M Al Daajani Manal, J Alsahafi Abdullah, M Algarni Abdullah, L Moawwad Abdulhamed, A Osman Ahmed, Y A Algaali Khalid, Abdalaziz Mohammed, A Halwani Muhammad, M Aldajani Shrooq, M H Mohammed Nazik, S Alshamrani Heassah, N Alshahrani Mohammed, M Albostani Ghadah, G Alshammari Naif, S Alzahrani Rami, O Alsomali Saadiya, Assiri Ibrahim
Public Health Department, Jeddah Health Affairs, Kingdom of Saudi Arabia (KSA).
Faculty of Medicine, Kassala University, Kassala, Sudan.
Galen Med J. 2023 Jul 3;12:e3067. doi: 10.31661/gmj.v12i.3067. eCollection 2023.
Tuberculosis (TB) treatment through Directly Observed Therapy (DOT) has an alternative form of video surveillance therapy (VOT) that utilizes the technological capabilities of smartphones to provide patients with low-cost access to doctors without impacting their work and personal life. We aimed to assess TB patients' drug compliance, perceptions, and feasibility towards smartphone-based video direct observed therapy (VDOT) in Jeddah, KSA.
We conducted a prospective non-randomized interventional study. We delivered smartphone-based VDOT among previously unstudied patients to monitor adherence to the treatment regimen. The expected total number of VDOT sessions was1200. We conducted post-intervention interviews to assess acceptability and satisfaction.
In this study, we included 20 participants, 16 of whom were males, with a mean age of 34.3 (±12.5) years. No side effects to the treatments were identified in all participants. The adherence rate for the total period was 93% and 99.5%, measured by the first and second methods, respectively. Most participants were satisfied with the VDOT experience, the time spent on sessions, and the approach's privacy.
This study provides promising results for the feasibility and effectiveness of smartphone-based VDOT for TB treatment to increase adherence which was indicated by a high compliance rate, acceptability, and high satisfaction level.
通过直接观察治疗（DOT）进行的结核病（TB）治疗有另一种形式的视频监督治疗（VOT），它利用智能手机的技术能力，为患者提供低成本就医途径，且不影响其工作和个人生活。我们旨在评估沙特阿拉伯吉达市结核病患者对基于智能手机的视频直接观察治疗（VDOT）的药物依从性、看法及可行性。
我们开展了一项前瞻性非随机干预研究。我们在之前未接受过研究的患者中实施基于智能手机的VDOT，以监测对治疗方案的依从性。VDOT疗程的预期总数为1200次。我们在干预后进行访谈，以评估可接受性和满意度。
在本研究中，我们纳入了20名参与者，其中16名男性，平均年龄为34.3（±12.5）岁。所有参与者均未发现治疗的副作用。通过第一种和第二种方法测得的整个疗程的依从率分别为93%和99.5%。大多数参与者对VDOT体验、疗程所花时间以及该方法的隐私性感到满意。
本研究为基于智能手机的VDOT用于结核病治疗的可行性和有效性提供了有前景的结果，高依从率、可接受性和高满意度表明其能提高依从性。
