Indian Journal of Community Medicine

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 44  |  Issue : 2  |  Page : 81--87

Preparing short message service reminders to improve treatment adherence among tuberculosis patients in Sleman District, Indonesia


Fatwa Sari Tetra Dewi1, Sudiya Sudiya2, Supriyati Supriyati1, Purwanta Purwanta3, Ema Madyaningrum3, Firda Ulfa Aulia3, Risma Wardiani3, Adi Utarini4 
1 Department of Health Behavior, Environment and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
2 1School of Public Health, Faculty of Medicine, Public Health and Nursing; Division of Disease Control, Sleman District Health Office, Universitas Gadjah Mada, Yogyakarta, Indonesia
3 School of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
4 Department of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Correspondence Address:
Dr. Fatwa Sari Tetra Dewi
Department of Health Behavior, Environment and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, IKM Building 3rd Floor, Farmako Street, North Sekip, Yogyakarta 55281
Indonesia

Background: Modern tuberculosis (TB) treatment approaches require innovative adherence strategies. Objectives: This study aimed to explore the feasibility of using short message service (SMS) reminders through mobile phones to improve treatment adherence among TB patients. Materials and Methods: An exploratory sequential design was applied; initially, qualitative data collection was conducted among TB patients and TB program officers. A content analysis was done and messages were then developed. The messages were pretested using focus group discussions (FGDs), and a quantitative method using quasi-experiment on 120 TB patients. All the patients received a standard directly observed therapy short reminder, but only intervention group received daily SMS reminders (n = 60), the data were then analyzed using logistic regression. Results: Reminder messages can be sent directly to young TB patients or indirectly to the relatives of elderly patients. There are four phases of emotional states, which TB patients go through during treatment starting with disappointment and desperation after being diagnosed, grievance during the initiation of treatment, high and then low desire to follow treatment. Reminder messages aimed at improving treatment adherence should correspond to those conditions and motivate, inform, and facilitate TB patients to overcome all the obstacles during treatment. SMS reminders should also be short, informal, and easy to understand. Treatment adherence was significantly higher among the intervention group compared to the control group (odds ratio = 10.73) after controlling for demographics, accessibility, and adverse drug reaction. Conclusions: SMS through mobile phone is a feasible form of media to remind TB patients and to improve adherence to treatment in low-resource facilities.


How to cite this article:
Tetra Dewi FS, Sudiya S, Supriyati S, Purwanta P, Madyaningrum E, Aulia FU, Wardiani R, Utarini A. Preparing short message service reminders to improve treatment adherence among tuberculosis patients in Sleman District, Indonesia.Indian J Community Med 2019;44:81-87


How to cite this URL:
Tetra Dewi FS, Sudiya S, Supriyati S, Purwanta P, Madyaningrum E, Aulia FU, Wardiani R, Utarini A. Preparing short message service reminders to improve treatment adherence among tuberculosis patients in Sleman District, Indonesia. Indian J Community Med [serial online] 2019 [cited 2019 Sep 18 ];44:81-87
Available from: http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2019;volume=44;issue=2;spage=81;epage=87;aulast=Tetra;type=0