Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection

Aim of the study. To describe the results of using mobile health intervention for improving the compliance of patients with tuberculosis and HIV (TB/HIV). Materials and methods. Piloted clinic-affiliated mobile intervention was carried out in 54 patients with TB/HIV and with a history of psychoactiv...

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Autores principales:	S. N. Zhdanova, O. B. Ogarkov, S. K. Heysell
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2020
Materias:	mobile health intervention tb/hiv coinfection treatment efficacy Science Q
Acceso en línea:	https://doaj.org/article/8b2aacd47ef3473287a6d152e96ab5ea
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spelling	oai:doaj.org-article:8b2aacd47ef3473287a6d152e96ab5ea2021-11-23T06:14:44ZMobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection2541-94202587-959610.29413/ABS.2020-5.3.7https://doaj.org/article/8b2aacd47ef3473287a6d152e96ab5ea2020-07-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2367https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Aim of the study. To describe the results of using mobile health intervention for improving the compliance of patients with tuberculosis and HIV (TB/HIV). Materials and methods. Piloted clinic-affiliated mobile intervention was carried out in 54 patients with TB/HIV and with a history of psychoactive substances abuse in Irkutsk Regional Clinical Tuberculosis Hospital. The mobile intervention included a smartphone application that connected the participants to the staff of Irkutsk Regional TB Hospital and provided daily queries on stress, mood and medication adherence; appointment reminders; virtual support group and consultation resources; weekly quizzes. We assessed longitudinal impact on retention in medical care, visit constancy, viral loads and CD4 counts, TB outcomes. Results. In 6 months, we registered the increase (in comparison with baseline) in mean CD4 counts (F = 6.61; р = 0.04) and in the number of cases of suppressed viral loads – from 20.5 % (9/44) to 55.3 % (21/38) (p < 0.01) in TB/HIV users of e-health app. We found a lower level of TB treatment interruption in patients who used the application in comparison with the patients who refused to use it (4/44 vs 5/10; χ2 = 7.09; р = 0.008). App users completed the course of TB treatment in 63.6 % of cases (28/44), and 61.4 % of patients (27/44) were cured which was higher than the level in the control group (20 % (2/10)) (χ2 = 7.54; p = 0.03). Conclusion. This study has demonstrated that a mobile health intervention can have a positive impact on improving the medical and social care and clinical outcomes for TB/HIV patients with history of psychoactive substances abuse.S. N. ZhdanovaO. B. OgarkovS. K. HeysellScientific Сentre for Family Health and Human Reproduction Problemsarticlemobile health interventiontb/hiv coinfectiontreatment efficacyScienceQRUActa Biomedica Scientifica, Vol 5, Iss 3, Pp 46-53 (2020)
institution	DOAJ
collection	DOAJ
language	RU
topic	mobile health intervention tb/hiv coinfection treatment efficacy Science Q
spellingShingle	mobile health intervention tb/hiv coinfection treatment efficacy Science Q S. N. Zhdanova O. B. Ogarkov S. K. Heysell Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection
description	Aim of the study. To describe the results of using mobile health intervention for improving the compliance of patients with tuberculosis and HIV (TB/HIV). Materials and methods. Piloted clinic-affiliated mobile intervention was carried out in 54 patients with TB/HIV and with a history of psychoactive substances abuse in Irkutsk Regional Clinical Tuberculosis Hospital. The mobile intervention included a smartphone application that connected the participants to the staff of Irkutsk Regional TB Hospital and provided daily queries on stress, mood and medication adherence; appointment reminders; virtual support group and consultation resources; weekly quizzes. We assessed longitudinal impact on retention in medical care, visit constancy, viral loads and CD4 counts, TB outcomes. Results. In 6 months, we registered the increase (in comparison with baseline) in mean CD4 counts (F = 6.61; р = 0.04) and in the number of cases of suppressed viral loads – from 20.5 % (9/44) to 55.3 % (21/38) (p < 0.01) in TB/HIV users of e-health app. We found a lower level of TB treatment interruption in patients who used the application in comparison with the patients who refused to use it (4/44 vs 5/10; χ2 = 7.09; р = 0.008). App users completed the course of TB treatment in 63.6 % of cases (28/44), and 61.4 % of patients (27/44) were cured which was higher than the level in the control group (20 % (2/10)) (χ2 = 7.54; p = 0.03). Conclusion. This study has demonstrated that a mobile health intervention can have a positive impact on improving the medical and social care and clinical outcomes for TB/HIV patients with history of psychoactive substances abuse.
format	article
author	S. N. Zhdanova O. B. Ogarkov S. K. Heysell
author_facet	S. N. Zhdanova O. B. Ogarkov S. K. Heysell
author_sort	S. N. Zhdanova
title	Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection
title_short	Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection
title_full	Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection
title_fullStr	Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection
title_full_unstemmed	Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection
title_sort	mobile health intervention for outpatient treatment of tuberculosis and hiv infection
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2020
url	https://doaj.org/article/8b2aacd47ef3473287a6d152e96ab5ea
work_keys_str_mv	AT snzhdanova mobilehealthinterventionforoutpatienttreatmentoftuberculosisandhivinfection AT obogarkov mobilehealthinterventionforoutpatienttreatmentoftuberculosisandhivinfection AT skheysell mobilehealthinterventionforoutpatienttreatmentoftuberculosisandhivinfection
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Mobile Health Intervention for Outpatient Treatment of Tuberculosis and HIV Infection

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