Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model

Tuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, th...

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Main Authors: Mohd Fazeli Sazali, Syed Sharizman Syed Abdul Rahim, Ahmad Hazim Mohammad, Fairrul Kadir, Alvin Oliver Payus, Richard Avoi, Mohammad Saffree Jeffree, Azizan Omar, Mohd Yusof Ibrahim, Azman Atil, Nooralisa Mohd Tuah, Rahmat Dapari, Meryl Grace Lansing, Ahmad Asyraf Abdul Rahim, Zahir Izuan Azhar
Format: Article
Language:English
Published: The Korean Academy of Tuberculosis and Respiratory Diseases 2023-04-01
Series:Tuberculosis and Respiratory Diseases
Subjects:
Online Access:http://e-trd.org/upload/pdf/trd-2022-0148.pdf
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author Mohd Fazeli Sazali
Syed Sharizman Syed Abdul Rahim
Ahmad Hazim Mohammad
Fairrul Kadir
Alvin Oliver Payus
Richard Avoi
Mohammad Saffree Jeffree
Azizan Omar
Mohd Yusof Ibrahim
Azman Atil
Nooralisa Mohd Tuah
Rahmat Dapari
Meryl Grace Lansing
Ahmad Asyraf Abdul Rahim
Zahir Izuan Azhar
author_facet Mohd Fazeli Sazali
Syed Sharizman Syed Abdul Rahim
Ahmad Hazim Mohammad
Fairrul Kadir
Alvin Oliver Payus
Richard Avoi
Mohammad Saffree Jeffree
Azizan Omar
Mohd Yusof Ibrahim
Azman Atil
Nooralisa Mohd Tuah
Rahmat Dapari
Meryl Grace Lansing
Ahmad Asyraf Abdul Rahim
Zahir Izuan Azhar
author_sort Mohd Fazeli Sazali
collection DOAJ
description Tuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, the long duration of TB treatment raised the issue of non-adherence. Non-adherence to TB therapy could negatively affect clinical and public health outcomes. Thus, directly observed therapy (DOT) has been introduced as a standard strategy to improve anti-TB medication adherence. Nonetheless, the DOT approach has been criticized due to inconvenience, stigma, reduced economic productivity, and reduced quality of life, which ultimately could complicate adherence issues. Apart from that, its effectiveness in improving anti-TB adherence is debatable. Therefore, digital technology could be an essential tool to enhance the implementation of DOT. Incorporating the health belief model (HBM) into digital technology can further increase its effectiveness in changing behavior and improving medication adherence. This article aimed to review the latest evidence regarding TB medication non-adherence, its associated factors, DOT’s efficacy and its alternatives, and the use of digital technology and HBM in improving medication adherence. This paper used the narrative review methodology to analyze related articles to address the study objectives. Conventional DOT has several disadvantages in TB management. Integrating HBM in digital technology development is potentially effective in improving medication adherence. Digital technology provides an opportunity to improve medication adherence to overcome various issues related to DOT implementation.
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spelling doaj.art-697446b3a42742fb9bf16e6716890d9d2023-04-03T01:41:04ZengThe Korean Academy of Tuberculosis and Respiratory DiseasesTuberculosis and Respiratory Diseases1738-35362005-61842023-04-01862829310.4046/trd.2022.01484809Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief ModelMohd Fazeli Sazali0Syed Sharizman Syed Abdul Rahim1Ahmad Hazim Mohammad2Fairrul Kadir3Alvin Oliver Payus4Richard Avoi5Mohammad Saffree Jeffree6Azizan Omar7Mohd Yusof Ibrahim8Azman Atil9Nooralisa Mohd Tuah10Rahmat Dapari11Meryl Grace Lansing12Ahmad Asyraf Abdul Rahim13Zahir Izuan Azhar14 Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Emergency Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Faculty of Computing and Informatics, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia Department of Public Health Medicine, Faculty of Medicine, MARA Technological University, Sg Buloh, MalaysiaTuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, the long duration of TB treatment raised the issue of non-adherence. Non-adherence to TB therapy could negatively affect clinical and public health outcomes. Thus, directly observed therapy (DOT) has been introduced as a standard strategy to improve anti-TB medication adherence. Nonetheless, the DOT approach has been criticized due to inconvenience, stigma, reduced economic productivity, and reduced quality of life, which ultimately could complicate adherence issues. Apart from that, its effectiveness in improving anti-TB adherence is debatable. Therefore, digital technology could be an essential tool to enhance the implementation of DOT. Incorporating the health belief model (HBM) into digital technology can further increase its effectiveness in changing behavior and improving medication adherence. This article aimed to review the latest evidence regarding TB medication non-adherence, its associated factors, DOT’s efficacy and its alternatives, and the use of digital technology and HBM in improving medication adherence. This paper used the narrative review methodology to analyze related articles to address the study objectives. Conventional DOT has several disadvantages in TB management. Integrating HBM in digital technology development is potentially effective in improving medication adherence. Digital technology provides an opportunity to improve medication adherence to overcome various issues related to DOT implementation.http://e-trd.org/upload/pdf/trd-2022-0148.pdftuberculosisadherencedirectly observed therapydigital technologyhealth belief model
spellingShingle Mohd Fazeli Sazali
Syed Sharizman Syed Abdul Rahim
Ahmad Hazim Mohammad
Fairrul Kadir
Alvin Oliver Payus
Richard Avoi
Mohammad Saffree Jeffree
Azizan Omar
Mohd Yusof Ibrahim
Azman Atil
Nooralisa Mohd Tuah
Rahmat Dapari
Meryl Grace Lansing
Ahmad Asyraf Abdul Rahim
Zahir Izuan Azhar
Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
Tuberculosis and Respiratory Diseases
tuberculosis
adherence
directly observed therapy
digital technology
health belief model
title Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
title_full Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
title_fullStr Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
title_full_unstemmed Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
title_short Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
title_sort improving tuberculosis medication adherence the potential of integrating digital technology and health belief model
topic tuberculosis
adherence
directly observed therapy
digital technology
health belief model
url http://e-trd.org/upload/pdf/trd-2022-0148.pdf
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