PERAN DIGITAL ADHERENCE TOOLS SEBAGAI SISTEM PEMANTAUAN DALAM MENINGKATKAN KEPATUHAN TERHADAP PENGOBATAN TUBERKULOSIS : TINJAUAN LITERATUR

Authors

  • Nia Rahmadianti S1 Keperawatan, Fakultas Keperawatan, Institut Kesehatan Payung Negeri Pekanbaru
  • Wardah Wardah S1 Keperawatan, Fakultas Keperawatan, Institut Kesehatan Payung Negeri Pekanbaru
  • Dendy Kharisna S1 Keperawatan, Fakultas Keperawatan, Institut Kesehatan Payung Negeri Pekanbaru
  • Veni Dayu Putri S1 Keperawatan, Fakultas Keperawatan, Institut Kesehatan Payung Negeri Pekanbaru

DOI:

https://doi.org/10.31004/jkt.v7i1.56190

Keywords:

Digital Adherence Tools, Kepatuhan Pengobatan, Tuberkulosis

Abstract

Tuberkulosis (TB) masih menjadi masalah kesehatan global  yang serius, dimana kepatuhan terhadap pengobatan menjadi faktor utama keberhasilan terapi. Sistem pemantauan konvensional seringkali menghadapi kendala biaya dan aksesibilitas. Seiring berjalannya waktu, Digital Adherence Tools (DAT) hadir sebagai solusi yang inovatif sebagai sistem pemantauan kedisiplinan pasien secara jarak jauh. Penelitian ini bertujuan untuk mengidentifikasi dan menelaah peran berbagai jenis DAT sebagai sistem pemantauan dalam meningkatkan kepatuhan pengobatan pasien tuberkulosis melalui tinjauan literatur. Desain dalam penelitian ini adalah literature review dengan pencarian artikel menggunakan 3 database internasional, yaitu PubMed, Science Direct, dan Ebsco menggunakan strategi pencarian artikel PICOS. Artikel yang diseleksi merupakan penelitian berbahasa inggris yang dipublikasikan pada tahun 2020-2025. Pencarian menggunakan kata kunci Drug Treatmeant Patient Tuberculosis AND Digital Adherence Tools AND Drug Adherence. Hasil telaah terhadap 7 artikel internasional menunjukkan bahwa penggunaan DAT, seperti aplikasi mobile, electronic pill box, dan video directly observed therapy (VDOT), secara konsisten terbukti dalam meningkatkan kepatuhan pengobatan pada pasien tuberkulosis dengan persentase 80 hingga 100% dibandingkan pendekatan konvensional dengan persentase 30 hingga 89,6 %. Jenis Digital Adherence Tools (DAT) yang paling efektif dalam meningkatkan kepatuhan pengobatan tuberkulosis adalah video directly observed therapy (VDOT) dengan persentase 100 %. Kesimpulannya adalah DAT terbukti mempermudah pemantauan, meningkatkan keterlibatan pasien, serta mendukung keberlanjutan pengobatan TB. Dengan demikian, DAT berpotensi menjadi strategi pendukung yang efektif dalam program pengendalian TB. 

References

Abas, S. A., Ismail, N., Zakaria, Y., Yasin, S. M., Ibrahim, K., Ismail, I., Razali, A., Sherzkawi, M. A., & Ahmad, N. (2024). Enhancing tuberculosis treatment adherence and motivation through gamified real-time mobile app utilization: a single-arm intervention study. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-023-17561-z

Bachina, P., Lippincott, C. K., Perry, A., Munk, E., Maltas, G., Bohr, R., Rock, R. B., & Shah, M. (2022). Programmatic Adoption and Implementation of Video-Observed Therapy in Minnesota: Prospective Observational Cohort Study. JMIR Formative Research, 6(8). https://doi.org/https://doi.org/10.2196/38247

Badan Pusat Statistik Provinsi Riau. (2025). Provinsi Riau Dalam Angka 2025.

Daajani, M. M. Al, Alsahafi, A. J., Algarni, A. M., Moawwad, A. L., & Osman, A. A. (2023). Use of Smartphone-Based Video Directly Observed Therapy to Increase Tuberculosis. 1–8. https://doi.org/10.31661/gmj.v12i.3067

Farhana, Nurwahyuni, A., & Alatas, S. S. (2022). Pemanfaatan Digital Health untuk Meningkatkan Keberhasilan Pengobatan Pasien Tuberkulosis di Negara Berkembang : Literature Review. The Indonesian Journal of Health Promotion, 5(9), 882–892.

Handayani, R. S., Hendarwan, H., & Ratri, T. (2024). The Influence of Medication Non-Adherence on the Occurrence of Drug-Resistant Tuberculosis. Journal of Current Health Sciences, 4(2), 59–66. https://doi.org/10.47679/jchs.202474

Haryati, D. T., Herlina, L., & Yunitri, N. (2025). Penerapan Video Observed Therapy (VOT) Terhadap Kepatuhan Minum Obat Anti Tuberkulosis Pada Pasien TB Di Puskesmas Cempaka Putih Jakarta Pusat. Jurnal Ners, 9, 3376–3380.

Hidayat, R., Oktarlina, R. Z., Romulya, A. I., Kedokteran, F., Lampung, U., Farmasi, B., Kedokteran, F., Lampung, U., Obstetri, B., Kedokteran, F., & Lampung, U. (2024). Inovasi dalam Terapi Pengobatan Tuberkulosis dan Penerapannya di Indonesia Innovations in Tuberculosis Treatment Therapy and its Application in Indonesia. 14, 430–435.

Iribarren, S. J., Milligan, H., Chirico, C., Goodwin, K., Schnall, R., Telles, H., Iannizzotto, A., Sanjurjo, M., Lutz, B. R., Pike, K., Rubinstein, F., Rhodehamel, M., Leon, D., Keyes, J., & Demiris, G. (2022). Patient-centered mobile tuberculosis treatment support tools (TB-TSTs) to improve treatment adherence: A pilot randomized controlled trial exploring feasibility, acceptability and refinement needs. The Lancet Regional Health - Americas, 13, 100291. https://doi.org/https://doi.org/10.1016/j.lana.2022.100291

Kemenkes. (2024). Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024. Kementrian Kesehatan Republik Indonesia.

Manyazewal, T., Woldeamanuel, Y., Getinet, T., Hoover, A., Bobosha, K., Fuad, O., Getahun, B., Fekadu, A., Holland, D. P., & Marconi, V. C. (2023). Patient-reported usability and satisfaction with electronic medication event reminder and monitor device for tuberculosis: a multicentre, randomised controlled trial. EClinicalMedicine, 56, 101820. https://doi.org/https://doi.org/10.1016/j.eclinm.2022.101820

Maulana, S., Lutfian, L., Wardika, I. J., Fadhli, R., Anggreani, D., Haposan, J. H., Wildana, F., Efendi, M. A., Platini, H., & Haroen, H. (2025). Emerging Research Trends on Medication Adherence in Tuberculosis Treatment: A Bibliometric Study of Research Between 2015 and 2024 to Inform Future Research Trajectory. Patient Preference and Adherence , 19, 2213–2226. https://doi.org/10.2147/PPA.S520341

Meiyanti, Bachtiar, A., Yohana, Margo, E., Merijanti, L. T., Alvina, & Pusparini. (2024). Exploring the Determinants of Adherence to Pulmonary Tuberculosis Treatment During 2018-2023 in Indonesia: A Literature Review. Azerbajian Medical Journal, 64(4), 11301–11315.

Mtenga, A. E., Maro, R. A., Dillip, A., Msoka, P., Emmanuel, N., Ngowi, K., & Sumari-de Boer, M. (2024). Acceptability of a Digital Adherence Tool Among Patients With Tuberculosis and Tuberculosis Care Providers in Kilimanjaro Region, Tanzania: Mixed Methods Study. Online Journal of Public Health Informatics, 16, e51662. https://doi.org/10.2196/51662

Musiimenta, A., Tumuhimbise, W., Atukunda, E., Mugaba, A., Linnemayr, S., & Haberer, J. (2024). Digital Adherence Technologies Linked to Mobile Money Incentives for Medication Adherence Among People Living With Tuberculosis: Mixed Methods Feasibility and Acceptability Study. JMIR Human Factors, 11. https://doi.org/https://doi.org/10.2196/47996

Pujihastuti, N., Priyo, P., & Priyanto, S. (2022). Whatsapp Reminder And Educational Video To Improve Pulmonary Tuberculosis Patient Control Compliance During The Pandemic. Academia.Edu. https://www.academia.edu/download/96326402/pdf.pdf

Saktiawati, Iswari, Morita, A., & Ari, P. (2025). Tuberculosis in Indonesia: Challenges and Future Directions. The Lancet Respiratory Medicine, 13(8), 669–671. https://doi.org/10.1016/S2213-2600(25)00168-7

Sekandi, J. N., Buregyeya, E., Zalwango, S., Nakkonde, D., Kaggwa, P., Quach, T. H. T., Asiimwe, D., Atuyambe, L., & Dobbin, K. (2025). Effectiveness of a Mobile Health Intervention (DOT Selfie) in Increasing Treatment Adherence Monitoring and Support for Patients With Tuberculosis in Uganda: Randomized Controlled Trial. JMIR MHealth and UHealth, 13. https://doi.org/https://doi.org/10.2196/57991

Wang, N., Deepak, H., Id, S., Thekkur, P., Huang, F., Yuan, Y., Wang, X., Wang, X., Sun, M., & Id, H. Z. (2020). Electronic medication monitor for people with tuberculosis : Implementation experience from thirty counties in China. 1810, 1–14. https://doi.org/10.1371/journal.pone.0232337

WHO. (2023). Global Tuberculosis Report 2023. World Health Organization.

WHO. (2024). 2024 Global Tuberculosis (TB) Report. World Health Organization.

Wu, Z., Lu, L., Li, Y., Chen, J., Zhang, Z., Ning, C., Yuan, Z., Pan, Q., Shen, X., & Wenhong, Z. (2023). Effect of mobile health reminders on tuberculosis treatment outcomes in Shanghai , China : A prospective cohort study. April, 1–12. https://doi.org/10.3389/fpubh.2023.923319

Yanti, D. S., Hayu, R. E., Mianna, R., & Yanti, R. (2025). Peran Kinerja Tenaga Kesehatan Terhadap Tingkat Keberhasilan Pengobatan Tuberkulosis : Studi Kasus. 6(September), 10652–10657.

Zhou, L., Zhou, Y., Ding, Y., Peng, Y., Wang, W., Chen, B., Gong, S., Liu, K., & Dong, X. (2023). Digital tool assessment for the community management of patients with pulmonary tuberculosis in Yiwu city, China: evidence from real world data in 2020. Frontiers in Public Health, 11, 1320904. https://doi.org/10.3389/fpubh.2023.1320904

Downloads

Published

2026-03-27

Issue

Vol. 7 No. 1 (2026): MARET 2026

Section

Articles

License

Copyright (c) 2026 Nia Rahmadianti, Wardah Wardah, Dendy Kharisna, Veni Dayu Putri

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).