Evidence map›Paper›PMID 33706032›Full record

Trial reportInternational journal of medical informatics2021

Insights from participant engagement with the tuberculosis treatment support tools intervention: Thematic analysis of interactive messages to guide refinement to better meet end user needs.

Hannah Milligan, Sarah J Iribarren, Cristina Chirico, Hugo Telles, Rebecca Schnall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Hannah MilliganDepartment of Bio-behavioral Nursing and Health Informatics, University of Washington, Seattle, WA, United States. Electronic address: millih2@uw.edu.
Sarah J IribarrenDepartment of Bio-behavioral Nursing and Health Informatics, University of Washington, Seattle, WA, United States. Electronic address: sjiribar@uw.edu.
Cristina ChiricoNational Tuberculosis Control Program Region Five (Programa Control de la Tuberculosis Región Sanitaria V.), Hospital Zonal Del Torax Dr Antonio Cetrangolo, Buenos Aires, Argentina.
Hugo TellesNational Tuberculosis Control Program Region Five (Programa Control de la Tuberculosis Región Sanitaria V.), Hospital Zonal Del Torax Dr Antonio Cetrangolo, Buenos Aires, Argentina.
Rebecca SchnallColumbia University School of Nursing, New York, NY, United States.
University of Washington · USColumbia University · US

Funding

TB-TST (TB treatment support tools): Refinement and evaluation of an interactive mobile app and direct adherence monitoring on TB treatment outcomesR01AI147129 · NIAID · INSTITUTO DE EFECTIVIDAD CLINICA Y SANIT · PI IRIBARREN, SARAH JO HANNAH, RUBINSTEIN, FERNANDO ADRIÁN · 2019 to 2023
$2.3M
Development and Evaluation of an Interactive Mobile Health Intervention to Support Patients with Active TuberculosisK23NR017210 · NINR · UNIVERSITY OF WASHINGTON · PI IRIBARREN, SARAH JO HANNAH · 2017 to 2019
$437k
NIAID NIH HHS R01 AI147129NINR NIH HHS K23 NR017210
6 · The paper itself

Abstract

backgroundTuberculosis (TB) is a largely curable disease, yet it remains one of the top ten causes of death globally. In response to known challenges to completing the long course of TB treatment, our study team developed the TB treatment support tools (TB-TSTs). The mobile application (app) is comprised of the following main components: 1) tracks treatment progress, 2) provides disease tailored information, 3) interactive communication between patients and treatment supporters, and 4) is linked with a direct adherence drug metabolite test.

objectiveThe objective of this study was to analyze the interactive communication between the patients and the treatment supporter during the TB-TSTs pilot testing to identify issues and guide intervention refinement.

methodsWe used mixed methods to analyze the interactive communication data. The study was conducted at a pulmonary disease specialized hospital in Argentina. Of the 42 study participants enrolled in the pilot study, 21 were randomly assigned to use the TB-TSTs for 6-months during their TB treatment. The treatment supporter was a registered nurse from the regional level of the National TB program. We conducted thematic and content analysis of the messages in their original language, Spanish. We assessed the themes over time and by whom initiated the messages.

resultsThere were 2561 individual messages sent between the participants and treatment supporter. We identified 19 main themes: 7 were participant and 12 were treatment supporter initiated. Participant themes included missed report rationale, arranging in-person meeting, intervention support, TB treatment progress, disease/treatment questions, side effects and additional support. Treatment supporter themes included missed report inquiry, arranging in-person meeting, introduction and instructions, check-in's, positive reinforcement, treatment progress inquiry, test-strip issues, intervention orientation, initial side-effect check in, follow-up on side effects and photo quality issues. Messages and themes decreased over time with most occurring within the first 2 months of treatment.

conclusionsAlthough there was a decrease in the number of messages and the theme types over the 6-month study participation, treatment adherence support remained needed throughout. Potential solutions are suggested for the main issues and recommendations are being used to guide refinement.

Indexed as

Mobile ApplicationsTuberculosisArgentinaHumansPilot ProjectsDigital healthTreatment adherenceTreatment supportTuberculosis

Identifiers

PMID33706032
PMCPMC13249500
OpenAlexW3130122338

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.