Published
Efecto de una aplicación móvil en el conocimiento sobre la tuberculosis pulmonar: estudio piloto
Effect of a mobile application on knowledge about pulmonary tuberculosis: a pilot study
Efeito de um aplicativo móvel no conhecimento sobre a tuberculose pulmonar: estudo piloto
DOI:
https://doi.org/10.15446/av.enferm.v44n1.125279Keywords:
Aplicaciones móviles, Tuberculosis, Telemedicina, Educación en salud, Conocimientos, Actitudes y Prácticas en Salud (es)Mobile Applications, Tuberculosis, Telemedicine, Health Education, Health Knowledge, Attitudes, Practice (en)
Aplicativos Móveis, Tuberculose, Telemedicina, Educação em Saúde, Conhecimentos, Atitudes e Prática em Saúde (pt)
Downloads
Antecedentes: la tuberculosis pulmonar permanece en el escenario epidemiológico y constituye uno de los principales desafíos de la salud pública. Aunque desde hace varios años las aplicaciones móviles en salud se han utilizado como estrategia de intervención para el control de diferentes enfermedades, existen pocos estudios sobre la efectividad de estas intervenciones en el mundo y, particularmente,
en Colombia.
Objetivo: determinar el efecto de una aplicación móvil en los conocimientos sobre la enfermedad de las personas en tratamiento para tuberculosis pulmonar sensible.
Método: Estudio piloto con diseño pretest-postest y grupos no aleatorizados, en el que participaron 28 pacientes. El grupo control
recibió el tratamiento estandarizado del programa de tuberculosis y el grupo experimental, adicionalmente, utilizó la aplicación móvil CuidarT-Bien UN. Los conocimientos de los participantes se midieron
mediante el “Instrumento validado de Medición de Conocimientos, Actitudes y Prácticas en Personas con Diagnóstico de Tuberculosis”, antes y después de la intervención.
Resultados: en la evaluación postintervención se observaron cambios positivos en el grupo experimental respecto al grupo control en dimensiones específicas del conocimiento, particularmente en los ítems relacionados con factores de riesgo (p = 0.0008), toma de baciloscopia (p = 0.0261), tratamiento (p = 0.0155) y medidas de control en el hogar (p = 0.0335).
Conclusiones: la aplicación móvil CuidarT-Bien UN se posiciona como una herramienta prometedora para fortalecer los conocimientos en salud de los pacientes con tuberculosis pulmonar en el marco del tratamiento convencional.
Background: Pulmonary tuberculosis is one of the main public health challenges. Mobile health applications have been used as an intervention strategy in the control of different diseases. However, few studies related to the effectiveness of interventions with mobile applications have been conducted. In the Colombian case, there are no mobile applications on tuberculosis.
Objective: To determine the effect of a mobile application on disease knowledge among people undergoing treatment for drug-sensitive pulmonary tuberculosis.
Method: Pilot study with a pretest–posttest design with non-randomized groups; 28 patients participated. The control group received the standardized tuberculosis
program treatment, while the experimental group additionally used the mobile application "CuidarT-Bien UN". Participants' knowledge was measured using the "Validated Instrument for the Measurement of Knowledge, Attitudes and Practices in People Diagnosed with Tuberculosis" before and after the intervention.
Results: In the post-intervention evaluation, positive changes were observed in the experimental group compared to the control group in specific knowledge dimensions,
particularly in items related to risk factors (p = 0.0008), sputum smear collection (p = 0.0261), treatment (p = 0.0155), and household control measures (p = 0.0335).
Conclusions: The results suggest that the mobile application "CuidarT-Bien UN" may be a promising tool to improve health knowledge among pulmonary tuberculosis patients within the framework of conventional treatment.
Contexto: a tuberculose pulmonar é um dos principais desafios da saúde pública. Aplicativos móveis de saúde têm sido utilizados como estratégia de intervenção para o controle de diferentes doenças. No entanto, foram realizados poucos estudos sobre a eficácia das intervenções com aplicativos móveis. No caso colombiano, não existem aplicativos móveis sobre a tuberculose.
Objetivo: Determinar o efeito de um aplicativo móvel no conhecimento sobre a doença em pessoas em tratamento para tuberculose pulmonar sensível.
Método: Estudo piloto com delineamento pré-teste–pós-teste com grupos não randomizados; contou com a participação de 28 pacientes. O grupo controle recebeu o tratamento padronizado do programa de tuberculose e o grupo experimental utilizou, adicionalmente, o aplicativo móvel "CuidarT-Bien UN". O conhecimento dos participantes foi mensurado com o "Instrumento Validado de Mensuração de Conhecimentos, Atitudes e Práticas em Pessoas com Diagnóstico de Tuberculose" antes e após a intervenção.
Resultados: Na avaliação pós-intervenção, foram observadas mudanças positivas no grupo experimental em comparação ao grupo controle em dimensões específicas do conhecimento, particularmente nos itens relacionados a fatores de risco (p = 0,0008), coleta de baciloscopia (p = 0,0261), tratamento (p = 0,0155) e medidas de controle domiciliar (p = 0,0335).
Conclusões: O aplicativo móvel "CuidarT-Bien UN" se posiciona como uma ferramenta
promissora para fortalecer o conhecimento em saúde dos pacientes com tuberculose pulmonar no âmbito do tratamento convencional.
References
(1) World Health Organization. Global Tuberculosis Report 2024. Geneva: WHO; 2024. https://www.who.int/teams/global-programme-ontuberculosis-and-lung-health/tb-reports/global-tuberculosis-report-2024
(2) Organización Mundial de la Salud. Estrategia Fin a la Tuberculosis. Avances en la aplicación de la Estrategia mundial y metas para la prevención, la atención y el control de la tuberculosis después de 2015. Ginebra: OMS; 2023. https://apps.who.int/gb/ebwha/pdf_files/EB154/B154_10-sp.pdf
(3) Garcia-Bereguiain MA; Rodriguez-Pazmiño AS; Franco-Sotomayor G; Orlando SA; González M; Ugarte-Gil C. “The end TB strategy” pathway in South America: Out of track for 2025 milestones and 2035 eradication. Lancet Reg Health Am. 2025;44:101045. https://doi.org/10.1016/j.lana.2025.101045
(4) WHO. Implementing the end TB strategy: The essentials, 2022. Geneva: WHO; 2022. https://www.who.int/publications/i/item/9789240065093
(5) Burhan E; Ralena NA; Tahir Y. Improving TB-Related Knowledge and Behavior with Sembuh TB App towards Indonesia TB Elimination. Syst Rev Pharm. 2019;10(2):313-317. https://www.sysrevpharm.org/articles/improving-tbrelated-knowledge-and-behavior-with-sembuhtb-app-towards-indonesia-tb-elimination.pdf
(6) Iribarren SJ; Rodriguez Y; Lin L; Chirico C; Discacciati V; Schnall R et al. Converting and expanding a mobile support intervention: Focus group and field-testing findings from individuals in active tuberculosis treatment. Int J Med Inf. 2020;136:104057. https://doi.org/10.1016/j.ijmedinf.2019.104057
(7) Do D; Garfein RS; Cuevas-Mota J; Collins K; Liu L. Change in patient comfort using mobile phones following the use of an app to monitor tuberculosis treatment adherence: Longitudinal study. JMIR MHealth UHealth. 2019;7(2):e11638. https://doi.org/10.2196/11638
(8) Lee S; Rajaguru V; Baek JS; Shin J; Park Y. Digital health interventions to enhance tuberculosis treatment adherence: Scoping review. JMIR
MHealth UHealth. 2023;11:e49741. https://doi.org/10.2196/49741
(9) Dueñas Quintero DM. Apropiación social del conocimiento en Colombia. Una interpretación desde la política pública (1990-2021). Saber, Cienc. Libertad. 2022;17(2):523-553. https://revistas.unilibre.edu.co/index.php/saber/article/view/9341
(10) Muñoz Sánchez AI; Cantor-Cutiva LC; Urrego-Parra HN; Caguazango Atiz PC; Antolinez Figueroa C; Jimenez-Chala EA. Innovando en el
cuidado de las personas con tuberculosis: Aplicación móvil CuidarTBien UN. Enferm Comunitaria. 2022;18:e13937. https://ciberindex.com/index.php/ec/article/view/e13937
(11) Muñoz-Sánchez AI; Rubiano-Mesa YL; Saavedra-Cantor CJ. Instrumento de medición: conocimientos, actitudes y prácticas en personas con tuberculosis pulmonar. Rev Latino-Am Enfermagem. 2019;27:e3086. https://doi.org/10.1590/1518-8345.2608.3086
(12) Gasca Mantilla MC; Camargo Ariza LL; Medina Delgado B. Metodología para el desarrollo de aplicaciones móviles. Tecnura. 2014;18(40):20-35. https://www.redalyc.org/articulo.oa?id=257030546003
(13) Velandia Bernal ZT; Lozano Rodríguez M; Baquero Mujica GK. Aplicaciones móviles en salud, una revisión sistemática cualitativa. Universidad de La Salle. Facultad de Ciencias de la Salud. Optometría.;2021. https://ciencia.lasalle.edu.co/server/api/core/bitstreams/8bb49bda-03eb-486e-9e98-73f82a041b75/content
(14) Keutzer L; Wicha SG; Simonsson US. Mobile health apps for improvement of tuberculosis treatment: Descriptive review. JMIR MHealth UHealth. 2020;8(4):e17246. https://doi.org/10.2196/17246
(15) Balakrishnan V; Kumaresan T; Surendra H; Allsop M; Tiong CK; Sheng NN J et al. Developing and assessing MyTBCompanion – A trilingual
integrated video observed therapy app for tuberculosis patient management in Malaysia and Indonesia. PLOS ONE . 2025;20(4):e0320394.
https://doi.org/10.1371/journal.pone.0320394
(16) Stabile AJ; Iribarren S; Sonney J; Demiris G; Schnall R. Usability testing of a mobile health application to support individuals with active tuberculosis: A mixed methods study. Inform Health Soc Care. 2024;49(2):136-148. https://doi.org/10.1080/17538157.2024.2333379
(17) Lutfian L; Wardika IJ; Mukminin MA; Zamroni AH; Rizanti AP; Chandra IN et al. Effectiveness of health education in improving treatment adherence among patients with chronic communicable diseases: A systematic review and meta-analysis. Trop Med Int Health. 2025;30(7):598-612. https://doi.org/10.1111/tmi.14133
(18) Alipanah N; Jarlsberg L; Miller C; Linh NN; Falzon D; Jaramillo E et al. Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies. PLoS Med. 2018;15(7):e1002595. https://doi.org/10.1371/journal.pmed.1002595
(19) Guo Y; Chen Y; Lane DA; Liu L; Wang Y; Lip GYH. Mobile health technology for atrial fibrillation management integrating decision support, education, and patient involvement: mAF app trial. Am J Med. 2017;130(12):1388-1396. https://doi.org/10.1016/j.amjmed.2017.07.003
(20) Sarfo FS; Treiber F; Gebregziabher M; Adamu S; Nichols M; Singh A et al. Phone-based intervention for blood pressure control among Ghanaian stroke survivors: A pilot randomized controlled trial. Int J Stroke. 2019;14(6):630-638. https://doi.org/10.1177/1747493018816423
(21) Wei X; Hicks JP; Pasang P; Zhang Z; Haldane V; Liu X et al. Protocol for a randomised controlled trial to evaluate the effectiveness of improving tuberculosis patients treatment adherence via electronic monitors and an app versus usual care in Tibet. Trials. 2019;20:273. https://doi.org/10.1186/s13063-019-3364-x
(22) Lin H; Lin Y; Zheng Y; Liu Z; Chang C. Design, development and randomised controlled trial of a smartphone application, QinTB, for smoking cessation in tuberculosis patients: Study protocol. BMJ Open. 2019;9(12):e031204. https://doi.org/10.1136/bmjopen-2019-031204
(23) Nguyen BH; Dang TTH; Hoang DT; Do TT; Van Dinh L; Nguyen VN et al. An mHealth app technology to strengthen adverse event management of multi-drug-resistant tuberculosis in Vietnam: Protocol for a process evaluation of the V-SMART trial. Trop Med Int Health. 2025;30(4):273-282. https://doi.org/10.1111/tmi.14091
(24) Allen R; Calderón M; Moore DAJ; Gaskell KM; Curisinche-Rojas M; López S. Factibilidad de una aplicación móvil para el monitoreo de contactos de tuberculosis multidrogorresistente en Perú. Rev Peru Med Exp Salud Publica. 2021;38(2):272-277. https://doi.org/10.17843/rpmesp.2021.382.6236
(25) Abas SA; Ismail N; Zakaria Y; Yasin SM; Ibrahim K; Ismail I et al. Enhancing tuberculosis treatment adherence and motivation through gamified real-time mobile app utilization: A single-arm intervention study. BMC Public Health. 2024;24:249. https://doi.org/10.1186/s12889-023-17561-z
(26) Hogan AB; Jewell BL; Sherrard-Smith E; Vesga JF; Watson OJ; Whittaker C et al. Potential impact of the COVID -19 pandemic on HIV, tuberculosis, and malaria in low-income and middle-income countries: A modelling study. Lancet Glob Health. 2020;8(9):e1132-e1141. https://doi.org/10.1016/S2214-109X(20)30288-6
(27) Marco MH; Ahmedov S; Castro KG. The global impact of COVID-19 on tuberculosis: A thematic scoping review, 2020-2023. PLOS Glob Public Health. 2024;4(7):e0003043. https://doi.org/10.1371/journal.pgph.0003043
(28) Syahrul S; Irwan AM; Saleh A; Syam Y; Fiqri AM; Jannah SN. Effectiveness of mobile application-based intervention on medication adherence among pulmonary tuberculosis patients: A systematic review. Comput Inform Nurs. 2025;43(4):e01213. https://doi.org/10.1097/CIN.0000000000001213
(29) Aisyah DN; Ahmad RA; Artama WT; Adisasmito W; Diva H; Hayward AC et al. Knowledge, attitudes, and behaviors on utilizing mobile health technology for TB in Indonesia: A qualitative pilot study. Front Public Health. 2020;8:531514. https://doi.org/10.3389/fpubh.2020.531514
(30) Vargese SS; Kurian N; Mathew E; Raju AS; Khader J; Pillai RS. Short comprehensive multimodal behavioural intervention for tuberculosis-
Can it be effectively incorporated in tribal health? J Racial Ethn Health Disparities. 2023;10:542-552. https://doi.org/10.1007/s40615-022-01244-3
(31) Muñoz-Sánchez AI; Muñoz-Castaño YL; Urrego-Parra HN. Tecnologías de la información y la comunicación para educar en salud: revisión
sistemática. Salud UIS. 2022;54. https://doi.org/10.18273/saluduis.54.e:22053
(32) Silva LLT; Andrade AYT; Poveda VB. Mobile applications for patient safety: A scoping review. Texto Contexto Enferm. 2024;33:e20230178.
https://doi.org/10.1590/1980-265X-TCE-2023-0178en
(33) Sotillos-González B; Buiza-Camacho B; Herrera-Usagre M; Escobar-Ubreva Á; Fernández-Bermejo MC; Santana-López V et al. Visión ciudadana sobre la prescripción de aplicaciones móviles de salud y el uso de tecnologías de la información y la comunicación en el entorno
sanitario en Andalucía. J Healthc Qual Res. 2018;33(4):225-233. https://doi.org/10.1016/j.jhqr.2018.04.004
Dimensions
PlumX
Article abstract page views
Downloads
How to Cite
License
Copyright (c) 2026 Paulo Cesar Caguazango Atiz, Heidy Natalia Urrego Parra, Alba Idaly Muñoz Sánchez, Carolina Antolinez Figueroa, Eliana Alejandra Jiménez Chala, Lady Catherine Cantor Cutiva
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published by Avances en Enfermería are licensed under the Creative Commons Attribution 4.0 International License. Starting 2020, we added the CC-BY-NC recognition to the license, which means anyone is allowed to copy, redistribute, remix, transmit and transform our contents with non-commercial purposes, and although new works must adequately cite the original work and source and also pursue non-commercial purposes, users do not have to license derivative works under the same terms.
