题,收费限制问题和污名化问题对于成功实施方案至关重要.
- 应特别注意最大限度地提高女性和资金有限的人员的吸收率.
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