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Enhancing tuberculosis treatment support: A thematic analysis of interactive messages in a digital adherence technology trial to identify needs, challenges, and strategies for improvement

Question 21

What integrated service did the study highlight as especially important for TB patients besides adherence support?

A.Entertainment content

B.Integrated mental health services and referral pathways

C.Physical exercise programs

D.Career consulting

Question 1

What was the main objective of the study involving the Companion app within the TB Treatment Support Tools (TB-TST) intervention?

A.Assess healthcare provider satisfaction with digital tools

B.Assess user engagement with the Companion app and explore interactions that promote treatment adherence and address patient needs

C.Measure the technical performance of mobile devices in rural areas

D.Evaluate the cost-effectiveness of TB digital adherence technologies

Question 2

Which of the following content themes was NOT identified among patient messages in the study?

A.Living with TB (plus COVID-19 pandemic impact)

B.Medical and symptom guidance

C.Financial investment strategies

D.Technical issues

Question 3

What was the most frequent type of message sent by patients to treatment supporters (TSs)?

A.Appointment scheduling requests

B.Questions on managing symptoms and side effects

C.Requests for financial aid

D.Complaints about hospital staff

Question 4

According to the study, which communication style by TSs led to better patient acceptance and engagement?

A.Automated, generic messaging

B.Personalized and empathetic interactions

C.Frequent, repetitive reminders

D.Strict, hierarchical communication

Question 5

What were common barriers faced by patients when submitting daily adherence reports?

A.Preference for in-person interaction

B.Difficulties accessing phone credit and connectivity issues

C.Complicated medical terminology

D.Overly frequent notifications from the app

Question 6

Which recommendation was emphasized to strengthen the TB-TST intervention based on the analysis?

A.Employing only automated messages for efficiency

B.Focusing solely on medication intake tracking

C.Providing personalized communication and expanded mental health support

D.Reducing the number of treatment supporters

Question 7

Which method was used to analyze the chat logs between patients and TSs?

A.Statistical regression analysis

B.Randomized control trial

C.Pragmatic thematic analysis

D.Machine learning clustering

Question 8

What capability did the Companion application offer to facilitate objective adherence monitoring?

A.Video consultations

B.Direct urine drug metabolite test

C.Blood glucose monitoring

D.Remote temperature tracking

Question 9

Which strategy was associated with reinforcing adherence in patients?

A.Generic automated reminders only

B.Individualized congratulations and milestone recognition

C.Strict penalties for missed reports

D.Disabling secure messaging features

Question 10

Why did some patients stop using the application, according to the findings?

A.Lack of smartphone literacy among TSs

B.Delayed or impersonal responses from treatment supporters

C.Too many entertainment features on the app

D.Overly complex medical terminology

Question 11

During the COVID-19 pandemic, what concern did TB patients commonly express?

A.The nutritional content of hospital food

B.Interactions between the COVID-19 vaccine and TB medication

C.Relocation of hospital facilities

D.Unavailability of entertainment during hospitalization

Question 12

What role did treatment supporters (TSs) play beyond sending reminders in the intervention?

A.Only technical support

B.Financial planning

C.Providing healthcare coordination, symptom guidance, and emotional support

D.Supervising hospital construction

Question 13

What characteristic of effective TS communication was highlighted in the recommendations?

A.Formality and technical language

B.Empathy and personalization

C.Strict adherence to standardized scripts

D.Minimal response frequency

Question 14

Which technical challenge was frequently reported by users regarding the Companion app?

A.Difficulty accessing the hospital Wi-Fi for streaming music

B.Problems uploading photos of test strips due to camera permission issues

C.Needing to update bank account information

D.Lack of games on the app

Question 15

Which area for future improvement was suggested to meet patient preferences and circumstances?

A.Eliminating adherence reporting

B.Offering flexible reporting options

C.Focusing exclusively on non-digital interventions

D.Reducing patient interaction time

Question 16

What limitation did the authors acknowledge regarding the generalizability of study findings?

A.Only included patients with drug-susceptible TB and access to smartphones

B.Excluded all patient feedback

C.Based solely on laboratory data

D.Did not use any digital technology in data collection

Question 17

What was a key strength of the study methodology?

A.Use of fully anonymized laboratory records

B.Analysis of complete chat logs for in-depth thematic understanding

C.Relying only on survey data

D.Limiting participant responses to prepared multiple-choice questions

Question 18

What was a recurrent emotional issue patients reported in their secure messages?

A.Feelings of stigma, isolation, and anxiety about their health

B.Disinterest in completing reports

C.Anger towards technical staff

D.Excitement about new medical technologies

Question 19

Which technical aspect was recommended for enhancement to improve the user experience?

A.Increase application complexity

B.Address application glitches and improve camera functionality

C.Reduce available languages

D.Remove offline capabilities

Question 20

How can mHealth interventions best support patients with limited digital literacy according to the study's conclusions?

A.Provide only written operating manuals

B.Design adaptable, user-friendly interventions addressing diverse needs

C.Discontinue digital support for these patients

D.Schedule mandatory in-person trainings weekly