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| Title | : | Design and prototype of TOMO: an app for improving drug resistant TB treatment adherence |
| Author | : |
Anis Fuad, S.Ked., DEA. (1) Guntur Budi Herwanto, S.Kom., M.Cs. (2) Ariani Arista Putri Pertiwi, S.Kep., Ns., MAN., DNP. (3) SISKA DIAN W (4) Ahmad Watsiq Maula (6) Diyah Utami Kusumaning Putri, S.Kom., M.Sc., M.Cs. (7) Prof. dr. Ari Probandari, MPH, Ph.D (8) dr. Riris Andono Ahmad, MPH, Ph.D (9) |
| Date | : | 29 2021 |
| Keyword | : | m-health, tuberculosis, drug resistance, medication adherence, smartphone, Indonesia m-health, tuberculosis, drug resistance, medication adherence, smartphone, Indonesia |
| Abstract | : | Background: Drug resistance and multi drugs tuberculosis (DR/MDR- TB) are associated with patients' low adherence to undergoing complex treatment. Driven by the increasing use and penetration of a smartphone and the End of TB Strategy that seeks for digital health solution, Center for Tropical Medicine Universitas Gadjah Mada has developed TOMO, an Android-based app for improving medication adherence in MDR-TB. Objective: This paper aims to present the sequential steps to develop the app, its general architecture, and its functionalities. Methods: It is a design thinking process involving two MDR-TB referral centers, district health offices, primary health centers, and MDR-TB patients in Central Java and Yogyakarta, Indonesia. We adopted the Principles for Digital Development to develop and design the app. MDR-TB treatment guideline from the Indonesian Ministry of Health was used to develop functionalities of the app for improving adherence. Results: TOMO app could be used by patients, primary health centers, clinical teams, and case managers. The app prototype features include adverse event records and reports, medication-taking reminders, and communication between the patient and the TB-MDR case manager. We have successfully tested the functionalities based on four use cases: patients with high adherence, patients with low adherence, patients with adverse events, and patients following treatment in the primary health center without any visit to the MDR-TB center. Conclusion: TOMO app has contributed to the limited body of literature on improving TB-MDR adherence with digital health intervention, especially using a health app. The app has been tested using four scenarios. We will follow up with usability testing before implementing the app in a real setting. |
| Group of Knowledge | : | Kesehatan Masyarakat |
| Original Language | : | English |
| Level | : | Internasional |
| Status | : |
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jurnal_2095314_3e58c51a318cdab5005a65a32f7a8a5b.pdf
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