Aisyah Dewi Nur, Ahmad Riris Andono, Artama Wayan Tunas, Adisasmito Wiku, Diva Haniena, Hayward Andrew C, Kozlakidis Zisis
Indonesia One Health University Network (INDOHUN), Depok, Indonesia.
Infectious Disease Informatics, Institute of Health Informatics, University College London, London, United Kingdom.
Front Public Health. 2020 Oct 6;8:531514. doi: 10.3389/fpubh.2020.531514. eCollection 2020.
Tuberculosis (TB) infections remain a global health burden with a high incidence rate in South-East Asia, including Indonesia. TB control strategy is founded on early case detection and complete treatment to minimize transmission and prevent the emergence of drug resistance. However, many patients face challenges to comply with daily medication, causing many to adhere inconsistently or stop prematurely. Technological solutions could enhance adherence to treatment and support national screening and follow-up policies. These include telephone video communication, enabling health professionals to watch patients take their medication, address patients' concerns, and provide advice and support. This manuscript describes the outcome of a qualitative pilot study, based on a series of focus group discussions to assess the knowledge, attitudes, and behaviors, on the potential utilization of mobile technology for health purposes with a particular focus on TB treatment follow-up. The findings illustrate that general knowledge of mobile health technologies, of their legal framework of operations, and of their exact potential within the healthcare system is incomplete or poor. The novel findings are as follows: (a) the willingness of participants to learn about these technologies, (b) the open and welcoming attitude toward receiving such information even within frontline community settings, and (c) the willingness to back a government-supported, healthcare-driven set of such initiatives. Potential implementation barriers have also been highlighted. This study is an important first step toward understanding the attitudes and behaviors on utilizing mobile health technology for TB in Indonesia.
结核病感染仍是一项全球卫生负担，在包括印度尼西亚在内的东南亚发病率很高。结核病控制策略基于早期病例发现和全程治疗，以尽量减少传播并防止耐药性的出现。然而，许多患者在坚持每日用药方面面临挑战，导致许多人用药依从性不一致或过早停药。技术解决方案可以提高治疗依从性，并支持国家筛查和随访政策。这些技术包括电话视频通信，使卫生专业人员能够观察患者服药情况，解决患者的担忧，并提供建议和支持。本手稿描述了一项定性试点研究的结果，该研究基于一系列焦点小组讨论，以评估关于将移动技术用于健康目的，特别是结核病治疗随访的知识、态度和行为。研究结果表明，人们对移动健康技术、其法律运营框架以及在医疗系统中的实际潜力的普遍了解并不完整或较差。新发现如下：(a) 参与者了解这些技术的意愿；(b) 即使在一线社区环境中，对接收此类信息也持开放和欢迎的态度；(c) 愿意支持政府支持、以医疗保健为导向的此类举措。同时也强调了潜在的实施障碍。这项研究是了解印度尼西亚利用移动健康技术治疗结核病的态度和行为的重要第一步。
