Salud digital para la adherencia al tratamiento en personas con tuberculosis: una revisión sistemática

Autores/as

  • Ariela Tártaro EERP-USP
  • Ruan Victor dos Santos Silva
  • Juliana Soares Tenório de Araújo
  • Antônio Carlos Vieira Ramos
  • Thaís Zamboni Berra
  • Yan Mathias Alves
  • Maria do Socorro Nantua Evangelista
  • Miguel Angel Fuentealba-Torres
  • Ricardo Alexandre Arcêncio

DOI:

https://doi.org/10.17058/reci.v13i3.18231

Palabras clave:

Telemedicina, Tuberculosis, Adherencia al Tratamiento, Revisión Sistemática

Resumen

Justificaciones y objetivos: el uso de la salud digital entre las personas diagnosticadas con tuberculosis puede ser una estrategia eficaz y aliada de los servicios de salud para aumentar la adherencia al tratamiento e impactar los datos epidemiológicos de la enfermedad en el país. 3. Método: se realizó una revisión sistemática de la literatura con un enfoque de revisión rápida, siguiendo las pautas de PRISMA y la guía de Cochrane. La calidad de la evidencia se evaluó utilizando la herramienta Mixed Methods Appraisal Tool. Los estudios se identificaron en las siguientes bases de datos: PubMed, BVS, CINAHL, Cochrane Trial, SciELO, Scopus y Embase. Se incluyeron estudios experimentales, cuasiexperimentales y ensayos clínicos, sin restricciones de idioma, publicados entre 2020 y 2022. Contenido: se seleccionaron nueve estudios que demostraron que la implementación de tecnologías digitales mejoró las tasas de adherencia al tratamiento con medicamentos y las tasas de curación. Las aplicaciones utilizan estrategias como video sincrónico y asincrónico, llamadas de voz y mensajes de texto. Entre los estudios, sólo se mencionaron dos nombres de tecnologías/aplicaciones. Conclusión: las tecnologías digitales han tenido un impacto positivo en el tratamiento de personas diagnosticadas con tuberculosis.

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Citas

The End TB Strategy. World Health Organization. 2022. https://www.who.int/teams/global-tuberculosis-programme/the-end-tb-strategy

Brasil livre da tuberculose - Plano nacional pelo fim da tuberculose como problema de saúde pública: estratégias para 2021-2025. Ministério da Saúde. 2021 https://www.gov.br/saude/ptbr/centraisdeconteudo/publicacoes/publicacoessvs/tuberculose/plano-nacional-pelo-fim-da-tuberculose-como-problema-de-saudepublica_-estrategias-para-2021-2925.pdf/view

World Health Organization. Global Tuberculosis Report 2020. https://www.who.int/publications/i/item/9789240013131

Brasil. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Manual de Recomendações para o Controle da Tuberculose no Brasil – Brasília: Ministério da Saúde, 2019.

https://www.gov.br/saude/pt-br/centrais-deconteudo/publicacoes/svsa/tuberculose/manual-de-recomendacoes-e-controle-da-ttuberculose-no-brasil-2a-ed.pdf/view

Fernandes TS, Pedrosa NS, Garcia MKQ, et al. Estigma e preconceito na atualidade: vivência dos portadores de tuberculose em oficinas de terapia ocupacional. Physis 2020;30(1):e300103. https://doi.org/10.1590/S0103-73312020300103

McQuaid CF, McCreesh N, Read JM, et al. The potential impact of COVID-19-related disruption on tuberculosis burden. Eur Respir J. 2020;56(2):2001718. https://doi.org/10.36416/1806-3756/e20210044

Rossato SD, Carvalho de QMF, D’Ambrosio, et. al. Tuberculosis and COVID-19, the new cursed duet: what differs between Brazil and Europe? J Bras Pneumol. 2021. https://doi.org/10.36416/1806-3756/e20210044

Berra TZ, Bruce ATI, Alves YM, et al. Fatores relacionados, tendência temporal e associação espacial do abandono de tratamento para tuberculose em Ribeirão Preto-SP. Revista Eletrônica de Enfermagem. 2020. https://doi.org/10.5216/ree.v22.58883

Brasil. Ministério da Saúde. (BR). Brasil Livre da Tuberculose: Plano Nacional pelo Fim da Tuberculose como Problema de Saúde Pública. Brazil Free from Tuberculosis: National Plan to End TB as a Public Health Problem. 2017;(1a edição):54. https://bvsms.saude.gov.br/bvs/publicacoes/brasil_livre_tuberculose_plano_nacional.pdf

Maldonado JMS de V, Marques AB, Cruz A. Telemedicine: challenges to dissemination in Brazil. Cad Saúde Pública. 2016. https://doi.org/10.1590/0102-311X00155615

Silva CRDV, Lopes RH, Jr O de GB, Martiniano CS, Fuentealba-Torres M, Arcêncio RA, et al. Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19: Scoping Review. JMIR Human Factors. 2022. https://doi.org/10.2196/35380

Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021. https://doi.org/10.1136/bmj.n71

Garritty C, Gartlehner G, Kamel C, King VJ, Nussbaumer-Streit B, Stevens A, Hamel C, Affengruber L. Cochrane Rapid Reviews. Interim Guidance from the Cochrane Rapid Reviews Methods Group. March 2020.

World Health Organization. Adherence To Long Term Therapies: Evidence For Action. World Health Organization. Geneva: World Health Organization, 2003. https://apps.who.int/iris/handle/10665/42682

Santos CM da C, Pimenta CA de M, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Latino-Am Enfermagem. 2007. https://doi.org/10.1590/S0104-11692007000300023

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Systematic Reviews. 2016. https://doi.org/10.1186/s13643-016-0384-4

Hong QN, Fàbregues S, Bartlett G, et al. The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information. 2018:285–291. https://doi.org/10.3233/EFI-180221

Peinado J, Tamaki J, Yataco R, Pages G, et al. Tratamiento supervisado por video VDOT en pacientes con tuberculosis pulmonar de un Centro de Salud de Lima. Estudio piloto. Revista Medica Herediana. 2022. https://doi.org/10.20453/rmh.v33i1.4163

Bachina P, Lippincott CK, Perry A, et al. Programmatic Adoption and Implementation of Video-Observed Therapy in Minnesota: Prospective Observational Cohort Study. JMIR Form Res. 2022;6(8):e38247. https://doi.org/10.2196/38247

Perry A, Chitnis A, Chin A, Hoffmann C, et al. Real-world implementation of video-observed therapy in an urban TB program in the United States. Int J Tuberc Lung Dis. 2021;25(8):655–61. https://doi.org/10.5588/ijtld.21.0170

Bao Y, Wang C, Xu H, et al. Effects of an mHealth Intervention for Pulmonary Tuberculosis Self-management Based on the Integrated Theory of Health Behavior Change: Randomized Controlled Trial. JMIR Public Health Surveill. 2022;8(7):e34277. https://doi.org/10.2196/34277

Al-Sahafi A, Al-Sayali MM, Mandoura N, et al. Treatment outcomes among tuberculosis patients in Jeddah, Saudi Arabia: Results of a community mobile outreach directly observed Treatment, Short-course (DOTS) project, compared to a standard facility-based DOTS: A randomized controlled trial. J Clin Tuberc Other Mycobact Dis. 2020;22:100210. https://doi.org/10.1016/j.jctube

Santra S, Garg S, Basu S, et al. The effect of a mhealth intervention on anti-tuberculosis medication adherence in Delhi, India: A quasi-experimental study. Indian Journal of Public Health. 2021;65(1):34. https://doi.org/10.4103/ijph.IJPH_879_20

Guo X, Yang Y, Takiff HE, et al. A Comprehensive App That Improves Tuberculosis Treatment Management Through Video-Observed Therapy: Usability Study. JMIR Mhealth Uhealth. 2020;8(7):e17658. https://doi.org/10.2196/17658

Guo P, Qiao W, Sun Y, Liu F, Wang C. Telemedicine Technologies and Tuberculosis Management: A Randomized Controlled Trial. Telemedicine and e-Health. 2020; 26(9):1150–6. https://doi.org/10.1089/tmj.2019.0190

Gashu KD, Gelaye KA, Lester R, et al. Effect of a phone reminder system on patient-centered tuberculosis treatment adherence among adults in Northwest Ethiopia: a randomised controlled trial. BMJ Health Care Inform. 2021;28(1):e100268. https://doi.org/10.1136/bmjhci

Almeida CPB de, Goulart BNG de. How to avoid bias in systematic reviews of observational studies. Rev CEFAC. 2017;19(4):551–5. https://doi.org/10.1590/1982-021620171941117

World Health Organization. Who a Patient-Centred Approach to TB Care. Geneva: World Health Organization, 2018. https://apps.who.int/iris/bitstream/handle/10665/272467/WHO-CDS-TB-2018.13-eng.pdf?ua=1

World Health Organization‎. Handbook for the use of digital technologies to support tuberculosis medication adherence. World Health Organization. 2017. https://apps.who.int/iris/handle/10665/259832

Banco de dados do World Economic Outlook abril de 2022 - Grupos e informações agregadas do WEO. 2022. https://www.imf.org/external/pubs/ft/weo/2022/01/weodata/groups.htm

ODS 3 - Saúde e Bem-estar - Ipea - Objetivos do Desenvolvimento Sustentável. Meta número 3.3. 2019. https://www.ipea.gov.br/ods/ods3

Publicado

2023-11-07

Cómo citar

Tártaro, A., dos Santos Silva, R. V. ., Soares Tenório de Araújo, J., Vieira Ramos, A. C. ., Zamboni Berra, T., Mathias Alves, Y. ., do Socorro Nantua Evangelista, M. ., Fuentealba-Torres, M. A., & Arcêncio, R. A. . (2023). Salud digital para la adherencia al tratamiento en personas con tuberculosis: una revisión sistemática . Revista De Epidemiologia E Controle De Infecção, 13(3). https://doi.org/10.17058/reci.v13i3.18231

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