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2.
J Zhejiang Univ Sci B ; 21(5): 400-404, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32425006

RESUMEN

Public health crises, such as the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) since Dec. 2019, are widely acknowledged as severe traumatic events that impose threats not only because of physical concerns but also because of the psychological distress of infected patients. We designed an internet-based integrated intervention and evaluated its efficacy on depression and anxiety symptoms in patients infected by SARS-CoV-2.


Asunto(s)
Ansiedad/terapia , Infecciones por Coronavirus/psicología , Depresión/terapia , Internet , Neumonía Viral/psicología , Autocuidado/métodos , Adulto , Betacoronavirus , Teléfono Celular , China , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Plena , Pandemias , Estudios Prospectivos , Distrés Psicológico , Terapia por Relajación
4.
Science ; 368(6491)2020 05 08.
Artículo en Inglés | MEDLINE | ID: mdl-32234805

RESUMEN

The newly emergent human virus SARS-CoV-2 (severe acute respiratory syndrome-coronavirus 2) is resulting in high fatality rates and incapacitated health systems. Preventing further transmission is a priority. We analyzed key parameters of epidemic spread to estimate the contribution of different transmission routes and determine requirements for case isolation and contact tracing needed to stop the epidemic. Although SARS-CoV-2 is spreading too fast to be contained by manual contact tracing, it could be controlled if this process were faster, more efficient, and happened at scale. A contact-tracing app that builds a memory of proximity contacts and immediately notifies contacts of positive cases can achieve epidemic control if used by enough people. By targeting recommendations to only those at risk, epidemics could be contained without resorting to mass quarantines ("lockdowns") that are harmful to society. We discuss the ethical requirements for an intervention of this kind.


Asunto(s)
Betacoronavirus , Teléfono Celular , Trazado de Contacto/métodos , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Aplicaciones Móviles , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Algoritmos , Enfermedades Asintomáticas , Número Básico de Reproducción , China/epidemiología , Trazado de Contacto/ética , Infecciones por Coronavirus/epidemiología , Epidemias/prevención & control , Humanos , Control de Infecciones , Aplicaciones Móviles/ética , Modelos Teóricos , Neumonía Viral/epidemiología , Probabilidad , Cuarentena , Factores de Tiempo
5.
Waste Manag ; 107: 113-120, 2020 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-32278216

RESUMEN

Waste printed circuit boards (WPCBs) contain a variety of valuable and hazardous materials. Recycling WPCBs is an important subject not only for environmental protection but also for sustainable development of resources. In this work, a new method combined low-temperature alkaline smelting with liquid-liquid phase separation is proposed to separate and recycle metal mixture in pyrolysis residue of WPCBs of mobile phones. During the low-temperature alkaline smelting process, amphoteric metals Al, Pb, Si, Sn, and Zn are firstly separated and recycled from the metal mixture with the separation rates of 99.5%, 81.6%, 97.8%, 88.4% and 95.7%, respectively. To separate the remaining metal mixture mainly containing elements Cu, Fe, Cr, Ni, Au and Ag, a liquid-liquid phase separation system is designed. As a result, the noble metals Au and Ag are concentrated in the copper-rich substance to form a high-value group, while the elements Ni and Cr distribute in the iron-rich substance. The iron-rich substance can be reused in the liquid-liquid phase separation process. In the super-gravity field, the recycling rates of the metals Au, Ag, Cr and Ni reach 98.1%, 99.8%, 95.6% and 75.4%, respectively. Furthermore, the iron-rich substance can be reused back to the liquid-liquid separation system. The copper-rich substance enriched by the noble metals can be efficiently recovered with low energy consumption and less pollution. This work provides an environmentally friendly and efficient route for separating and recycling the metal mixture in WPCBs.


Asunto(s)
Teléfono Celular , Residuos Electrónicos , Cobre , Contaminación Ambiental , Metales , Reciclaje
8.
J Environ Manage ; 261: 110238, 2020 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-32148308

RESUMEN

Big data have the potential to improve nonmarket valuation, but their application has been scarce. To test this potential, we apply mobile phone data to the zonal travel cost method and measure recreational ecosystem services from Bukit Timah (representing an urban protected area) and Jurong Lake Gardens (an urban recreational park) in Singapore. The study results show that the annual recreational benefits of the recreational park (S$54,698,761 to S$66,805,454) outweighed the benefits of the protected area (S$6,947,974 to S$9,068,027). The count data structure reduced the flexibility of the mobile phone data application. Compared to survey data, however, mobile phone data could prevent random errors and visitor memory biases; monitor impacts of site quality changes over time; count visitors from multiple entrances; and be cost-efficient. Overall, these results highlight the potential of mobile phone data application to improve travel cost analysis.


Asunto(s)
Teléfono Celular , Ecosistema , Parques Recreativos , Recreación , Singapur , Viaje
9.
Stud Health Technol Inform ; 268: 123-138, 2020 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-32141884

RESUMEN

Behaviour change can refer to any transformation or modification of human behaviour. Within healthcare it refers to a broad range of activities and approaches that focus on the individual, community, or environmental influences on health-related behaviour. For e-Health (or digital health) it refers to behavioural impacts mediated through a specific e-Health intervention. However, there are also other health-related behaviour changes being quietly imposed upon both the populace and the healthcare professions broadly, by use of information and communications technologies for health. To better understand these deliberate or incidental impacts on the behaviour of healthcare consumers and providers alike, a scoping narrative review was performed using peer-reviewed and grey literature resources. Qualitative information was charted from the selected literature. This created an objective analysis of both contemporary and less commonly appreciated aspects of behaviour change in our 'digital' age. Many contemporary examples exist. The Internet and www brought alternate approaches moving from face-to-face or paper-based to websites, electronic diaries, and now mobile phones (particularly smartphones) to personalize health-related behaviour change in a myriad of diseases and conditions. Segments of the population have also exhibited health-related behaviour change through their growing www-based health-information seeking. More recent examples include 'spontaneous telemedicine' where physicians have changed the behaviour of themselves and colleagues through use of Instant Messaging, e.g., WhatsApp. Patients are also changing their behaviour spontaneously through taking and providing 'medical selfies'. However, the recent and rapid growth in accessibility and popularity of social media has markedly impacted behaviour change through the speed with which information can be spread, by both legitimate users and socialbots. Insidious examples include spread of health-related 'misinformation' (e.g., vaginal cleansing,), and now 'disinformation' (e.g., the 'anti-vaccination' movement, now resulting in recurrence of once eradicated diseases). These, and other examples, represent the broader, sometimes incidental, impact of some current e-health approaches on health-related behaviour change and should be identified and acknowledged as such. Doing so may fundamentally change opinion and efforts to redirect elements of behaviour change and aspects of behaviour change theory in unexpected ways.


Asunto(s)
Teléfono Celular , Medios de Comunicación Sociales , Telemedicina , Comunicación , Femenino , Conductas Relacionadas con la Salud , Humanos
10.
Medicine (Baltimore) ; 99(12): e18953, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32195927

RESUMEN

BACKGROUND: Nonadherence to prescribed therapy is a significant challenge at the primary healthcare level of South Africa. There are documented evidence of the potential impact of mobile health technology in improving adherence and compliance to treatment. This study assessed the effect of unidirectional text messaging on adherence to dietary and activity regimens among adults living with diabetes in a rural setting of Eastern Cape, South Africa. METHODS: This was a 2-arm, multicenter, parallel, randomized controlled trial, involving a total of 216 patients with diabetes with uncontrolled glycemic status randomly assigned into the intervention (n = 108) and the control group (n = 108). Participants in the intervention arm received daily educational text messages on diabetes and reminders for 6 months, while the control arm continued with standard care only. A validated, self-developed adherence scale was used to assess participants' adherence to diets and physical activity. Descriptive statistics and linear regression were used to assess changes in adherence and the effect of the intervention on adherence to therapy. RESULTS: On a scale of 8, the mean medication adherence level for the intervention group was 6.90 (SD ±â€Š1.34) while that of the control group was 6.87 (SD ±â€Š1.32) with no statistical difference (P = .88). The adjusted mean change in the medication adherence level was 0.02 (-0.33 to 0.43) with no significant difference (P = .79). There was however a low level of adherence to dietary recommendations (1.52 ±â€Š1.62), and physical activity (1.48 ±â€Š1.58) at baseline, and both groups demonstrated a nonsignificant increase in dietary (P = .98) and physical activity adherence (P = .99) from baseline to the follow-up period. CONCLUSION: There is a moderate level of adherence to medication and a low level of adherence to dietary and physical activity recommendation in this setting. The text messaging intervention did not bring about any significant improvement in medication, dietary and physical activity adherence levels. There is a need to design effective strategies for improving adherence to recommended lifestyle changes in this setting.


Asunto(s)
Diabetes Mellitus/terapia , Cooperación del Paciente/estadística & datos numéricos , Sistemas Recordatorios , Población Rural , Envío de Mensajes de Texto , Factores de Edad , Anciano , Teléfono Celular , Dieta , Ejercicio Físico , Femenino , Humanos , Masculino , Cumplimiento de la Medicación/estadística & datos numéricos , Persona de Mediana Edad , Compuestos Organometálicos , Factores Sexuales , Método Simple Ciego , Sudáfrica
11.
BMC Infect Dis ; 20(1): 173, 2020 Feb 24.
Artículo en Inglés | MEDLINE | ID: mdl-32093630

RESUMEN

BACKGROUND: Studies report serious adherence problems among youth (individuals age 15-24 years of age) in Uganda. Recent growth in mobile phone ownership has highlighted the potential of using text-based interventions to improve antiretroviral treatment (ART) adherence among Ugandan youth. We piloted a randomized controlled trial of a text-based intervention providing weekly real-time antiretroviral adherence feedback, based on information from a smart pill box, to HIV-positive Ugandan youth. In this paper, we report the acceptability, feasibility, and preliminary impact of the intervention. METHODS: We randomized participants to a control group, or to receive messages with information on either their own adherence levels (Treatment 1 - T1), or their own adherence and peer adherence levels (Treatment 2 - T2). We conducted six focus groups from December 2016 to March 2017 with providers and youth ages 15-24, double coded 130 excerpts, and achieved a pooled Cohen's Kappa of 0.79 and 0.80 based on 34 randomly selected excerpts. RESULTS: The quantitative and qualitative data show that the intervention was deemed acceptable and feasible. After controlling for baseline adherence, the T1 group had 3.8 percentage point lower adherence than the control group (95% CI -9.9, 2.3) and the T2 group had 2.4 percentage points higher adherence than the control group (95% CI -3.0, 7.9). However, there was an increasing treatment effect over time for the T2 group with the largest effect towards the end of the study; a 2.5 percentage point increase in the initial 9-weeks that grows steadily to 9.0 percentage points by the last 9-weeks of the study. We find negative treatment effects for T1 in 3 of the 4 9-week intervals. This pilot study was not designed to detect statistically significant differences. CONCLUSIONS: Improving youth's adherence by supplementing information about their adherence with information about the adherence of peers is a promising new strategy that should be further evaluated in a fully-powered study. Providing one's own adherence information alone appears to have less potential. TRIAL REGISTRATION: NCT02514356 07/30/2015.


Asunto(s)
Antirretrovirales/uso terapéutico , Infecciones por VIH/tratamiento farmacológico , Envío de Mensajes de Texto , Cumplimiento y Adherencia al Tratamiento , Adolescente , Teléfono Celular , Estudios de Factibilidad , Femenino , Grupos Focales , Humanos , Masculino , Aceptación de la Atención de Salud , Proyectos Piloto , Uganda , Adulto Joven
12.
AIDS Patient Care STDS ; 34(2): 59-71, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-32049555

RESUMEN

The use of mobile health technologies (mHealth) to ameliorate HIV care has considerably risen in low- and middle-income countries (LMICs) since 2010. Yet, the discrepancies in the results of accompanying studies warrant an updated and systematic consolidation of all available evidence. We report a systematic review of studies testing whether text/image messages, interactive voice response reminders, or calls promote adherence and retention to antiretroviral therapy (ART) in LMICs. We systematically compiled studies published in English until June 2018 from PubMed/Medline, Web of Science, WHO database, ProQuest Dissertations and Theses, and manual search. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 and used frequency analysis to assess reported findings. In total, we compiled 35 published articles: 27 completed studies and 8 protocols. Among the main 27 studies, 17 examine adherence, 5 retention, and 5 both measures. Results indicate that 56% report positive and statistically significantly impacts of mHealth on primary outcomes, the remaining 44% report insignificant results. While 41% of studies found a positive and significant effect for adherence, only 12% improved retention. The evidence shows ambiguous results (with high variability) about the effectiveness of mobile phone-assisted mHealth interventions to boost adherence and retention to ART. The literature also points to short follow-up periods, small samples, and limited geographical coverage. Hence, future research should focus on evaluating longer interventions with more patients spread across wider areas to address whether mHealth can be effectively used in LMICs.


Asunto(s)
Antirretrovirales/uso terapéutico , Teléfono Celular , Infecciones por VIH/tratamiento farmacológico , Cumplimiento de la Medicación , Retención en el Cuidado , Países en Desarrollo , Infecciones por VIH/psicología , Humanos , Telemedicina , Envío de Mensajes de Texto
13.
PLoS One ; 15(1): e0228017, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32004331

RESUMEN

Financial barriers are a major obstacle to accessing maternal health care services in low-resource settings. In Madagascar, less than half of live births are attended by skilled health staff. Although mobile money-based savings and payment systems are often used to pay for a variety of services, including health care, data on the implications of a dedicated mobile money wallet restricted to health-related spending during pregnancy-a mobile health wallet (MHW)-are not well understood. In cooperation with the Madagascan Ministry of Health, this study aims to elicit the perceptions, experiences, and recommendations of key stakeholders in relation to a MHW amid a pilot study in 31 state-funded health care facilities. We conducted a two-stage qualitative study using semi-structured in-depth interviews with stakeholders (N = 21) representing the following groups: community representatives, health care providers, health officials and representatives from phone provider companies. Interviews were conducted in Atsimondrano and Renivohitra districts, between November and December of 2017. Data was coded thematically using inductive and deductive approaches, and found to align with a social ecological model. Key facilitators for successful implementation of the MHW, include (i) close collaboration with existing communal structures and (ii) creation of an incentive scheme to reward pregnant women to save. Key barriers to the application of the MHW in the study zone include (i) disruption of informal benefits for health care providers related to the current cash-based payment system, (ii) low mobile phone ownership, (iii) illiteracy among the target population, and (iv) failure of the MHW to overcome essential access barriers towards institutional health care services such as fear of unpredictable expenses. The MHW was perceived as a potential solution to reduce disparities in access to maternal health care. To ensure success of the MHW, direct demand-side and provider-side financial incentives merit consideration.


Asunto(s)
Teléfono Celular , Accesibilidad a los Servicios de Salud , Servicios de Salud Materna , Telemedicina , Adulto , Teléfono Celular/economía , Teléfono Celular/instrumentación , Femenino , Personal de Salud , Necesidades y Demandas de Servicios de Salud , Humanos , Madagascar , Motivación , Proyectos Piloto , Embarazo , Mujeres Embarazadas , Investigación Cualitativa , Calidad de la Atención de Salud , Telemedicina/economía , Telemedicina/instrumentación
14.
PLoS One ; 15(1): e0227629, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31999696

RESUMEN

Web-based experimentation with uncompensated and unsupervised samples allows for a larger and more diverse sample population, more generalizable results, and faster theory to experiment cycle. Given that participants are unsupervised, it is still unknown whether the data collected in such settings would be of sufficiently high quality to support robust conclusions. Therefore, we investigated the feasibility of conducting such experiments online using virtual environment technologies. We conducted a conceptual replication of two prior experiments that have been conducted in virtual environments. Our results replicate findings previously obtained in conventional laboratory settings. These results hold across different device types of participants (ranging from desktop, through mobile devices to immersive virtual reality headsets), suggesting that experiments can be conducted online with uncompensated samples in virtual environments.


Asunto(s)
Negociación/psicología , Navegación Espacial , Realidad Virtual , Adolescente , Adulto , Anciano , Teléfono Celular , Niño , Computadores , Femenino , Humanos , Masculino , Persona de Mediana Edad , Experimentación Humana no Terapéutica , Sistemas en Línea , Adulto Joven
15.
BMC Infect Dis ; 20(1): 44, 2020 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-31941445

RESUMEN

BACKGROUND: Anticipated HIV stigma, i.e., the expectation of adverse experiences from one's seroconversion, is associated with both negative psychological and behavioral outcomes. We know little about anticipated HIV stigma's relationship with emerging technologies, such as HIV self-testing (HIVST) and online sex-seeking platforms, that have become popular among populations that are disproportionately affected by HIV/AIDS. This study examined correlates of anticipated HIV stigma among Chinese men who have sex with men (MSM). METHODS: In July 2016, MSM, who were ≥ 16 years old and self-reported as HIV negative or unknown, were recruited from a gay mobile phone application in China. Information regarding socio-demographics, sexual behaviors, sexual health service utilization, and anticipated HIV stigma were collected. Anticipated HIV stigma (i.e., negative attitude toward future stigmatization of HIV seroconversion by others) was measured as the mean score from a 7-item Likert-scale ranging from 1 (low) to 4 (high). Generalized linear models were conducted to examine the factors associated with the anticipated HIV stigma scores. RESULTS: Overall, 2006 men completed the survey. Most men completed high school (1308/2006, 65.2%) and had an annual personal income of ≤9200 USD (1431/2006, 71.3%). The mean anticipated HIV stigma score for the participants was 2.98 ± 0.64. Using social media to seek sexual partners was associated with higher anticipated HIV stigma (Adjusted ß = 0.11, 95% confidence interval (CI): 0.05 to 0.17, p = 0.001). HIV self-testing (Adjusted ß = - 0.07, 95%CI: - 0.13 to - 0.01, p = 0.02) and having disclosed one's sexual orientation to a healthcare provider (Adjusted ß = - 0.16, 95%CI: - 0.22 to - 0.96, p < 0.001) were associated with lower anticipated HIV stigma. CONCLUSION: Our data suggested that anticipated HIV stigma is still common among Chinese MSM not living with HIV. Tailored anti-HIV stigma campaigns on social media are especially needed, and the promotion of HIVST may be a promising approach.


Asunto(s)
Infecciones por VIH/psicología , Seronegatividad para VIH , Homosexualidad Masculina/psicología , Minorías Sexuales y de Género/psicología , Estigma Social , Adulto , Teléfono Celular , China , Estudios Transversales , Revelación , VIH/inmunología , Infecciones por VIH/virología , Personal de Salud , Humanos , Masculino , Aplicaciones Móviles , Autoinforme , Pruebas Serológicas , Conducta Sexual/psicología , Parejas Sexuales , Medios de Comunicación Sociales , Adulto Joven
16.
PLoS One ; 15(1): e0227925, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31978087

RESUMEN

BACKGROUND: Hospitals and other health care providers frequently experience difficulties contacting patients and their carers who live remotely from the town where the health service is located. In 2016 Nurse Navigator positions were introduced into the health services by Queensland Health, to support and navigate the care of people with chronic and complex conditions. One hospital in Far North Queensland initiated an additional free telephone service to provide another means of communication for patients and carers with the NNs and for off-campus health professionals to obtain details about a patient utilising the service. Calls made between 7am and 10pm, seven days per week are answered by a nurse navigator. AIM: To report utilisation of the service by navigated clients and remotely located clinicians compared to use of navigators' individual work numbers and direct health service numbers. We report the reason for calls to the free number and examine features of these calls. METHODS: Statistical analysis examined the call reason, duration of calls, setting from where calls originated and stream of calls. Interactions between the reasons for calls and the features of calls, such as contact method, were examined. RESULTS: The major reason for calls was clinical issues and the source of calls was primarily patients and carers. Clinical calls were longer in duration. Shorter calls were mainly non-clinical, made by a health professional. Setting for calls was not related to the reason. The most frequent number used was the individual mobile number of the NN, followed by the hospital landline. Although the free number was utilised by patients and carers, it was not the preferred option. CONCLUSION: As patients and carers preferred to access their NN directly than via the 1800 number, further research should explore options best suited to this group of patients outside normal business hours.


Asunto(s)
Relaciones Enfermero-Paciente , Enfermeras y Enfermeros , Pacientes , Teléfono Celular , Comunicación , Personal de Salud , Hospitales/normas , Humanos , Queensland/epidemiología , Teléfono
17.
PLoS One ; 15(1): e0227037, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31899785

RESUMEN

We present a link-centric approach to study variation in the mobile phone communication patterns of individuals. Unlike most previous research on call detail records that focused on the variation of phone usage across individual users, we examine how the calling and texting patterns obtained from call detail records vary among pairs of users and how these patterns are affected by the nature of relationships between users. To demonstrate this link-centric perspective, we extract factors that contribute to the variation in the mobile phone communication patterns and predict demographics-related quantities for pairs of users. The time of day and the channel of communication (calls or texts) are found to explain most of the variance among pairs that frequently call each other. Furthermore, we find that this variation can be used to predict the relationship between the pairs of users, as inferred from their age and gender, as well as the age of the younger user in a pair. From the classifier performance across different age and gender groups as well as the inherent class overlap suggested by the estimate of the bounds of the Bayes error, we gain insights into the similarity and differences of communication patterns across different relationships.


Asunto(s)
Teléfono Celular/tendencias , Comunicación , Adolescente , Adulto , Factores de Edad , Anciano , Demografía , Humanos , Persona de Mediana Edad , Registros , Factores Sexuales , Envío de Mensajes de Texto , Adulto Joven
18.
PLoS One ; 15(1): e0227982, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31978101

RESUMEN

The rapid increase in the usage of the mobile internet has led to a great expansion of cellular data networks in order to provide better quality of service. However, the cost to expand the cellular network is high. One of the solutions to provide affordable wireless connectivity is the deployment of a WiFi access point to offload users' data usage. Nevertheless, the frequent and inefficient handover process between the WiFi AP and cellular network, especially when the mobile device is on the go, may degrade the network performance. Mobile devices do not have the intelligence to select the optimal network to enhance the quality of service (QoS). This paper presents an enhanced handover mechanism using mobility prediction (eHMP) to assist mobile devices in the handover process so that users can experience seamless connectivity. eHMP is tested in two wireless architectures, homogeneous and heterogeneous networks. The network performance significantly improved when eHMP is used in a homogeneous network, where the network throughput increases by 106% and the rate of retransmission decreases by 85%. When eHMP is used in a heterogeneous network, the network throughput increases by 55% and the retransmission rate decreases by 75%. The findings presented in this paper reveal that mobility prediction coupled with the multipath protocol can improve the QoS for mobile devices. These results will contribute to a better understanding of how the network service provider can offload traffic to the WiFi network without experiencing performance degradation.


Asunto(s)
Algoritmos , Redes de Comunicación de Computadores , Tecnología Inalámbrica , Teléfono Celular , Cadenas de Markov , Procesamiento de Señales Asistido por Computador
20.
BMC Infect Dis ; 20(1): 42, 2020 Jan 14.
Artículo en Inglés | MEDLINE | ID: mdl-31937260

RESUMEN

BACKGROUND: Compliance to anti-TB treatment is crucial in achieving cure and avoiding the emergence of drug resistance. Electronic health (eHealth) interventions are included in the strategy to end the global Tuberculosis (TB) epidemic by 2035. Evidences showed that mobile messaging systems could improve patient adherence to clinic appointment for diagnosis and treatment. This review aimed to assess the effect of mobile-phone messaging on anti-TB treatment success. METHODS: All randomized controlled trial (RCT) and quasi-experimental studies done prior to August 26, 2019 were included in the review. Studies were retrieved from PubMed, EMBASE, Cochrane and ScienceDirect databases including, grey and non-indexed literatures from Google and Google scholar. Quality of studies were independently assessed using Cochrane Risk of Bias Assessment Tool. A qualitative synthesis and quantitative pooled estimation were used to measure the effect of phone messaging on TB treatment success rate. PRISMA flow diagrams were used to summarize article selection process. RESULTS: A total of 1237 articles were identified, with 14 meeting the eligibility criteria for qualitative synthesis. Eight studies with a total of 5680 TB patients (2733 in intervention and 2947 in control groups) were included in meta-analysis. The pooled effect of mobile-phone messaging revealed a small increase in treatment success compared to standard of care (RR 1.04, 95% CI 1.02 to 1.06), with low heterogeneity (I2 = 7%, p < 0.0002). In the review, performance, detection and attrition biases were reported as major risk of biases. CONCLUSIONS: Mobile-phone messaging showed a modest effect in improving anti-TB treatment success; however, the quality of evidence was low. Further controlled studies are needed to increase the evidence-base on the role of mHealth interventions to improve TB care. PROTOCOL REGISTRATION NUMBER: CRD420170744339. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017074439.


Asunto(s)
Teléfono Celular , Telemedicina/métodos , Envío de Mensajes de Texto , Tuberculosis/terapia , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Citas y Horarios , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ensayos Clínicos Controlados no Aleatorios como Asunto , Cooperación del Paciente , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del Tratamiento , Tuberculosis/diagnóstico , Adulto Joven
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