Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence
IntroductionDigital technologies can improve adherence to tuberculosis (TB) treatment. We studied the impact of digitizing TB treatment monitoring on adherence among TB patients in Wuhan, China, during 2020-2021.MethodsWe compared an electronic system introduced to monitor TB medication adherence (e...
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| Format: | Article |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1033532/full |
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| author | Mengxian Zhang Guiyang Wang Hina Najmi Aashifa Yaqoob Aashifa Yaqoob Tao Li Yinyin Xia Jianjun Ye Shuangyi Hou Ye Xiao Liping Zhou Yuehua Li |
| author_facet | Mengxian Zhang Guiyang Wang Hina Najmi Aashifa Yaqoob Aashifa Yaqoob Tao Li Yinyin Xia Jianjun Ye Shuangyi Hou Ye Xiao Liping Zhou Yuehua Li |
| author_sort | Mengxian Zhang |
| collection | DOAJ |
| description | IntroductionDigital technologies can improve adherence to tuberculosis (TB) treatment. We studied the impact of digitizing TB treatment monitoring on adherence among TB patients in Wuhan, China, during 2020-2021.MethodsWe compared an electronic system introduced to monitor TB medication adherence (e-Patient Service System; e-PSS) with the p paper-based standard of care (TB Control Information System; TCIS) in terms of prescribed TB treatment doses taken by patients and patient outcome after six months of follow up. We designed a cross sectional study using retrospective data for all drug susceptible pulmonary TB patients recorded on both systems. The main indicators were: compliant first follow up visit (within 3 days of start of treatment); medication adherence (80% or more of monthly doses taken); and end of treatment success ratio.ResultsA total of 1,576 TB patients were recorded in TCIS in July September, 2020 and 1,145 TB cases were included in e-PSS in January March, 2021. The distribution of patient demographic and clinical features was similar between the two groups. A larger proportion from the e-PSS group visited the community doctor in the first three days compared with the TCIS group (48.91 versus 29. 76 % respectively). Medication adherence was also higher in the e-PSS group during the 6 months of treatment than in the TCIS group (84. 28 versus 80.3 3 % respectively). Treatment success was 92.52% in the e-PSS group and 92.07% in the TCIS group. Multivariate logistic regress ion analysis demonstrated that adjusted odds ratios for compliant first follow up visit, medication adherence and favorable treatment outcome in the e-PSS versus TCIS groups were 2.94 (95% 2.47 3.50), 1.33 (95% 1.08 1.63), and 1. 12 (95% CL: 0.79 1.57) respectively.DiscussionThis study revealed improvements in TB care following an intervention to monitor treatment digitally in patients in Wuhan, China. |
| first_indexed | 2024-04-09T19:35:24Z |
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| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-09T19:35:24Z |
| publishDate | 2023-03-01 |
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| series | Frontiers in Public Health |
| spelling | doaj.art-43ec5560e14c424d9e34da840a7aa2262023-04-04T11:53:08ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.10335321033532Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherenceMengxian Zhang0Guiyang Wang1Hina Najmi2Aashifa Yaqoob3Aashifa Yaqoob4Tao Li5Yinyin Xia6Jianjun Ye7Shuangyi Hou8Ye Xiao9Liping Zhou10Yuehua Li11Institute for Tuberculosis Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei, ChinaWuhan Pulmonary Hospital, Wuhan Institute for Tuberculosis Control, Wuhan, Hubei, ChinaHealth Services Academy, Islamabad, PakistanCommon Management Unit (TB, HIV/AIDS & Malaria), Islamabad, PakistanUniversity of Bergen, Bergen, NorwayNational Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaInstitute for Tuberculosis Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei, ChinaInstitute for Tuberculosis Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei, ChinaBeijing SINOVO Power Technology LTD., Beijing, ChinaInstitute for Tuberculosis Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei, ChinaWuhan Pulmonary Hospital, Wuhan Institute for Tuberculosis Control, Wuhan, Hubei, ChinaIntroductionDigital technologies can improve adherence to tuberculosis (TB) treatment. We studied the impact of digitizing TB treatment monitoring on adherence among TB patients in Wuhan, China, during 2020-2021.MethodsWe compared an electronic system introduced to monitor TB medication adherence (e-Patient Service System; e-PSS) with the p paper-based standard of care (TB Control Information System; TCIS) in terms of prescribed TB treatment doses taken by patients and patient outcome after six months of follow up. We designed a cross sectional study using retrospective data for all drug susceptible pulmonary TB patients recorded on both systems. The main indicators were: compliant first follow up visit (within 3 days of start of treatment); medication adherence (80% or more of monthly doses taken); and end of treatment success ratio.ResultsA total of 1,576 TB patients were recorded in TCIS in July September, 2020 and 1,145 TB cases were included in e-PSS in January March, 2021. The distribution of patient demographic and clinical features was similar between the two groups. A larger proportion from the e-PSS group visited the community doctor in the first three days compared with the TCIS group (48.91 versus 29. 76 % respectively). Medication adherence was also higher in the e-PSS group during the 6 months of treatment than in the TCIS group (84. 28 versus 80.3 3 % respectively). Treatment success was 92.52% in the e-PSS group and 92.07% in the TCIS group. Multivariate logistic regress ion analysis demonstrated that adjusted odds ratios for compliant first follow up visit, medication adherence and favorable treatment outcome in the e-PSS versus TCIS groups were 2.94 (95% 2.47 3.50), 1.33 (95% 1.08 1.63), and 1. 12 (95% CL: 0.79 1.57) respectively.DiscussionThis study revealed improvements in TB care following an intervention to monitor treatment digitally in patients in Wuhan, China.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1033532/fulltuberculosisChinamedication adherence and treatment outcomedigital adherence technologyoperational research |
| spellingShingle | Mengxian Zhang Guiyang Wang Hina Najmi Aashifa Yaqoob Aashifa Yaqoob Tao Li Yinyin Xia Jianjun Ye Shuangyi Hou Ye Xiao Liping Zhou Yuehua Li Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence Frontiers in Public Health tuberculosis China medication adherence and treatment outcome digital adherence technology operational research |
| title | Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence |
| title_full | Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence |
| title_fullStr | Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence |
| title_full_unstemmed | Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence |
| title_short | Digitizing tuberculosis treatment monitoring in Wuhan city, China, 2020–2021: Impact on medication adherence |
| title_sort | digitizing tuberculosis treatment monitoring in wuhan city china 2020 2021 impact on medication adherence |
| topic | tuberculosis China medication adherence and treatment outcome digital adherence technology operational research |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1033532/full |
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