DEVELOPMENT STUDY OF TBCARE: AN APPROACH BEHAVIOR CHANGE TECHNIQUES FOR TUBERCULOSIS DRUG ADHERENCE

• Main Author: Rahmat, Dadi
• Format: Theses
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/86846
• Institution: Institut Teknologi Bandung

The success of tuberculosis treatment depends on the patient’s adherence to their medication regimen. Anti-tuberculosis drugs are given for six months, and the patient must take their drug consistently until the treatment is declared complete following a treatment evaluation. However, there are still instances where patients do not adhere to their treatment plan, either by stopping treatment or failing to follow the prescribed schedule for taking their medication. Failure to follow up can result in the development of drug resistance to anti-tuberculosis drugs. The causes of patient non-adherence to medication can be attributed to a number of factors, including the length of treatment periods, the occurrence of side effects following the ingestion of medication, and a lack of awareness regarding the development of drug resistance. Patients' medication adherence is currently monitored and recorded on the health information system but recording that is only done during treatment control has not been able to control patients not dropping out of medication. Focusing treatment on the patient is needed to reduce the obstacles felt by the patient, and the use of information technology is needed to intervene in drug compliance directly with the patient. This study developed a medication adherence application with behaviour change features from behaviour change techniques components such as action planning, prompts/cues, self-monitoring, shaping knowledge, and information about health consequences. The behaviour change features developed aim to intervene in factors that influence change, such as consciousness-raising, stimulus control, and self-evaluation. The application iv development was done by following the rules of the service-oriented architecture concept with a three-layer canvas to create an independent lifecycle. The application developed in this study is named TBCare. Before being used routinely by tuberculosis patients, the application has been assessed by general respondent for ease of use with a system usability scale (SUS) survey and user satisfaction of the behaviour change feature is assessed through a satisfaction survey of behaviour change techniques. The TBCare application received a SUS assessment score of 74.20 with the predicate ‘Excellent and a behaviour change technique feature satisfaction score of 84.77 with the predicate ‘Best imaginable’. Expert assessment was conducted to provide feedback on application development due to limited access to contact patients directly, restrictions are made to maintain the confidentiality of tuberculosis patients. This study obtained an assessment from 3 experts who are doctors or health workers in charge of controlling the treatment of tuberculosis patients.