Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020
Xiaorong Li, Xuewen Pang, Fan Zhang Tianjin Center for Tuberculosis Control, Tianjin, 300041, People’s Republic of ChinaCorrespondence: Fan ZhangTianjin Center for Tuberculosis Control, No. 124 Chifeng Road, Heping District, Tianjin, 300041, People’s Republic of ChinaTel +86-13312119095Fax +86 22-24...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-02-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/evaluation-of-mobile-application-for-the-management-of-tuberculosis-pa-peer-reviewed-fulltext-article-PPA |
| _version_ | 1818689610694262784 |
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| author | Li X Pang X Zhang F |
| author_facet | Li X Pang X Zhang F |
| author_sort | Li X |
| collection | DOAJ |
| description | Xiaorong Li, Xuewen Pang, Fan Zhang Tianjin Center for Tuberculosis Control, Tianjin, 300041, People’s Republic of ChinaCorrespondence: Fan ZhangTianjin Center for Tuberculosis Control, No. 124 Chifeng Road, Heping District, Tianjin, 300041, People’s Republic of ChinaTel +86-13312119095Fax +86 22-24333673Email 13312119095@126.comPurpose: Poor tuberculosis (TB) medication adherence increases the risk of treatment failure and development of drug-resistant TB, while universal implementation of directly observed therapy (DOT) is not feasible in China. EHealth technologies were reported to be promising patient-centered tools for improving adherence. However, only pilot studies have assessed patients’ experiences, and the results were discrepant.Patients and Methods: This prospective-cohort study was conducted among TB patients at the outpatient department from 3 March 2019 to 30 May 2020 in Tianjin, China. Data were downloaded from the Tuberculosis Doctor App and TB Information Management System (TBIMS) and merged them by the TBIMS notification number. Logistic regression analysis was used to analyze the factors associated with regular drug-intake. Odds ratios and 95% confidence intervals were estimated with and without adjustment for age, gender, ethnicity and occupation.Results: Revisit examination was more regularly and frequently in APP group than non-APP group. In APP group, 33.28% patients were regular drug-intake. The whole drug-intake rate was 84.84%. Tuberculosis pleurisy (aOR: 0.42, 95CI%=0.26– 0.69) and retreated patients (aOR: 0.40, 95CI% =0.27– 0.59) were more likely to have poor medication compliance. Local residents tend to have better medication compliance (aOR: 1.80, 95CI% =1.16– 2.79).Conclusion: APP could improve TB patients’ revisit examination adherence. Medication adherence was poor in tuberculosis pleuritis and retreated patients, while local residents tend to have better medication adherence. To make full use of the mobile application in TB patient management, more incentive measures should be adopted for patients and doctors, respectively.Keywords: tuberculosis, mobile application, medication adherence |
| first_indexed | 2024-12-17T12:12:51Z |
| format | Article |
| id | doaj.art-f3ef1e119ec34829bab98ad229281f9c |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-17T12:12:51Z |
| publishDate | 2022-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-f3ef1e119ec34829bab98ad229281f9c2022-12-21T21:49:19ZengDove Medical PressPatient Preference and Adherence1177-889X2022-02-01Volume 1632132972784Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020Li XPang XZhang FXiaorong Li, Xuewen Pang, Fan Zhang Tianjin Center for Tuberculosis Control, Tianjin, 300041, People’s Republic of ChinaCorrespondence: Fan ZhangTianjin Center for Tuberculosis Control, No. 124 Chifeng Road, Heping District, Tianjin, 300041, People’s Republic of ChinaTel +86-13312119095Fax +86 22-24333673Email 13312119095@126.comPurpose: Poor tuberculosis (TB) medication adherence increases the risk of treatment failure and development of drug-resistant TB, while universal implementation of directly observed therapy (DOT) is not feasible in China. EHealth technologies were reported to be promising patient-centered tools for improving adherence. However, only pilot studies have assessed patients’ experiences, and the results were discrepant.Patients and Methods: This prospective-cohort study was conducted among TB patients at the outpatient department from 3 March 2019 to 30 May 2020 in Tianjin, China. Data were downloaded from the Tuberculosis Doctor App and TB Information Management System (TBIMS) and merged them by the TBIMS notification number. Logistic regression analysis was used to analyze the factors associated with regular drug-intake. Odds ratios and 95% confidence intervals were estimated with and without adjustment for age, gender, ethnicity and occupation.Results: Revisit examination was more regularly and frequently in APP group than non-APP group. In APP group, 33.28% patients were regular drug-intake. The whole drug-intake rate was 84.84%. Tuberculosis pleurisy (aOR: 0.42, 95CI%=0.26– 0.69) and retreated patients (aOR: 0.40, 95CI% =0.27– 0.59) were more likely to have poor medication compliance. Local residents tend to have better medication compliance (aOR: 1.80, 95CI% =1.16– 2.79).Conclusion: APP could improve TB patients’ revisit examination adherence. Medication adherence was poor in tuberculosis pleuritis and retreated patients, while local residents tend to have better medication adherence. To make full use of the mobile application in TB patient management, more incentive measures should be adopted for patients and doctors, respectively.Keywords: tuberculosis, mobile application, medication adherencehttps://www.dovepress.com/evaluation-of-mobile-application-for-the-management-of-tuberculosis-pa-peer-reviewed-fulltext-article-PPAtuberculosismobile applicationmedication adherence |
| spellingShingle | Li X Pang X Zhang F Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020 Patient Preference and Adherence tuberculosis mobile application medication adherence |
| title | Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020 |
| title_full | Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020 |
| title_fullStr | Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020 |
| title_full_unstemmed | Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020 |
| title_short | Evaluation of Mobile Application for the Management of Tuberculosis Patients in Tianjin During 2019–2020 |
| title_sort | evaluation of mobile application for the management of tuberculosis patients in tianjin during 2019 ndash 2020 |
| topic | tuberculosis mobile application medication adherence |
| url | https://www.dovepress.com/evaluation-of-mobile-application-for-the-management-of-tuberculosis-pa-peer-reviewed-fulltext-article-PPA |
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