Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Garfein, Richard S. ; Liu, Lin ; Cuevas-Mota, Jazmine ; Collins, Kelly ; Muñoz, Fatima ; ... More +
Garfein, Richard S. ; Liu, Lin ; Cuevas-Mota, Jazmine ; Collins, Kelly ; Muñoz, Fatima ; Catanzaro, Donald G. ; Moser, Kathleen ; Higashi, Julie ; Al-Samarrai, Teeb ; Kriner, Paula ; Vaishampayan, Julie ; Cepeda, Javier ; Bulterys, Michelle A. ; Martin, Natasha K. ; Rios, Phillip ; Raab, Fredric Less -
Description:
We assessed video directly observed therapy (VDOT) for monitoring tuberculosis treatment in 5 health districts in California, USA, to compare adherence between 174 patients using VDOT and 159 patients using in-person directly observed therapy (DOT). Multivariable linear regression analyses identified participant-reported sociodemographics, risk behaviors, and treatment experience associated with adherence. Median participant age was 44 (range 18-87) years; 61% of participants were male. Median fraction of expected doses observed (FEDO) among VDOT participants was higher (93.0% [interquartile range (IQR) 83.4%-97.1%]) than among patients receiving DOT (66.4% [IQR 55.1%-89.3%]). Most participants (96%) would recommend VDOT to others; 90% preferred VDOT over DOT. Lower FEDO was independently associated with US or Mexico birth, shorter VDOT duration, finding VDOT difficult, frequently taking medications while away from home, and having video-recording problems (p<0.05). VDOT cost 32% (range 6%-46%) less than DOT. VDOT was feasible, acceptable, and achieved high adherence at lower cost than DOT.
Subject:
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Antimicrobial Resistance
Bacteria
Medication Adherence Monitoring
MHealth
Patient-centered Care
Research
Smartphone
Tuberculosis And Other Mycobacteria
Tuberculosis Treatment Monitoring By Video Directly Observed Therapy In 5 Health Districts, California, USA
VDOT
Video Directly Observed Therapy
Video Technology

Source:
Emerg Infect Dis. 24(10):1806-1815.
Pubmed ID:
30226154
Pubmed Central ID:
PMC6154139
Document Type:
Journal Article
Place as Subject:
California ; United States
California ; United States Less -
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:7a4d72eb9083f6dcc819b77b93605df40eda9f675d0b338010b63c1db6452d56
File Type:

Supporting Files

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