Table 2. Overall attitudes of private providers towards VOT.
| Constructs of acceptability | Total Agree (N, %) | HCMC Agree (N, %) | Hai Phong Agree (N, %) | Ha Noi Agree (N, %) | P-value |
|---|---|---|---|---|---|
| Ethicalitya | |||||
| Belief that observation is the best strategy for adherence | 68 (86) | 24 (71) | 28 (100) | 16 (94) | 0.002*$ |
| Willingness to test new approaches | 68 (86) | 26 (76) | 28 (100) | 14 (82) | 0.044*$ |
| Intervention Coherencea | |||||
| Identify side effects faster | 50 (63) | 18 (53) | 23 (82) | 9 (53) | 0.073 |
| Identify people at risk of stopping treatment faster | 65 (82) | 23 (68) | 27 (96) | 15 (88) | 0.028*$ |
| Burden (Easy to use)b | |||||
| Time requirement from doctor | 33 (42) | 7 (21) | 18 (64) | 8 (47) | <0.001$ |
| Time requirement from patient | 23 (29) | 6 (18) | 10 (36) | 7 (41) | 0.025$ |
| Opportunity Costa | |||||
| Save time for doctor | 55 (70) | 18 (53) | 26 (93) | 11 (65) | <0.001*$ |
| Save money for doctor | 28 (35) | 8 (24) | 14 (50) | 6 (35) | <0.001$ |
| Perceived Effectivenessa | |||||
| Providing differentiated care | 59 (75) | 22 (65) | 24 (86) | 13 (76) | 0.252* |
| Help patients adhere to treatment | 65 (82) | 26 (76) | 24 (86) | 15 (88) | 0.808* |
| Self-Efficacya | |||||
| Confidence in ability to monitor treatment through VOT | 48 (61) | 15 (44) | 22 (79) | 11 (65) | 0.001*$ |
| Confidence in ability to provide differentiated care through VOT | 62 (78) | 26 (76) | 24 (86) | 12 (71) | 0.358* |
| Affective Attitudea | |||||
| Addresses problems which patients face | 53 (68) | 17 (50) | 24 (89) | 12 (71) | 0.007*$ |
| Beneficial for doctor’s practice and patients | 57 (72) | 17 (50) | 26 (93) | 14 (82) | 0.001*$ |
| Relevant for all of doctor’s TB patients | 13 (16) | 3 (9) | 9 (32) | 1 (6) | <0.001*$ |
| Implementation/Usabilitya | |||||
| Concerns about patient confidentiality | 40 (51) | 24 (71) | 9 (32) | 7 (41) | 0.011*$ |
| Comfort with receiving support from study staff | 65 (82) | 25 (74) | 26 (93) | 14 (82) | 0.051* |
| Provider willingness to use VOTc | |||||
| Yes | 62 (78) | 19 (56) | 28 (100) | 15 (88) | <0.001*$ |
a: 1 (Strongly disagree) to 5 (Strongly agree).
b: 1 (Very difficult) to 5 (Very easy).
c: Yes/No.
*: Fisher’s exact test.
$: Statistically significant difference after adjusting for multiple comparisons using Holm-Bonferroni sequential correction.