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Video Directly Observed Therapy to support adherence with treatment for tuberculosis in Vietnam: A prospective cohort study.

Identifieur interne : 000263 ( PubMed/Corpus ); précédent : 000262; suivant : 000264

Video Directly Observed Therapy to support adherence with treatment for tuberculosis in Vietnam: A prospective cohort study.

Auteurs : Thu Anh Nguyen ; Minh Tam Pham ; Thi Loi Nguyen ; Viet Nhung Nguyen ; Duc Cuong Pham ; Binh Hoa Nguyen ; Greg James Fox

Source :

RBID : pubmed:29030137

Abstract

Ensuring patients fully adhere to their treatment is a major challenge for TB control programmes in resource-limited settings. This study was conducted three outpatient tuberculosis clinics in Hanoi, Vietnam. We aimed to evaluate the feasibility of using asynchronous Video Directly Observed Therapy (VDOT) to support treatment adherence among patients with bacteriologically confirmed pulmonary tuberculosis.

DOI: 10.1016/j.ijid.2017.09.029
PubMed: 29030137

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pubmed:29030137

Le document en format XML

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<nlm:affiliation>Woolcock Institute of Medical Research, Glebe, NSW 2037, Australia. Electronic address: thuanh.nguyen@sydney.edu.au.</nlm:affiliation>
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<div type="abstract" xml:lang="en">Ensuring patients fully adhere to their treatment is a major challenge for TB control programmes in resource-limited settings. This study was conducted three outpatient tuberculosis clinics in Hanoi, Vietnam. We aimed to evaluate the feasibility of using asynchronous Video Directly Observed Therapy (VDOT) to support treatment adherence among patients with bacteriologically confirmed pulmonary tuberculosis.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Ensuring patients fully adhere to their treatment is a major challenge for TB control programmes in resource-limited settings. This study was conducted three outpatient tuberculosis clinics in Hanoi, Vietnam. We aimed to evaluate the feasibility of using asynchronous Video Directly Observed Therapy (VDOT) to support treatment adherence among patients with bacteriologically confirmed pulmonary tuberculosis.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In this cohort study, consecutive adult patients with bacteriologically confirmed pulmonary TB were invited to enroll in a programme of VDOT. Patients were trained to use a smartphone to record themselves taking treatment for TB. Videos were uploaded to an online server and reviewed daily by study staff for at least two months. Adherence was evaluated based upon monthly pill count.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Between November 2016 and January 2017, 40 of 78 eligible participants (51.3%) agreed to commence VDOT. Among participating patients, 27 (71.1%) of patients took all required doses. A median of 88.4% (interquartile range 75.8%-93.7%) of doses were correctly recorded and uploaded. Participants rated the VDOT interface highly, despite facing some initial technical difficulties.</AbstractText>
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