在乌干达治疗肺结核的青少年中,对99DOTS数字粘附技术的采用进行混合方法评估
P Wambi1, N S West2,3, J Nabugoomu1
1Uganda Tuberculosis Implementation Research Consortium, Walimu, Kampala, Uganda.
medRxiv : the preprint server for health sciences
|December 16, 2024
概括
像99DOTS这样的数字坚持技术在结核病 (TB) 的青少年中得到了很高的普及. 促进因素包括移动访问和护理人员参与,而障碍则涉及披露问题和卫生工作者的工作量.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 青少年医学 青少年医学
背景情况:
- 青少年和年轻人面临着结核病 (TB) 治疗坚持和结果的挑战.
- 数字坚持技术提供了潜在的解决方案,但关于青少年使用的数据有限.
研究的目的:
- 评估影响99DOTS移动平台在被诊断为结核病的青少年中采用的因素.
主要方法:
- 在30个乌干达医疗机构进行了一项解释性顺序混合方法研究.
- 收集了299名使用99DOTS的青少年的定量数据,以及与青少年和医疗保健提供者的定性访谈.
- 使用能力,机会,动机和行为 (COM-B) 模型分析了研究结果.
主要成果:
- 73%的符合条件的青少年参加了99DOTS;年长的青少年 (15-19) 更有可能参加.
- 促进者包括技术精通,培训机会,护理人员支持和对健康的渴望.
- 障碍包括可变的手机接入,对结核病状况披露的担忧以及医疗保健工作者的工作量.
结论:
- 99DOTS在患有结核病的青少年中显示出高吸收率.
- 提高手机接入,培训卫生保健工作者青少年沟通,增加护理人员的参与,可以改善数字依从技术的使用.
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