■数字健康技术被广泛用于疾病管理,用他们的计算平台,软件,和用于医疗保健的传感器。这些技术是为了管理慢性疾病和感染性细菌疾病而开发的,包括结核病(TB)。
■本研究旨在全面回顾有关使用数字健康干预措施(DHI)提高结核病治疗依从性的文献,并确定采用数字健康干预措施的主要策略。
■我们在PubMed进行了文献检索,科克伦图书馆,OvidEmbase,以及2012年1月至2022年3月期间发表的相关研究的Scopus数据库。专注于基于网络或基于移动电话的干预措施的研究,药物依从性,数字健康,随机对照试验,数字干预,包括用于结核病治疗和相关健康结局的移动健康和无处不在的健康技术。
■我们确定了27项相关研究,并根据干预方法对其进行了分类,治疗成功的显著差异,和健康结果。强调了以下干预措施:SMS短信干预措施(8/27,30%),药物提醒(6/27,22%),和基于网络的直接观察疗法(9/27,33%)。数字健康技术大大促进了个人和医疗保健专业人员的疾病管理。然而,只有少数研究涉及双向沟通疗法,例如交互式SMS文本消息和反馈系统。
■本范围综述对结核病患者的DHI研究进行了分类,并证明了其对结核病自我管理的潜力。DHI仍在开发中,关于数字技术对提高结核病治疗依从性的影响的证据仍然有限。然而,有必要通过双向交流鼓励患者参与结核病治疗和自我管理。我们强调开发通信系统的重要性。
Digital health technologies are widely used for disease management, with their computing platforms, software, and sensors being used for health care. These technologies are developed to manage chronic diseases and infectious bacterial diseases, including tuberculosis (TB).
This study aims to comprehensively review the literature on the use of digital health interventions (DHIs) for enhancing TB treatment adherence and identify major strategies for their adoption.
We conducted a literature search in the PubMed, Cochrane Library, Ovid Embase, and Scopus databases for relevant studies published between January 2012 and March 2022. Studies that focused on web-based or mobile phone-based interventions, medication adherence, digital health, randomized controlled trials, digital interventions, or mobile health and ubiquitous health technology for TB treatment and related health outcomes were included.
We identified 27 relevant studies and classified them according to the intervention method, a significant difference in treatment success, and health outcomes. The following interventions were emphasized: SMS
text messaging interventions (8/27, 30%), medicine reminders (6/27, 22%), and web-based direct observation therapy (9/27, 33%). Digital health technology significantly promoted disease management among individuals and health care professionals. However, only a few studies addressed 2-way communication therapies, such as interactive SMS
text messaging and feedback systems.
This scoping review classified studies on DHIs for patients with TB and demonstrated their potential for the self-management of TB. DHIs are still being developed, and evidence on the impact of digital technologies on enhancing TB treatment adherence remains limited. However, it is necessary to encourage patients\' participation in TB treatment and self-management through bidirectional communication. We emphasize the importance of developing a communication system.