结核病数字坚持技术的实施成果:使用RE-AIM框架进行范围审查
Chimweta I Chilala1, Nicola Foster1, Shruti Bahukudumbi2
1Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
BMJ global health
|February 13, 2025
概括
数字坚持技术 (DATs) 对结核病 (TB) 治疗有希望,但由于手机接入和参与障碍,其影响力受到限制. 视频和Pillbox DAT显示了更高的参与度,尽管实施挑战仍然存在.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗卫生技术 技术 技术
背景情况:
- 结核病 (TB) 仍然是全球主要的死亡原因,需要创新的治疗策略.
- 数字坚持技术 (DAT) 提供了以人为中心的护理和改善结核病治疗结果的潜力.
研究的目的:
- 使用RE-AIM框架对结核病 (TB) 治疗的数字坚持技术 (DAT) 进行范围审查.
- 评估结核病护理中DAT的覆盖范围,有效性,采用,实施和维护.
主要方法:
- 针对2000年1月至2023年4月期间发表的研究,对7个数据库进行了系统的搜索.
- 关键词包括"结核病"和"数字坚持技术".
- 如果文章符合预先规定的标准并报告在RE-AIM领域,则将其纳入.
主要成果:
- 102项研究综合了各种DAT (短信,电话,99DOTS,VST,药盒) 的研究结果.
- 手机接入率有所不同 (50%-100%),有2%-31%的结核病患者因技术而被排除在外. DAT参与率在61%至87%之间.
- 技术问题和与提供商相关的挑战影响了实施忠实度;采用和维护数据有限.
结论:
- 由于手机的可访问性和持续的参与挑战,DAT面临着显著的覆盖范围限制.
- 视频和Pillbox DAT显示了更高的参与度,但技术和供应商问题阻碍了实施.
- 加强实施策略对于最大限度地提高DAT在结核病治疗中的公共卫生影响至关重要.
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