Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Tuberc Lung Dis. 2015 Sep;19(9):1057-64. doi: 10.5588/ijtld.14.0923.

Feasibility of tuberculosis treatment monitoring by video directly observed therapy: a binational pilot study.

Author information

1
Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, USA.
2
San Diego County Health and Human Services Agency, San Diego, California, USA.
3
Instituto de Servicios de Salud, Tijuana, Baja California, México.
4
Department of Preventive Medicine and Public Health, University of California, San Diego, La Jolla, USA.
5
Qualcomm Institute, University of California, San Diego, La Jolla, USA.
6
School of Social Work, San Diego State University, San Diego, California, USA.
7
Comision de Salud Fronteriza, Sección México-Secretaria de Salud, Tijuana, Baja California, México.
8
Department of Preventive Medicine and Public Health, University of California, San Diego, La Jolla, USA; Qualcomm Institute, University of California, San Diego, La Jolla, USA.

Abstract

BACKGROUND:

Although directly observed therapy (DOT) is recommended worldwide for monitoring anti-tuberculosis treatment, transportation and personnel requirements limit its use.

OBJECTIVE:

To evaluate the feasibility and acceptability of 'video DOT' (VDOT), which allows patients to record and transmit medication ingestion via videos watched remotely by health care providers to document adherence.

METHODS:

We conducted a single-arm trial among tuberculosis (TB) patients in San Diego, California, USA, (n = 43) and Tijuana, Mexico (n = 9) to represent high- and low-resource settings. Pre-/post-treatment interviews assessed participant characteristics and experiences. Adherence was defined as the proportion of observed doses to expected doses.

RESULTS:

The mean age was 37 years (range 18-86), 50% were male, and 88% were non-Caucasian. The mean duration of VDOT use was 5.5 months (range 1-11). Adherence was similar in San Diego (93%) and Tijuana (96%). Compared to time on in-person DOT, 92% preferred VDOT, 81% thought VDOT was more confidential, 89% never/rarely had problems recording videos, and 100% would recommend VDOT to others. Seven (13%) participants were returned to in-person DOT and six (12%) additional participants had their phones lost, broken or stolen.

CONCLUSIONS:

VDOT was feasible and acceptable, with high adherence in both high- and low-resource settings. Efficacy and cost-effectiveness studies are needed.

PMID:
26260824
PMCID:
PMC5673092
DOI:
10.5588/ijtld.14.0923
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Ingenta plc Icon for PubMed Central
    Loading ...
    Support Center