NEW STRATEGY FOR MEDICATION ADHERENCE ENHANCEMENT IN TUBERCULOSIS PATIENS

Authors

  • Phimrutai Praracha Department of Pharmacy, Luangpho Taweesak Hospital, Bangkok
  • Wiwat Thavornwattanayong Department of Community Pharmacy, Faculty of Pharmacy, Silpakorn University, Sanamchandra Palace Campus, Nakhon Pathom

DOI:

https://doi.org/10.14456/tbps.2019.9

Keywords:

new strategy, medication adherence enhancement, tuberculosis, health information technology

Abstract

Directly observed therapy (DOT) with the strategy for medication adherence enhancement has been used for controlling tuberculosis through the mechanisms such as providing an education on changing attitude toward treatment, supporting relationships between health providers and patients, using technologies for reminding and counseling tuberculosis patients, giving intensive interventions and simplifying dosage and packaging. However, multidrug-resistant tuberculosis (MDR-TB) cases are still reported highly. Problems of DOT are the persons observing treatment are family members. However, they are not trained on how to care for patients with tuberculosis and with the skills for DOT from the health providers. New strategy of technology on smart phone applications can enhance medication adherence. Wireless observed therapy (WOT) or pill sensor system. Gamification is the application of game elements and digital game design techniques for medication adherence enhancement. A chatbot is a computer program which conducts a conversation via auditory or textual methods. These three smartphone applications can be used to enhance medication adherence in tuberculosis patients.

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Published

2019-02-07

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Review Articles