Evidence map›Paper›PMID 34132642›Full record

ArticleJMIR research protocols2021

Directly Observed Therapy to Measure Adherence to Tuberculosis Medication in Observational Research: Protocol for a Prospective Cohort Study.

Elizabeth J Ragan, Christopher J Gill, Matthew Banos, Tara C Bouton, Jennifer Rooney, Charles R Horsburgh, Robin M Warren, Bronwyn Myers, Karen R Jacobson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02840877 (The Impact of Alcohol Consumption on Tuberculosis Treatment Outcomes), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 46% 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.

NCT02840877 nacompletednot on this map

The Impact of Alcohol Consumption on Tuberculosis Treatment Outcomes

TypeinterventionalSponsorBoston Medical CenterRan2017 to 2023Enrolled303ConditionsTuberculosis, Alcohol Consumption, Treatment Adverse EffectArmsDOT Adherence Monitoring
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Patient Determinants and Effects on Adherence of Adverse Drug Reactions to Tuberculosis Treatment: A Prospective Cohort Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Observational
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

9 authors at 3 institutions in 2 countries.

Elizabeth J RaganSection of Infectious Diseases, Boston Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0001-6062-0058
Christopher J GillDepartment of Global Health, Boston University School of Public Health, Boston, MA, United States.ORCID https://orcid.org/0000-0003-3353-0617
Matthew BanosDepartment of Global Health, Boston University School of Public Health, Boston, MA, United States.ORCID https://orcid.org/0000-0002-1151-1493
Tara C BoutonSection of Infectious Diseases, Boston Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0002-1521-148X
Jennifer RooneySection of Infectious Diseases, Boston Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0003-1307-6373
Charles R HorsburghSection of Infectious Diseases, Boston Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0001-6838-7895
Robin M WarrenDepartment of Science and Innovation-The National Research Foundation Centre of Excellence for Biomedical Tuberculosis Research and The South African Medical Research Council Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-5741-7358
Bronwyn MyersAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa.ORCID https://orcid.org/0000-0003-0235-6716
Karen R JacobsonSection of Infectious Diseases, Boston Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0003-4239-3685
Boston Medical Center · USBoston University · USSouth African Medical Research Council · ZA

Funding

The impact of alcohol consumption on TB treatment outcomesR01AI119037 · NIAID · BOSTON MEDICAL CENTER · PI JACOBSON, KAREN R · 2016 to 2020
$3.3M
Understanding HIV's impact on RR/MDR-TB development and transmission through genomicsK23AI152930 · NIAID · BOSTON MEDICAL CENTER · PI BOUTON, TARA CATHERINE · 2021 to 2025
$1.0M
NIAID NIH HHS K23 AI152930NIAID NIH HHS R01 AI119037
6 · The paper itself

Abstract

backgroundA major challenge for prospective, clinical tuberculosis (TB) research is accurately defining a metric for measuring medication adherence.

objectiveWe aimed to design a method to capture directly observed therapy (DOT) via mobile health carried out by community workers. The program was created specifically to measure TB medication adherence for a prospective TB cohort in Western Cape Province, South Africa.

methodsCommunity workers collect daily adherence data on mobile smartphones. Participant-level adherence, program-level adherence, and program function are systematically monitored to assess DOT program implementation. A data dashboard allows for regular visualization of indicators. Numerous design elements aim to prevent or limit data falsification and ensure study data integrity.

resultsThe cohort study is ongoing and data collection is in progress. Enrollment began on May 16, 2017, and as of January 12, 2021, a total of 236 participants were enrolled. Adherence data will be used to analyze the study's primary aims and to investigate adherence as a primary outcome.

conclusionsThe DOT program includes a mobile health application for data collection as well as a monitoring framework and dashboard. This approach has potential to be adapted for other settings to improve the capture of medication adherence in clinical TB research.

trial registrationClinicaltrials.gov NCT02840877; https://clinicaltrials.gov/ct2/show/NCT02840877.

Indexed as

directly observed therapymedication adherencemobile applicationstreatment adherence and compliancetuberculosis

Identifiers

PMID34132642
PMCPMC8277341
OpenAlexW3134185773

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.