Tuberculosis

Real-world implementation of video-observed therapy in an urban T…: Ingenta Connect

BACKGROUND: Video directly observed therapy (vDOT) was introduced to increase flexibility and meet patient-specific needs for TB treatment. This study aimed to assess the reach and effectiveness of vDOT for TB treatment under routine conditions in Alameda County, CA, USA, a busy,
urban setting, from 2018 to 2020.
METHODS: We prospectively evaluated routinely collected data to estimate 1) reach (proportion of patients initiated on vDOT vs. in-person DOT); and 2) effectiveness (proportion of prescribed doses with verified administration by vDOT vs. in-person
DOT).
RESULTS: Among 163 TB patients, 94 (58%) utilized vDOT during treatment, of whom 54 (57%) received exclusively vDOT. Individuals receiving vDOT were on average younger than those receiving in-person therapy (46 vs. 61 years; P P P
CONCLUSION: A TB program successfully maintained vDOT, reaching the majority of patients and achieving greater medication
verification than in-person DOT.

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Keywords:
medication adherence;
telemedicine;
tuberculosis;
vDOT

Document Type: Research Article

Affiliations:
1:
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
2:
Tuberculosis Control Section, Alameda County Public Health Department, San Leandro, CA
3:
Division of Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, MD, USA

Publication date:
01 August 2021

More about this publication?

  • The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as COVID-19, asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details.

    The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health. To allow us to share scientific research as rapidly as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.

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