A low-cost digital adherence engagement tool
VOT is a method for remotely supporting adherence to tuberculosis medications that uses mobile video communications to monitor medication ingestion by patients utilizing a smartphone or tablet. Synchronous VOT (S-VOT) allows patients to engage in a real-time consultation with their provider via live videoconference to conduct remote DOT and/or communicate treatment concerns, adverse events, etc. Asynchronous VOT (A-VOT) allows patients to record videos of themselves ingesting each medication dose and report possible adverse events and/or treatment concerns in recorded videos, which are automatically synced via secure Wi-Fi or cellular connection with the adherence platform where they are then reviewed by the patient’s health care provider who documents each dose observed. Since date/time-stamped A-VOT videos may be recorded without a network connection and stored on the phone until a connection (cellular or Wi-Fi) is obtained, patients can choose when and where they take their medications as long as their phone connects at least periodically with a network.
Benefits of VOT
Provides benefits of traditional DOT (i.e., visual observation of medication ingestion) at a reduced cost and resource burden to the patient and health care system
Enables split-dosing and remote side-effect reporting for management of complex treatment regimens
Enables real-time triage and medication adherence indicators so follow-up communication between the patient and HCW can happen quickly and re-engage the patient on care.
Maintains a high level of interaction to help patients feel supported throughout their treatment