Evidence map›Paper›PMID 38957499›Full record

ArticlePublic health action2024

Appraising perception, accessibility and uptake of DAT among patients with TB.

C Ogbudebe, B Odume, I Gordon, O Chukwuogo, N Nwokoye, S Useni, E Efo, M Gidado, E Aniwada, A Ihesie and 4 more

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Article in Public health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

C OgbudebeKNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
B OdumeKNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
I GordonKNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
O ChukwuogoKNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
N NwokoyeKNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
S UseniKNCV Tuberculosis Foundation Nigeria, Abuja, Nigeria.
E EfoKNCV TB Plus, The Hague Netherlands.
M GidadoKNCV TB Plus, The Hague Netherlands.
E AniwadaDepartment of Community Medicine, University of Nigeria Teaching Hospital, Enugu.
A IhesieUnited States Agency for International Development (USAID), Abuja, Nigeria.
D NongoUnited States Agency for International Development (USAID), Abuja, Nigeria.
R EneoguUnited States Agency for International Development (USAID), Abuja, Nigeria.
O Chijioke-AkaniroNational Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Abuja, Nigeria.
C AnyaikeNational Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Abuja, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPoor adherence to TB treatment poses a significant public health threat to TB control programmes. The sustainability of directly observed treatment has been questioned because of its non-patient-centred approach and resource-intensive nature, and Digital Adherence Technologies (DATs) provide a suitable alternative. This study assessed the feasibility and acceptability of DATs among patients with TB.

methodsThis descriptive study was conducted in eight states in Nigeria among all patients with drug-susceptible TB.

resultA total of 230 patients (89.1%) own a phone that no one else uses, and 18 (7.0%) use a family phone. A higher proportion of 189 (73.3%) have airtime credit and 119 (46.1%) have internet credit on their phone. In addition, 216 (83.7%) stated that the reminders they received on their phone helped them remember to take their medicine. Only 11 (4.3%) patients missed a dose of the TB medicine. Equally, 11 (4.3%) patients had taken their TB medicine without using DAT. Of these, 7 (63.3%) did not use DATs because they forgot to text medication labels, and 3 (27.6%) did so because of poor network. Only four (1.6%) purchased additional items to support the use of DATs.

conclusionDATs are acceptable in a wide variety of settings, even with reported challenges. Implementation efforts should ensure access, address technical challenges, and minimise additional cost to patients.

Indexed as

digital adherence technology, Africatuberculosis

Identifiers

PMID38957499
PMCPMC11216292

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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.