Ngwatu, Brian Kermu, Nsengiyumva, Ntwali Placide, Oxlade, Olivia et al. (35 more authors) (2018) The impact of digital health technologies on tuberculosis treatment:a systematic review. European Respiratory Journal. 1701596. ISSN 1399-3003
Abstract
Digital technologies are increasingly harnessed to support treatment of persons with tuberculosis (TB). Since in-person directly observed treatment (DOT) can be resource intensive and challenging to implement, these technologies may have the potential to improve adherence and clinical outcomes. We reviewed the effect of these technologies on TB treatment adherence and patient outcomes. We searched several bibliographical databases for studies reporting the effect of digital interventions, including short message service (SMS), video-observed therapy (VOT) and medication monitors (MMs), to support treatment for active TB. Only studies with a control group and which reported effect estimates were included. Four trials showed no statistically significant effect on treatment completion when SMS was added to standard care. Two observational studies of VOT reported comparable treatment completion rates when compared with in-person DOT. MMs increased the probability of cure (RR 2.3, 95% CI 1.6-3.4) in one observational study, and one trial reported a statistically significant reduction in missed treatment doses relative to standard care (adjusted means ratio 0.58, 95% CI 0.42-0.79). Evidence of the effect of digital technologies to improve TB care remains limited. More studies of better quality are needed to determine how such technologies can enhance programme performance.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | Funding Information: This work was funded by the European Respiratory Society, via the World Health Organization Stop TB Programme. Funding information for this article has been deposited in the Crossref Funder Registry Funding Information: Support statement: This work was funded by the European Respiratory Society, via the World Health Organization Stop TB Programme. Funding information for this article has been deposited in the Crossref Funder Registry © ERS 2018. |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Education (York) The University of York > Faculty of Sciences (York) > Chemistry (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Funding Information: | Funder Grant number EUROPEAN COMMISSION 680995 |
Depositing User: | Pure (York) |
Date Deposited: | 02 Feb 2022 12:30 |
Last Modified: | 05 Jan 2025 00:33 |
Published Version: | https://doi.org/10.1183/13993003.01596-2017 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1183/13993003.01596-2017 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:183190 |
Download
Filename: 1701596.full.pdf
Description: The impact of digital health technologies on tuberculosis treatment: a systematic review
Licence: CC-BY-NC 2.5