Pilot Study Using Video Cell Phones for Mobile Direct Observation Treatment (MDOT) to Monitor Medication Compliance of T...(ber of participants covering a longer ti...),Health
ber of participants covering a longer time period. Additionally, this pilot opens new doors for mobile direct observation treatment as a promising methodology for many health-related applications."
The MDOT Pilot Project follows the experiences of 13 TB patients, their patient assistants, and health care workers over a 30-day period in Nairobi, Kenya. Patients were provided a mobile phone capable of sending and receiving video and text messages. Patients and their assistants video-captured the patient taking their prescribed dose of TB medication in their home and immediately transmitted it to a central database where health care workers viewed the video to assure compliance with the DOT protocol. Patients also received health messages in video and text formats on their mobile phones. At the end of one month, the participants completed a brief questionnaire on their experiences. Participants expressed extreme satisfaction with the procedures and the use of the mobile phone technology for remote medication monitoring, health education, and communication.
According to the WHO, TB is a highly contagious disease that currently infects about one-third of the world's population. Left untreated, TB can lead to death. Africa experiences both the highest number of deaths and the highest mortality per capita. People co-infected with HIV and TB are at much greater risk for death. TB can be treated and potentially cured with strict adherence to a prescribed medication regimen over a six to eight month period. Current WHO guidelines for TB treatment recommend DOT to monitor adherence. DOT recommendations pose challenges on an already over-burdened health care system. Patients are required to go to a clinic or hospital to be observed or the health care worker must make a home visit. For patients, the frequent and sometimes long distance travel, often requiring public transportation, puts a burden on the individual's employment, life
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