AI Article Synopsis
- The study investigates the Thai Video-Observed Therapy (TH VOT) system for monitoring tuberculosis treatment during challenges like the COVID-19 pandemic.
- The pilot program in Na Yong district utilized a smartphone app for patients and a web platform for staff, involving real TB patients and simulated users for training and feedback.
- Key findings showed limited smartphone availability among patients and highlighted the need for better notification and audit systems before scaling up the program.
Article Abstract
Background: Directly observed therapy programs for monitoring tuberculosis (TB) treatment in Thailand are unsustainable, especially during the COVID-19 pandemic. The current video-observed therapy (VOT) system, the Thai VOT (TH VOT), was developed to replace the directly observed therapy program.
Objective: This study aimed to describe the VOT system design and identify the potential for system improvements.
Methods: This pilot study was conducted in Na Yong district, a small district in Trang province, south of Thailand. The TH VOT system consists of a smartphone app for patients, a secured web-based platform for staff, items used, and standard operating procedures. There were three groups of users: observers who were TB staff, healthy volunteers as simulated patients, and patients with active TB. All participants were trained to follow the standard operating procedures. After 2-week usage, VOT session records were analyzed to measure the compliance of the patients and observers. The User Experience Questionnaire was used to lead the participant users to focus on 6 standard dimensions of usability, and was supplemented with an in-depth interview to identify potential system improvements from users' experience.
Results: Only 2 of 16 patients with currently active TB had a usable smartphone. Sixty of 70 drug-taking sessions among 2 patients and 3 simulated patients in 2 weeks were recorded and uploaded. Only 37 sessions were inspected by the observers within 24 hours. All participants needed a proper notification system. An audit system was also requested.
Conclusions: Before upscaling, the cost of smartphone lending, audit management, and notification systems should be elucidated.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367133 | PMC |
| http://dx.doi.org/10.2196/29463 | DOI Listing |
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