Evidence map›Paper›PMID 38444445›Full record

Trial reportFrontiers in public health2024

Feasibility and acceptability of the smart pillbox and medication label with differentiated care to support person-centered tuberculosis care among ASCENT trial participants - A multicountry study.

Amare W Tadesse, Andrew Mganga, Tanyaradzwa N Dube, Jason Alacapa, Kristian van Kalmthout, Taye Letta, Liberate Mleoh, Anna M C Garfin, Noriah Maraba, Salome Charalambous and 3 more

Open access · goldAbstract readClinical TrialMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
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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

13 authors at 7 institutions in 6 countries.

Amare W TadesseTB Centre, Department of Infectious Disease Epidemiology and International Health, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom.
Andrew MgangaKNCV Tuberculosis Plus, Dar es Salaam, Tanzania.
Tanyaradzwa N DubeImplementation Research Division, The Aurum Institute, Johannesburg, South Africa.
Jason AlacapaKNCV Tuberculosis Plus, Manila, Philippines.
Kristian van KalmthoutEvidence and Impact, KNCV Tuberculosis Plus, The Hague, Netherlands.
Taye LettaNational Tuberculosis Control Program, Ethiopian Ministry of Health, Addis Ababa, Ethiopia.
Liberate MleohNational Tuberculosis Control Program, Ministry of Health, Dodoma, Tanzania.
Anna M C GarfinNational Tuberculosis Control Program, Department of Health, Manila, Philippines.
Noriah MarabaImplementation Research Division, The Aurum Institute, Johannesburg, South Africa.
Salome CharalambousImplementation Research Division, The Aurum Institute, Johannesburg, South Africa.
Nicola FosterTB Centre, Department of Infectious Disease Epidemiology and International Health, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom.
Degu JereneEvidence and Impact, KNCV Tuberculosis Plus, The Hague, Netherlands.
Katherine L FieldingTB Centre, Department of Infectious Disease Epidemiology and International Health, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom.
London School of Hygiene & Tropical Medicine · GBAurum Institute · ZATuBerculosis Vaccine Initiative · NLDepartment of Health · PHGovernment of Ethiopia · ETMinistry of Health and Social Welfare · TZUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Digital adherence technologies (DATs) can offer alternative approaches to support tuberculosis treatment medication adherence. Evidence on their feasibility and acceptability in high TB burden settings is limited. We conducted a cross-sectional survey among adults with drug-sensitive tuberculosis (DS-TB), participating in pragmatic cluster-randomized trials for the Adherence Support Coalition to End TB project in Ethiopia (PACTR202008776694999), the Philippines, South Africa and Tanzania (ISRCTN 17706019). Methods: From each country we selected 10 health facilities implementing the DAT intervention (smart pillbox or medication labels, with differentiated care support), ensuring inclusion of urban/rural and public/private facilities. Adults on DS-TB regimen using a DAT were randomly selected from each facility. Feasibility of the DATs was assessed using a standardized tool. Acceptability was measured using a 5-point Likert-scale, using the Capability, Opportunity, Motivation, Behavior (COM-B) model. Mean scores of Likert-scale responses within each COM-B category were estimated, adjusted for facility-level clustering. Data were summarized by country and DAT type. Results: Participants using either the pillbox ( Conclusion: From client-perspective, pillboxes and medication labels with differentiated care support were feasible to implement and acceptable in variety of settings. However, implementation challenges related to network, phone access, stigma, additional costs to people with TB to use DATs need to be addressed.

Indexed as

Digital TechnologyDisclosureAdultCluster AnalysisCross-Sectional StudiesFeasibility StudiesHumansacceptabilitydigital adherence technologiesfeasibilitymedication labelsmart pillboxtuberculosis

Identifiers

PMID38444445
PMCPMC10913790
OpenAlexW4391954896

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.