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Barriers and Facilitators to Implementing a Digital Adherence Technology for Tuberculosis Treatment Supervision in Uganda: Qualitative Study

Barriers and Facilitators to Implementing a Digital Adherence Technology for Tuberculosis Treatment Supervision in Uganda: Qualitative Study

Poor medication adherence remains a substantial obstacle to TB elimination [1]. Since the 1990s, directly observed therapy (DOT), wherein a health worker observes the swallowing of each dose of anti-TB medication, has been a key component of the standard of care for TB treatment supervision [2]. DOT is costly, it is time-consuming for people with TB and health workers, and there is limited evidence to suggest that it improves treatment outcomes [3].

Anna Leddy, Joseph Ggita, Christopher A Berger, Alex Kityamuwesi, Agnes Nakate Sanyu, Lynn Kunihira Tinka, Rebecca Crowder, Stavia Turyahabwe, Achilles Katamba, Adithya Cattamanchi

J Med Internet Res 2023;25:e38828

Iterative Adaptation of a Tuberculosis Digital Medication Adherence Technology to Meet User Needs: Qualitative Study of Patients and Health Care Providers Using Human-Centered Design Methods

Iterative Adaptation of a Tuberculosis Digital Medication Adherence Technology to Meet User Needs: Qualitative Study of Patients and Health Care Providers Using Human-Centered Design Methods

These were (1) 2 educational messages about treatment completion: a before-and-after treatment photo of a patient with TB, and a cartoon reinforcing the importance of TB treatment completion (design opportunity 3) and (2) 2 personal messages: 1 introductory message from a health worker to reinforce their relationship (design opportunity 4) and 1 tailored, personal message from the health worker (design opportunity 5).

Devika Patel, Christopher Allen Berger, Alex Kityamuwesi, Joseph Ggita, Lynn Kunihira Tinka, Patricia Turimumahoro, Joshua Feler, Lara Chehab, Amy Z Chen, Nakull Gupta, Stavia Turyahabwe, Achilles Katamba, Adithya Cattamanchi, Amanda Sammann

JMIR Form Res 2020;4(12):e19270