IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i10p1115-d113104.html
   My bibliography  Save this article

Usability of a Medication Event Reminder Monitor System (MERM) by Providers and Patients to Improve Adherence in the Management of Tuberculosis

Author

Listed:
  • Xiaoqiu Liu

    (National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China)

  • Terrence Blaschke

    (Department of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Bruce Thomas

    (The Arcady Group, Richmond, VA 23226, USA)

  • Sabina De Geest

    (Institute of Nursing Science, University of Basel, CH-4056 Basel, Switzerland)

  • Shiwen Jiang

    (National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China)

  • Yongxin Gao

    (National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China)

  • Xinxu Li

    (National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China)

  • Elizabeth Whalley Buono

    (The Arcady Group, Richmond, VA 23226, USA)

  • Stacy Buchanan

    (The Arcady Group, Richmond, VA 23226, USA)

  • Zhiying Zhang

    (PATH China Program, Beijing 100600, China)

  • Shitong Huan

    (Bill and Melinda Gates Foundation, Beijing 100027, China)

Abstract

Poor initiation and implementation and premature discontinuation of anti-tuberculous therapy, all forms of nonadherence, are major reasons for treatment failure, the development of drug-resistant tuberculosis, and transmission to other non-infected individuals. Directly Observed Therapy (DOT) has been the worldwide standard, but implementation of DOT is burdensome for providers and patients, especially in resource-limited settings, where most of the burden of active TB is located. Among the alternatives to DOT is electronic monitoring (EM) of drug dosing histories. Here we report a usability study of a newly-designed, modular electronic monitor product, called the MERM (Medication Event and Reminder Monitor), that is compatible with TB medication formats and supply chains in resource-limited settings. This study, done in a rural setting in China, showed that the use of the MERM for EM of TB medications was associated with a high degree of user performance, acceptability, and satisfaction among both TB patients and medical staff. Based on these data, EM is becoming the standard of care for drug-susceptible TB patients in China and scaled implementations in several other countries with high TB burden have begun. In addition, the MERM is being used in MDR-TB patients and in clinical trials involving patients with TB/HIV and latent TB.

Suggested Citation

  • Xiaoqiu Liu & Terrence Blaschke & Bruce Thomas & Sabina De Geest & Shiwen Jiang & Yongxin Gao & Xinxu Li & Elizabeth Whalley Buono & Stacy Buchanan & Zhiying Zhang & Shitong Huan, 2017. "Usability of a Medication Event Reminder Monitor System (MERM) by Providers and Patients to Improve Adherence in the Management of Tuberculosis," IJERPH, MDPI, vol. 14(10), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1115-:d:113104
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/10/1115/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/10/1115/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Salla A Munro & Simon A Lewin & Helen J Smith & Mark E Engel & Atle Fretheim & Jimmy Volmink, 2007. "Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research," PLOS Medicine, Public Library of Science, vol. 4(7), pages 1-16, July.
    2. Salla A Munro, 2007. "Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research," Working Papers id:1107, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shahed Hossain & Mohammad Abdul Quaiyum & Khalequ Zaman & Sayera Banu & Mohammad Ashaque Husain & Mohammad Akramul Islam & Erwin Cooreman & Martien Borgdorff & Knut Lönnroth & Abdul Hamid Salim & Fran, 2012. "Socio Economic Position in TB Prevalence and Access to Services: Results from a Population Prevalence Survey and a Facility-Based Survey in Bangladesh," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-8, September.
    2. Francine Mwayuma Birungi & Stephen Michael Graham & Jeannine Uwimana & Angèle Musabimana & Brian van Wyk, 2019. "Adherence to isoniazid preventive therapy among child contacts in Rwanda: A mixed-methods study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    3. Imad Cherkaoui & Radia Sabouni & Iraqi Ghali & Darya Kizub & Alexander C Billioux & Kenza Bennani & Jamal Eddine Bourkadi & Abderrahmane Benmamoun & Ouafae Lahlou & Rajae El Aouad & Kelly E Dooley, 2014. "Treatment Default amongst Patients with Tuberculosis in Urban Morocco: Predicting and Explaining Default and Post-Default Sputum Smear and Drug Susceptibility Results," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-9, April.
    4. Pinho, S.T.R. & Rodrigues, P. & Andrade, R.F.S. & Serra, H. & Lopes, J.S. & Gomes, M.G.M., 2015. "Impact of tuberculosis treatment length and adherence under different transmission intensities," Theoretical Population Biology, Elsevier, vol. 104(C), pages 68-77.
    5. Thomas N Nissen & Michala V Rose & Godfather Kimaro & Ib C Bygbjerg & Sayoki G Mfinanga & Pernille Ravn, 2012. "Challenges of Loss to Follow-up in Tuberculosis Research," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    6. de Vries, H. & van de Klundert, J.J. & Wagelmans, A.P.M., 2013. "Health Benets of Roadside Healthcare Services," Econometric Institute Research Papers EI 2014-01, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.
    7. Benissa E. Salem & Erin Klansek & Donald E. Morisky & Sanghyuk S. Shin & Kartik Yadav & Alicia H. Chang & Adeline M. Nyamathi, 2020. "Acceptability and Feasibility of a Nurse-Led, Community Health Worker Partnered Latent Tuberculosis Medication Adherence Model for Homeless Adults," IJERPH, MDPI, vol. 17(22), pages 1-14, November.
    8. Titilola Makanjuola & Henock B Taddese & Andrew Booth, 2014. "Factors Associated with Adherence to Treatment with Isoniazid for the Prevention of Tuberculosis amongst People Living with HIV/AIDS: A Systematic Review of Qualitative Data," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-13, February.
    9. Rosa van Hoorn & Ernesto Jaramillo & David Collins & Agnes Gebhard & Susan van den Hof, 2016. "The Effects of Psycho-Emotional and Socio-Economic Support for Tuberculosis Patients on Treatment Adherence and Treatment Outcomes – A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-27, April.
    10. Samanta Madeira de Oliveira & Stephan Altmayer & Matheus Zanon & Luzielio Alves Sidney-Filho & Ana Luiza Schneider Moreira & Paulo de Tarso Dalcin & Anderson Garcez & Bruno Hochhegger & José da Silva , 2018. "Predictors of noncompliance to pulmonary tuberculosis treatment: An insight from South America," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-10, September.
    11. Núñez Ares, José & de Vries, Harwin & Huisman, Dennis, 2016. "A column generation approach for locating roadside clinics in Africa based on effectiveness and equity," European Journal of Operational Research, Elsevier, vol. 254(3), pages 1002-1016.
    12. HaiYang Zhang & John Ehiri & Huan Yang & Shenglan Tang & Ying Li, 2016. "Impact of Community-Based DOT on Tuberculosis Treatment Outcomes: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-19, February.
    13. Natasha Chida & Zara Ansari & Hamidah Hussain & Maria Jaswal & Stephen Symes & Aamir J Khan & Shama Mohammed, 2015. "Determinants of Default from Tuberculosis Treatment among Patients with Drug-Susceptible Tuberculosis in Karachi, Pakistan: A Mixed Methods Study," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    14. Hugh Waddington & Birte Snilstveit & Jorge Garcia Hombrados & Martina Vojtkova & Jock Anderson & Howard White, 2012. "PROTOCOL: Farmer Field Schools for Improving Farming Practices and Farmer Outcomes in Low‐ and Middle‐income Countries: A Systematic Review," Campbell Systematic Reviews, John Wiley & Sons, vol. 8(1), pages 1-48.
    15. Hadley, Mary, 2011. "Does increase in utilisation rates alone indicate the success of a user fee removal policy? A qualitative case study from Zambia," Health Policy, Elsevier, vol. 103(2), pages 244-254.
    16. Lewin, Simon & Green, Judith, 2009. "Ritual and the organisation of care in primary care clinics in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 68(8), pages 1464-1471, April.
    17. Wei, Xiaolin & Walley, John & Zhao, Jin & Yao, Hongyan & Liu, Jianjun & Newell, James, 2009. "Why financial incentives did not reach the poor tuberculosis patients? A qualitative study of a Fidelis funded project in Shanxi, China," Health Policy, Elsevier, vol. 90(2-3), pages 206-213, May.
    18. Minlan Xu & Urban Markström & Juncheng Lyu & Lingzhong Xu, 2017. "Detection of Low Adherence in Rural Tuberculosis Patients in China: Application of Morisky Medication Adherence Scale," IJERPH, MDPI, vol. 14(3), pages 1-10, March.
    19. Victoria A Wade & Jonathan Karnon & Jaklin A Eliott & Janet E Hiller, 2012. "Home Videophones Improve Direct Observation in Tuberculosis Treatment: A Mixed Methods Evaluation," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-13, November.
    20. Cesar Ugarte-Gil & Paulo Ruiz & Carlos Zamudio & Luz Canaza & Larissa Otero & Hever Kruger & Carlos Seas, 2013. "Association of Major Depressive Episode with Negative Outcomes of Tuberculosis Treatment," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-7, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1115-:d:113104. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.