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Improving tuberculosis medication adherence: the potential of integrating digital technology and health belief model


Citation

Sazali, Mohd Fazeli and Syed Abdul Rahim, Syed Sharizman and Mohammad, Ahmad Hazim and Kadir, Fairrul and Payus, Alvin Oliver and Avoi, Richard and Jeffree, Mohammad Saffree and Omar, Azizan and Ibrahim, Mohd Yusof and Atil, Azman and Mohd Tuah, Nooralisa and Dapari, Rahmat and Lansing, Meryl Grace and Abdul Rahim, Ahmad Asyraf and Azhar, Zahir Izuan (2023) Improving tuberculosis medication adherence: the potential of integrating digital technology and health belief model. Tuberculosis and Respiratory Diseases, 86 (2). pp. 82-93. ISSN 1738-3536; ESSN: 2005-6184

Abstract

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.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.4046/trd.2022.0148
Publisher: The Korean Academy of Tuberculosis and Respiratory Diseases
Keywords: Tuberculosis; Adherence; Directly observed therapy; Digital technology; Health belief model
Depositing User: Ms. Nur Faseha Mohd Kadim
Date Deposited: 14 Oct 2024 06:59
Last Modified: 14 Oct 2024 06:59
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.4046/trd.2022.0148
URI: http://psasir.upm.edu.my/id/eprint/108992
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