Asynchronous Video Directly Observed Therapy for Tuberculosis Treatment
Practical Solutions and Value
- Medication adherence for tuberculosis treatment can be monitored effectively and cost-efficiently using self-recorded videos (video directly observed therapy [VDOT]) instead of in-person observation.
- A randomized controlled trial compared VDOT and clinic-based monitoring for patients with latent tuberculosis infection (LTBI) undergoing a 3-month treatment.
- Results showed no significant difference in treatment completion or patient satisfaction between VDOT and clinic-based monitoring. However, VDOT was found to be less expensive per patient.
- Considering similar outcomes and lower cost, VDOT presents itself as a valuable method for treatment monitoring, especially when in-person observation is not feasible, such as during a respiratory disease outbreak.
