Vol. 4, Issue 4 (2019)
The effect of phone communication on patients' compliance to the DOTS in Mosul
Author(s): Dr. Ashraf Kamel Abdul Rahman Al-Nuaimee, Dr. Qusay Mohammad Sheet Oan, Dr. Montaha Hameed Saleem
Abstract: Background: Effective treatment of tuberculosis (TB) necessitates adherence to treatment regimen consisting of multiple drugs for a minimum of 6 months otherwise, advanced stages of TB such as multi-drug resistant (MDR) occur. The using of telecommunications particularly mobile communication has been initiated in many countries to support the healthcare sector as a form of prompt maintaining contact between the patient and the TB service provider over the entire course of treatment. Aim of study: to prove that the counseling, health education and support through the telecommunication during the two stages of TB treatment will affect the patient adherence to DOTS in the way that meets the needs and ensures the rights of the patient. Patients and Methods: Institutional-based prospective randomized controlled trial of a clinical interventional study design was adopted and conducted among TB patients from 1st of October 2018 to 30th of September 2019 at TBMU in the left health district in Mosul. The study conducted among 30 pulmonary TB newly diagnosed with the inclusion criteria that the patients who were classified as new sputum (+) and new sputum (-) in the catchment areas are enrolled, while the extra-pulmonary TB (EPTB) patients are excluded. The interview done by the researchers and the already design questionnaire was fulfilled. The patients followed up using a phone communications to check compliance to treatment and follow up visit. Ratios, percentages, Fisher exact test, correlation, p-value were calculated using SPSS version 18. Results: Age intervals (45-55) and (55-65) is the most frequent, while in female gender the most frequent is age interval (15-25), 86.6% of study sample have their own mobile, 75% are ever married, total no. of calls done by patients regarding counseling were 19, medication 8, side effects of drugs 24 and food 13. A significant statistical difference (p=0.048) between the time of patients response by sending miss-call for TBMU and the compliance to treatment each visit was noted. Regarding the comparison between the patients who receiving reminder call and those who not in attending the TBMU at the exact follow-up time, a very highly significant difference with p-value =0.005 was clear. Moreover, correlation between the number of patients attending the TBMU at time of recommended follow-up dates and the frequency of calling by the TB coordinator and had a significant statistical correlation (r= -0.98, p= 0.045). Conclusion: The patients treated with DOTS will become more adherences and comply with the treatment regimen by the use of mobile communication.