Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study
BackgroundIn Thailand, the health care system has struggled to cope with COVID-19, resulting in directly observed therapy for tuberculosis being de-emphasized. A video-observed therapy (VOT) system, or more specifically, the Thai VOT (TH VOT) system, was developed to replace...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2022-05-01
|
| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2022/5/e35994 |
| _version_ | 1797735061542404096 |
|---|---|
| author | Ponlagrit Kumwichar Virasakdi Chongsuvivatwong Tagoon Prappre |
| author_facet | Ponlagrit Kumwichar Virasakdi Chongsuvivatwong Tagoon Prappre |
| author_sort | Ponlagrit Kumwichar |
| collection | DOAJ |
| description |
BackgroundIn Thailand, the health care system has struggled to cope with COVID-19, resulting in directly observed therapy for tuberculosis being de-emphasized. A video-observed therapy (VOT) system, or more specifically, the Thai VOT (TH VOT) system, was developed to replace directly observed therapy. According to the pilot study, the system needed notifications to improve usability and user compliance. The updated version of the TH VOT system thus enabled LINE (Line Corporation) notifications.
ObjectiveThis study aimed to reassess users’ compliance with and the usability of the updated TH VOT system.
MethodsThis study was conducted in the Hat Yai and Mueang Songkhla districts in Songkhla Province, Southern Thailand, from September 18 to December 1, 2021. The system was used by not only patients with tuberculosis but also tuberculosis staff, who acted as observers in primary health care settings. Some of the observers used the simulated VOT system instead of the actual system due to the lack of participating patients in their jurisdiction. After 30 days of using the system, VOT session records were analyzed to determine the compliance of the patients and observers. The User Experience Questionnaire was administered to reassess the usability of the system and compare the ratings of the participants with the general benchmark scores of the User Experience Questionnaire. The results were summarized to reveal the degree of user compliance and usability in the following three groups: the patients, actual VOT observers, and simulated VOT observers.
ResultsOf the 19 observers, 10 used the actual VOT system, and the remaining 9 used the simulated VOT system; there were also 10 patients with tuberculosis. The patients, actual VOT observers, and simulated VOT observers exhibited about 70%, 65%, and 50% compliance, respectively, in terms of following the standard operating procedures every day. The scores of all groups on all dimensions were well above the average scores. There was no significant difference in any of the dimensional scores among the three groups.
ConclusionsThe updated version of the TH VOT system was deemed usable by both the patients and the health care staff. Compliance with the use of the system was high among the patients but moderate among the observers. |
| first_indexed | 2024-03-12T12:53:37Z |
| format | Article |
| id | doaj.art-7fb969f145ab4e34877ee9d1337d9a8b |
| institution | Directory Open Access Journal |
| issn | 2561-326X |
| language | English |
| last_indexed | 2024-03-12T12:53:37Z |
| publishDate | 2022-05-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj.art-7fb969f145ab4e34877ee9d1337d9a8b2023-08-28T21:43:13ZengJMIR PublicationsJMIR Formative Research2561-326X2022-05-0165e3599410.2196/35994Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability StudyPonlagrit Kumwicharhttps://orcid.org/0000-0002-1580-5720Virasakdi Chongsuvivatwonghttps://orcid.org/0000-0002-9850-4463Tagoon Prapprehttps://orcid.org/0000-0001-7131-2675 BackgroundIn Thailand, the health care system has struggled to cope with COVID-19, resulting in directly observed therapy for tuberculosis being de-emphasized. A video-observed therapy (VOT) system, or more specifically, the Thai VOT (TH VOT) system, was developed to replace directly observed therapy. According to the pilot study, the system needed notifications to improve usability and user compliance. The updated version of the TH VOT system thus enabled LINE (Line Corporation) notifications. ObjectiveThis study aimed to reassess users’ compliance with and the usability of the updated TH VOT system. MethodsThis study was conducted in the Hat Yai and Mueang Songkhla districts in Songkhla Province, Southern Thailand, from September 18 to December 1, 2021. The system was used by not only patients with tuberculosis but also tuberculosis staff, who acted as observers in primary health care settings. Some of the observers used the simulated VOT system instead of the actual system due to the lack of participating patients in their jurisdiction. After 30 days of using the system, VOT session records were analyzed to determine the compliance of the patients and observers. The User Experience Questionnaire was administered to reassess the usability of the system and compare the ratings of the participants with the general benchmark scores of the User Experience Questionnaire. The results were summarized to reveal the degree of user compliance and usability in the following three groups: the patients, actual VOT observers, and simulated VOT observers. ResultsOf the 19 observers, 10 used the actual VOT system, and the remaining 9 used the simulated VOT system; there were also 10 patients with tuberculosis. The patients, actual VOT observers, and simulated VOT observers exhibited about 70%, 65%, and 50% compliance, respectively, in terms of following the standard operating procedures every day. The scores of all groups on all dimensions were well above the average scores. There was no significant difference in any of the dimensional scores among the three groups. ConclusionsThe updated version of the TH VOT system was deemed usable by both the patients and the health care staff. Compliance with the use of the system was high among the patients but moderate among the observers.https://formative.jmir.org/2022/5/e35994 |
| spellingShingle | Ponlagrit Kumwichar Virasakdi Chongsuvivatwong Tagoon Prappre Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study JMIR Formative Research |
| title | Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study |
| title_full | Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study |
| title_fullStr | Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study |
| title_full_unstemmed | Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study |
| title_short | Video-Observed Therapy With a Notification System for Improving the Monitoring of Tuberculosis Treatment in Thailand: Usability Study |
| title_sort | video observed therapy with a notification system for improving the monitoring of tuberculosis treatment in thailand usability study |
| url | https://formative.jmir.org/2022/5/e35994 |
| work_keys_str_mv | AT ponlagritkumwichar videoobservedtherapywithanotificationsystemforimprovingthemonitoringoftuberculosistreatmentinthailandusabilitystudy AT virasakdichongsuvivatwong videoobservedtherapywithanotificationsystemforimprovingthemonitoringoftuberculosistreatmentinthailandusabilitystudy AT tagoonprappre videoobservedtherapywithanotificationsystemforimprovingthemonitoringoftuberculosistreatmentinthailandusabilitystudy |