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. 2020 Nov 27;10(11):e039895. doi: 10.1136/bmjopen-2020-039895

Table 1.

Components of the ‘DOT to DAT’ trial intervention and corresponding barriers addressed

Component Barrier addressed
1 Daily dosing reminders via automated SMS Addresses high cost of clinic visits for patients and assists with memory and planning processes known to be importance to adherence.
2 Daily dosing confirmation via toll-free phone calls Addresses high cost of clinic visits for patients, lack of real-time information for providers on patient adherence to medications.
3 Weekly check-in via interactive voice response phone calls Addresses lack of social support and feeling of isolation during TB treatment; shown to be effective in other contexts at increasing connection with community health workers and reducing social isolation.
4 Differential management protocol Addresses limited time and resources among TB treatment unit staff and the need to focus on non-adherent patients.

TB, tuberculosis.