scholarly journals Technology And Its Role In Supporting Tuberculosis Treatment Adherence

2021 ◽  
Author(s):  
Era Dorihi Kale ◽  
Moses Pandin
Keyword(s):  
Treatment Adherence ◽  
Economic Condition ◽  
Cost Effective ◽  
Adherence Rate ◽  
Remote Areas ◽  
Tb Treatment ◽  
Use Of Technology ◽  
The Family ◽  
Mdr Tb ◽  
Selection Of

Compliance with TB treatment has now become a problem that must be handled seriously because the high non-adherence rate will give a bad contribution to the success of TB treatment, including MDR-TB and also morbidity and mortality. Many innovations have been made to improve TB treatment adherence, one of which is using mobile-based technology. This article aims to explore the effectiveness of the technology used to improve treatment adherence in TB patients: types, ways of working, advantages, and limitations of each application. This is a systematic review through searching 3 databases, namely Scopus, WoS, and Science Direct. Some of the advantages in applying technology to improve TB treatment adherence are easy to use if you understand how to operate tools/applications are cost-effective because they reduce transportation costs in reaching remote areas or in conditions of transportation difficulties such as after a disaster, the use of this technology provides patient satisfaction in treatment and facilitates the involvement of the family/support system in the treatment of patients. Several things must be considered (limitations) of the technology to be used, including experts, patient knowledge and skills, economic condition, electricity availability, and whether the technology used will not increase the burden on patients related to the stigma of TB disease. We can conclude that the use of technology is indeed very good in supporting the improvement of TB treatment adherence, but the selection of this application must pay attention to the characteristics of the population as well as the advantages and limitations of each application. Keywords: Technology, Adherence, Tuberculosis

scholarly journals Technology and its role in supporting Tuberculosis treatment adherence

2021 ◽  
Author(s):  
Era Dorihi Kale ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Treatment Adherence ◽  
Economic Condition ◽  
Cost Effective ◽  
Adherence Rate ◽  
Remote Areas ◽  
Tb Treatment ◽  
Use Of Technology ◽  
The Family ◽  
Mdr Tb ◽  
Selection Of

Abstract Compliance with TB treatment has now become a problem that must be handled seriously because the high non-adherence rate will give a bad contribution to the success of TB treatment, including MDR-TB and also morbidity and mortality. Many innovations have been made to improve TB treatment adherence, one of which is using mobile-based technology. This article aims to explore the effectiveness of the technology used to improve treatment adherence in TB patients: types, ways of working, advantages, and limitations of each application. This is a systematic review through searching 3 databases, namely Scopus, WoS, and Science Direct. Some of the advantages in applying technology to improve TB treatment adherence are easy to use if you understand how to operate tools/applications are cost-effective because they reduce transportation costs in reaching remote areas or in conditions of transportation difficulties such as after a disaster, the use of this technology provides patient satisfaction in treatment and facilitates the involvement of the family/support system in the treatment of patients. Several things must be considered (limitations) of the technology to be used, including experts, patient knowledge and skills, economic condition, electricity availability, and whether the technology used will not increase the burden on patients related to the stigma of TB disease. We can conclude that the use of technology is indeed very good in supporting the improvement of TB treatment adherence, but the selection of this application must pay attention to the characteristics of the population as well as the advantages and limitations of each application.

scholarly journals Tuberculosis Treatment Adherence of Patients in Kosovo

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Shaip Krasniqi ◽  
Arianit Jakupi ◽  
Armond Daci ◽  
Bahri Tigani ◽  
Nora Jupolli-Krasniqi ◽  
...  
Keyword(s):  
Treatment Adherence ◽  
Patient Adherence ◽  
Treatment Success ◽  
Treatment Interruption ◽  
Adherence Rate ◽  
Length Of Treatment ◽  
Tb Treatment ◽  
Poor Patient ◽  
Mdr Tb ◽  
Treatment Prognosis

Setting. The poor patient adherence in tuberculosis (TB) treatment is considered to be one of the most serious challenges which reflect the decrease of treatment success and emerging of the Multidrug Resistance-TB (MDR-TB). To our knowledge, the data about patients’ adherence to anti-TB treatment in our country are missing. Objective. This study was aimed to investigate the anti-TB treatment adherence rate and to identify factors related to eventual nonadherence among Kosovo TB patients. Design. This study was conducted during 12 months, and the survey was a descriptive study using the standardized questionnaires with total 324 patients. Results. The overall nonadherence for TB patient cohort was 14.5%, 95% CI (0.109–0.188). Age and place of residence are shown to have an effect on treatment adherence. Moreover, the knowledge of the treatment prognosis, daily dosage, side effects, and length of treatment also play a role. This was also reflected in knowledge regarding compliance with regular administration of TB drugs, satisfaction with the treatment, interruption of TB therapy, and the professional monitoring in the administration of TB drugs. Conclusion. The level of nonadherence TB treatment in Kosovar patients is not satisfying, and more health care worker’s commitments need to be addressed for improvement.

scholarly journals Connected Audiological Rehabilitation: 21st Century Innovations

2015 ◽  
Vol 26 (09) ◽  
pp. 768-776 ◽  
Author(s):  
Gabrielle H. Saunders ◽  
Theresa H. Chisolm
Keyword(s):  
Cost Effective ◽  
Time Data ◽  
Education Of Patients ◽  
Current State ◽  
Use Of Technology ◽  
Effective Manner ◽  
Store And Forward ◽  
And Control ◽  
Audiologic Rehabilitation ◽  
Selection Of

Background: Tele-audiology provides a means to offer audiologic rehabilitation (AR) in a cost-, resource-, and time-effective manner. If designed appropriately, it also has the capability of personalizing rehabilitation to the user in terms of content, depth of detail, etc., thus permitting selection of the best content for a particular individual. Synchronous/real-time data collection, store and forward telehealth, remote monitoring and mobile health using smartphone applications have each been applied to components of audiologic rehabilitation intervention (sensory management, instruction in the use of technology and control of the listening environment, perceptual and communication strategies training, and counseling). In this article, the current state of tele-audiological rehabilitation interventions are described and discussed. Results: The provision of AR via tele-audiology potentially provides a cost-effective mechanism for addressing barriers to the routine provision of AR beyond provisions of hearing technology. Furthermore, if designed appropriately, it has the capability of personalizing rehabilitation to the user in terms of content, depth of detail, etc., thus permitting selection of the best content for a particular individual. However, effective widespread implementation of tele-audiology will be dependent on good education of patients and clinician alike, and researchers must continue to examine the effectiveness of these new approaches to AR in order to ensure clinicians provide effective evidence-based rehabilitation to their patients. Conclusions: While several barriers to the widespread use of tele-audiology for audiologic rehabilitation currently exist, it is concluded that through education of patients and clinicians alike, it will gain greater support from practitioners and patients over time and will become successfully and widely implemented.

Love, sex, drugs and women’s sub-optimal adherence to MDR-TB treatment in South Africa: Opportunities for enhanced health education

2021 ◽  
pp. 001789692110351
Author(s):  
Petronella Chipo Mugoni
Keyword(s):  
South Africa ◽  
Treatment Adherence ◽  
Cultural Beliefs ◽  
Infection Prevention And Control ◽  
Adherence To Treatment ◽  
Tb Treatment ◽  
Kwazulu Natal ◽  
Mdr Tb ◽  
Lengthy Treatment ◽  
Optimal Adherence

Objective: Rising incidence of acquired multidrug-resistant tuberculosis (MDR-TB) in South Africa suggests low knowledge and implementation of infection prevention and control strategies in household and congregate settings. This study contributes to the under-researched area of non-biomedical responses to sub-adherence to treatment. Design: The study utilises a quasi-ethnographic qualitative case study of 10 women aged 18 to 34 years to understand their treatment adherence behaviours through the lens of their sex, gender, age, cultural beliefs and socio-economic status. Setting: This study investigated reasons for young women’s sub-optimal adherence to treatment for acquired MDR-TB in eThekwini Metro, KwaZulu-Natal province, South Africa, which records high burdens of tuberculosis (TB), MDR-TB and HIV. Methods: Primary data were collected from 20 participants who were selected through criterion, purposive and snowball sampling. Data were gathered through focus group discussions with women being treated for transmitted MDR-TB and key informant interviews with their family members, health workers and KwaZulu-Natal Provincial Department of Health personnel. Results: Anti-MDR-TB treatment affects women’s sexuality, intimate relationships, family planning intentions and reproductive health. Some vulnerable women struggle to persevere on noxious and lengthy treatment regimes that affect their reproductive and psychological health. Women may skip doses or abandon treatment when high pill burdens and adverse events make intimate and sexual relations with male partners, on whom they may depend for their livelihoods, difficult. Conclusion: It is important to consider the effects of lengthy treatment on young people’s social and sexual lives and self-esteem when (re)designing MDR-TB counselling approaches. This paper advances an evidence-based treatment education and counselling strategy to contribute to improving MDR-TB treatment adherence and success.

PP400 Cost-Effectiveness Analysis Of Adding Bedaquiline To Drug Regimens For Multidrug-Resistant Tuberculosis Treatment In China

2020 ◽  
Vol 36 (S1) ◽  
pp. 33-34
Author(s):  
Fan Zhang ◽  
Yuehua Liu ◽  
Zhao Liu ◽  
Zining Guo ◽  
Junting Yang ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Cost Effectiveness ◽  
Cost Effective ◽  
Multidrug Resistant ◽  
World Health ◽  
Tb Treatment ◽  
Resistant Tuberculosis ◽  
Multidrug Resistant Tuberculosis ◽  
Life Years ◽  
Mdr Tb

IntroductionAccording to the World Health Organization, there were approximately 0.5 million new cases of rifampicin-resistant tuberculosis in 2018, of which 78 percent were multidrug-resistant tuberculosis (MDR-TB), and China has one of the largest shares of the global burden (14%). In recent years, the Chinese government has made progress in TB control and prevention, but for MDR-TB, treatment options are still limited and expensive, and novel drugs are not always available. This research aims to evaluate the cost-effectiveness of adding bedaquiline to a background regimen (BR) of drugs for MDR-TB treatment in China, and to provide evidence for government to improve public health policies.MethodsA cohort-based Markov model was developed to evaluate the incremental cost-effectiveness ratio (ICER) of bedaquiline plus BR (BBR) versus BR alone in MDR-TB treatment, over a 10-year time horizon. Data were sourced from a phase II clinical trial, real-world data in China, published literature, and expert opinion. Outcomes were evaluated in quality-adjusted life years (QALYs) and life-years gained (LYG). The discount rate was 3.5%. Probabilistic and deterministic sensitivity analyses were conducted.ResultsThe discounted costs per person for BBR was CNY 135,706 [USD 19,172], compared with CNY 92,465 [USD 13,063] for BR. The discounted utility per person for BBR was also higher than that for BR (3.943 QALYs versus 3.193 QALYs). The ICER of BBR was CNY 58,096 [USD 8,208]/QALY, which was lower than the willingness-to-pay threshold of CNY 212,676 [USD 30,046] (three-times the gross domestic product per capita). Therefore, BBR was considered to be cost-effective. The sensitivity analysis confirmed the robustness of the results. BBR remained cost-effective in the sensitivity analysis, with a 77.2 percent probability of being cost-effective versus BR.ConclusionsIn China, bedaquiline is not included in the National Reimbursement Medicine List, which results in a heavy financial burden for MDR-TB patients. From this study, BBR was cost-effective by significantly reducing time to sputum culture conversion and increasing QALYs and LYGs, which offset the higher drug costs.

scholarly journals Analysis of treatment outcome in multi-drug resistant tuberculosis patients treated under programmatic conditions

2017 ◽  
Vol 5 (6) ◽  
pp. 2401 ◽  
Author(s):  
A. K. Janmeja ◽  
Deepak Aggarwal ◽  
Ruchika Dhillon
Keyword(s):  
Treatment Outcome ◽  
Success Rate ◽  
Treatment Adherence ◽  
Treatment Success ◽  
Treatment Practice ◽  
Tb Treatment ◽  
Resistant Tuberculosis ◽  
Multi Drug Resistant Tuberculosis ◽  
Mdr Tb ◽  
Culture Conversion

Background: Programmatic management of MDR-TB has taken over the un-standardized and unsupervised treatment practice in India. However, despite being implemented in whole of country, the data on the program surveillance is scarce.  Hence the present study was sought to evaluate the treatment outcome in patients with MDR TB in Chandigarh being treated under programmatic conditions.Methods: A retrospective study was carried out by enrolling all MDR-TB patients registered between January 2012 to December 2014. Medical records of 140 patients were scrutinized for necessary information on demographic, clinical parameters and previous TB treatment. Treatment outcomes to Cat IV anti-TB therapy, any interruptions in treatment, adverse drug reactions, culture conversion etc. were evaluated from the records.Results: Of the 140 patients, 77 (55%) were declared cured, 11 (7.9%) completed treatment, 23 patients (16.4%) died, 13 (9.3%) defaulted on treatment, 5 (3.6%) had treatment failure and 11 (7.9%) were shifted to Cat V therapy. On comparison, BMI, haemoglobin, treatment outcome in previous ATT, treatment adherence and time to sputum culture conversion were significantly different in different treatment outcome groups.Conclusions: The treatment success rate of MDR‑TB patients have shown improvement under programmatic conditions. Interventions to improve BMI and treatment adherence might further help to improve the success rate.

scholarly journals Treatment adherence in heart failure patients followed up by nurses in two specialized clinics

2015 ◽  
Vol 23 (5) ◽  
pp. 888-894 ◽  
Author(s):  
Andressa Freitas da Silva ◽  
Ana Carla Dantas Cavalcanti ◽  
Mauricio Malta ◽  
Cristina Silva Arruda ◽  
Thamires Gandin ◽  
...  
Keyword(s):  
Heart Failure ◽  
Treatment Adherence ◽  
Cross Sectional Study ◽  
Adherence Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Heart Failure Patients ◽  
Adherence Score ◽  
Item Questionnaire ◽  
The Family

Objectives: to analyze treatment adherence in heart failure (HF) patients followed up by the nursing staff at specialized clinics and its association with patients' characteristics such as number of previous appointments, family structure, and comorbidities.Methods: a cross-sectional study was conducted at two reference clinics for the treatment of HF patients (center 1 and center 2). Data were obtained using a 10-item questionnaire with scores ranging from 0 to 26 points; adherence was considered adequate if the score was ≥ 18 points, or 70% of adherence.Results: a total of 340 patients were included. Mean adherence score was 16 (±4) points. Additionally, 124 (36.5%) patients showed an adherence rate ≥ 70%. It was demonstrated that patients who lived with their family had higher adherence scores, that three or more previous nursing appointments was significantly associated with higher adherence (p<0.001), and that hypertension was associated with low adherence (p=0.023).Conclusions: treatment adherence was considered satisfactory in less than a half of the patients followed up at the two clinics specialized in HF. Living with the family and attending to a great number of nursing appointments improved adherence, while the presence of hypertension led to worse adherence.

scholarly journals DUKUNGAN KELUARGA PADA PENGOBATAN PENDERITA TB PARU MULTI DRUG RESISTANCE YANG TINGGAL DI WILAYAH KERJA DINAS KESEHATAN KABUPATEN KEPULAUAN SANGIHE

2020 ◽  
Vol 4 (2) ◽  
pp. 57-63
Author(s):  
Detty J. Kalengkongan ◽  
Grace Angel Wuaten ◽  
Agneta Sartika Lalombo
Keyword(s):  
Drug Resistance ◽  
Health Workers ◽  
Sampling Technique ◽  
Information Support ◽  
Multi Drug Resistance ◽  
Purposive Sampling ◽  
Tb Treatment ◽  
The Family ◽  
Data Collection Instrument ◽  
Mdr Tb

TB Multi Drug Resisntance adalah TB dengan resistensi terjadi dimana Micobacterium tuberculosis resisten terhadap rifampisin dan isoniazid dengan atau tanpa obat anti TB lainnya,  Data dari Dinas Kesehatan Kabupaten Kepulauan Sangihe TB MDR sebanyak 8 kasus. Gagalnya pengobatan TB MDR adalah penderita tidak mau minum obat secara teratur dalam waktu yang lama.Keluarga  mempunyai peranan yang besar untuk mendukung, dan selalu siap memberikan dukungan agar penderita  rutin minum obat dan teratur dalam pengobatan. Tujuan penelitian ini  menguraikan dukungan keluarga pada pengobatan penderita TB MDR yang tinggal di wilayah kerja Dinas Kesehatan Kabupaten Kepulauan Sangihe. Metode penelitian kualitatif dengan pendekatan fenomenologis. Teknik pengambilan sampel adalah  purposive sampling dengan 6 informan yang mewakili keluarga. Intrumen  pengumpulan data adalah peneliti sendiri serta alat penunjang seperti panduan wawancara, catatan lapangan dan alat perekam. Uji keabsahan data meliputi uji credibility,transferability, dependability dan confimability. Hasil penelitian ditemukan 3 tema yang meliputi Dukungan emosional, dukungan informasi dan dukungan penghargaan.Dari 3 tema menunjukkan bahwa sebagian besar penderita mendapatkan dukungan dari keluarga secara maksimal dengan melibatkan ekspresi rasa empati, peduli, sehingga dapat memberikan rasa nyaman.Selain itu dukungan yang diberikan berupa ungkapan penghargaan positif terhadap ide, disampaikan dalam pemecahan masalah, memberikan usul, saran, petunjuk serta pemberian informasi.Kesimpulan dukungan keluarga, petugas kesehatan serta pemegang program dapat menumbuhkan semangat penderita untuk tetap optimis menjalani pengobatan TB MDR hingga mencapai kesembuhan.   Multy Drug Resistance TB is TB with resistance occuringin which Microbacterium tuberculosis is resistance to rifampicin and isoniazid with or without other anti TB drugs. Data from the Health office of Sangihe Island Regency, TB MDR were 8 cases. The failureof MDR TB treatment is that the patient does not want to take medication regularly for a long time. The family has a big part to support and to provide to patient take medicine regularly. The purpose of this study to describe family supporting treatment multi drug resistance pulmonery TB of patient in the working area of health deparment sangihe island. Qualitative research method with aphenomenological approach. The sampling technique was purposive sampling with 6 informants represent the family. The data collection instrument was the researcher himself as interview guider, field notes and recording devices. Data validity tesis include credibility, transferability, dependability and confimability tests. The results of the study 3 themes including emotional support, information support and appreciation support. Of the 3 themes were showed that most of the sufferers had supported from their family by involed expressions of emphaty, caring so they can provide a sense of comfort. In addition, the support provided were in the from of expressions of positive appreciation for ideas, conveyed in problem solving, giving, suggestions, insttructions, and information. Conclusion family support, health workers and program holders can foster patient enthuasiams to remain optimistic abaut undergoing MDR TB treatment to achieve recovery.

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