Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model

Tuberculosis and Respiratory Diseases

article

Mohd Fazeli Sazali¹  Syed Sharizman Syed Abdul Rahim¹  Ahmad Hazim Mohammad¹  Fairrul Kadir²  Alvin Oliver Payus³  Richard Avoi¹  Mohammad Saffree Jeffree¹  Azizan Omar¹  Mohd Yusof Ibrahim¹  Azman Atil¹  Nooralisa Mohd Tuah⁴  Rahmat Dapari⁵  Meryl Grace Lansing³  Ahmad Asyraf Abdul Rahim¹  Zahir Izuan Azhar⁶ 

[1] Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah;Department of Emergency Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah;Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah;Faculty of Computing and Informatics, Universiti Malaysia Sabah;Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia;Department of Public Health Medicine, Faculty of Medicine, MARA Technological University

关键词: Tuberculosis;    Adherence;    Directly Observed Therapy;    Digital Technology;    Health Belief Model;   

DOI  :  10.4046/trd.2022.0148

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Tuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, the long duration of TB treatment raised the issue of non-adherence. Non-adherence to TB therapy could negatively affect clinical and public health outcomes. Thus, directly observed therapy (DOT) has been introduced as a standard strategy to improve anti-TB medication adherence. Nonetheless, the DOT approach has been criticized due to inconvenience, stigma, reduced economic productivity, and reduced quality of life, which ultimately could complicate adherence issues. Apart from that, its effectiveness in improving anti-TB adherence is debatable. Therefore, digital technology could be an essential tool to enhance the implementation of DOT. Incorporating the health belief model (HBM) into digital technology can further increase its effectiveness in changing behavior and improving medication adherence. This article aimed to review the latest evidence regarding TB medication non-adherence, its associated factors, DOT’s efficacy and its alternatives, and the use of digital technology and HBM in improving medication adherence. This paper used the narrative review methodology to analyze related articles to address the study objectives. Conventional DOT has several disadvantages in TB management. Integrating HBM in digital technology development is potentially effective in improving medication adherence. Digital technology provides an opportunity to improve medication adherence to overcome various issues related to DOT implementation.

【 授权许可】

CC BY-NC