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Old 09-05-2019, 02:37 PM   #1
RandomTroll
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'Digital Health Support in Treatment for Tuberculosis'


Quote:
'We therefore developed a digital health platform that was compatible with feature phones to provide support for patients with tuberculosis.


'Each day, patients received a text message asking them to verify adherence to treatment. Such interactive messaging approaches have shown more promise for promoting adherence than one-way reminders. If the patient did not verify adherence, two additional messages were sent to the patient at 1-hour intervals, followed by messages and then phone calls from study team members who had personal experience of successful completion of treatment for tuberculosis; if there was still no response, a notification was sent to the clinic.'
Quote:
'Our results suggest that interventions delivered with feature phones can help to address shortfalls in the current standard of care for patients with tuberculosis.'
From this week's NEJM https://www.nejm.org/doi/full/10.1056/NEJMc1806550
 
Old 09-05-2019, 09:33 PM   #2
jefro
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One problem with TB is that too many patients are not directly monitored for correct treatment.

Another is the types of treatments and health providers. Third world countries let anyone with a buck buy some prescription. Even in the US the medical professionals seem to not care about it. Many doctors have been exposed to it in their training and seem to think it's no big deal.

You can't trust patients (or maybe doctors too.) Might as well give them an atomic bomb to play with.

I know first hand a person who suffered for decades because of a multi drug resistant strain. The (hopefully) cure was almost 2 years of daily 4 drug treatment.

Last edited by jefro; 09-05-2019 at 09:37 PM.
 
Old 09-06-2019, 12:28 AM   #3
RandomTroll
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Quote:
Originally Posted by jefro View Post
One problem with TB is that too many patients are not directly monitored for correct treatment.
Some are: it's directly-observed therapy - DOT In some cases people are incarcerated. But that's expensive and requires a court order to enforce. We live in a free country. Programs that increase willing compliance, such as this one, contribute.

Quote:
Originally Posted by jefro View Post
Even in the US the medical professionals seem to not care about it.
I read a lot about it in American medical journals. They seem to take it seriously.

Quote:
Originally Posted by jefro View Post
Many doctors have been exposed to it in their training and seem to think it's no big deal.
No.

Quote:
Originally Posted by jefro View Post
I know first hand a person who suffered for decades because of a multi drug resistant strain. The (hopefully) cure was almost 2 years of daily 4 drug treatment.
Some people are hospitalized, put on IV antibiotics. Some are on chemotherapy. It's a serious problem, especially for people with HIV too.
 
  


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