Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Jun 21, 2023
Date Accepted: Oct 27, 2023
Digital Health Interventions to Enhance Tuberculosis Treatment Adherence: A Scoping Review
ABSTRACT
Background:
Digital health technologies are widely used for disease management, with their computing platforms, software, and sensors for health care. These technologies have been developed to cover chronic disease management as well as infectious bacterial diseases, such as tuberculosis (TB).
Objective:
This study aimed to comprehensively review the literature on the use of digital interventions to enhance TB treatment adherence and health outcomes and identify significant opportunities for the introduction of unique digital health interventions (DHIs).
Methods:
We conducted a literature search in the PubMed, Cochrane Library, Ovid-EMBASE, and Scopus databases for related studies published between January 2012 and March 2022. Studies were included if they focused on web- or mobile-based interventions, medication adherence, digital health, randomized control trials, digital interventions, or mHealth and uHealth on TB treatment and health outcomes.
Results:
We identified 27 relevant studies classified according to the following main aspects: intervention method, a significant difference in treatment success, and health outcomes. The following interventions were emphasized: short message services (29.7%), medicine reminders (22.2%), and web-based direct observation therapy (33.3%). Digital health technology has significantly helped promote disease management among individuals and healthcare professionals. However, few studies have addressed two-way communication therapies, such as interactive text messaging and feedback systems.
Conclusions:
This scoping review classified studies on DHIs used in patients with TB and demonstrated their potential for self-management of the condition. The ultimate purpose of DHIs is often inconsistent, and they are still under construction. This study emphasizes the need to develop a communication system for TB management.
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Copyright
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