Tuberculosis Nursing Research Articles

Identifying Predictors of Unfavorable Treatment Outcomes in Tuberculosis Patients.

In South Korea, there has been a continuous decrease in the incidence of tuberculosis (TB) attributable to a national TB elimination program; however, TB still poses a significant socioeconomic burden. This study aimed to analyze factors associated with successful TB treatment and to identify refractory patient groups with unfavorable outcomes. We analyzed anonymized data on 89,150 patients with TB provided by the Korea Disease Control and Prevention Agency. Specifically, we collected independent variables, which were categorized as individual, regional, and medical facility factors. Individual factors included age, sex, nationality, TB type, drug-resistant status, category of TB, housing type, underlying disease status, number of referrals, and smoking status. Regional factors referred to the region where the TB case was reported. Medical facility factors included the first visit to a medical facility, categorized by hospital type and the distinction between private-public mix (PPM) and non-PPM depending on the presence or absence of dedicated TB nurses. These factors were analyzed in relation to treatment success to identify refractory patient groups with unfavorable outcomes. Multivariable logistic regression analysis revealed the following significant factors associated with successful TB treatment: sex, nationality, status of drug-resistant TB, category of TB, number of referrals, region of TB registry, underlying diseases, and smoking status. Specifically, compared with their relevant counterparts, male patients had a lower rate of successful treatment (adjusted odds ratio [aOR]: 0.66, reference [Ref.]: women); Korean nationals had a higher rate of treatment success (aOR: 7.20, Ref. foreign residents in Korea); resistant TB was associated with a lower rate of treatment success (aOR: 0.35, Ref.: non-resistant TB status); newly treated patients had a higher rate of treatment success (aOR: 1.75, Ref.: retreatment patient); switching hospitals once (aOR: 1.78), never (aOR: 1.41), or twice (aOR: 1.37) was associated with increased treatment success (Ref.: three or more times); having zero (aOR: 1.45), one (aOR: 1.31), or two (aOR: 1.24) underlying diseases was associated with a higher rate of treatment success (Ref. three or more underlying diseases); and past smokers (aOR: 1.40) and non-smokers (aOR: 1.35) had a higher rate of treatment success (Ref.: current smokers). Our study identified several factors contributing to unfavorable treatment outcomes in tuberculosis patients, including male patients, foreign residents in Korea, drug-resistant TB, retreatment patients, frequent hospital switching, multiple underlying diseases, and current smoking status. These research findings could inform the development of efficient management strategies and policies for improving the treatment success rate among patients with TB.

Distribution of The Health Workers in The Tuberculosis Sector, Mongolia: Assessment Results Using the Gini Index

Background: Mongolia was classified as one of the 30 countries with the highest tuberculosis burden by World Health Organization in 2021 and tuberculosis is the first leading cause of mortality among deaths from all communicable diseases in the country. The number and distribution of health workers to provide tuberculosis healthcare services will play an important role in the fight against tuberculosis. However, there has been no quantitative evaluation of the distribution of tuberculosis health workers in Mongolia. Therefore, this study aimed to examine the distribution of health workers in the tuberculosis sector using the Gini index. The results provide quantifiable information for monitoring resource distribution and serve as a basis for informed decision-making on resource allocation, facilitating targeted interventions and equitable healthcare distribution in Mongolia. Methods: Data from the National Center for Communicable Diseases and the National Statistical Information Service of Mongolia was obtained and analyzed. The Gini coefficients were calculated to reflect the inequality of distributions. Results: Total number of health workers in the tuberculosis sector was only 1.29 per 10,000 population. The Gini index values for the distribution of tuberculosis doctors, assistant workers, nurses, and laboratory technicians were at 0.61, 0.67, 0.43, and 0.33 respectively, all showing a range from severe to relative inequality. Conclusions: Findings showed the number and distribution of tuberculosis health workers were both inadequate and unequal and ring the need for proper health system planning. To plan the tuberculosis control and address the high burden of the disease in the country, the human resources situation should be analyzed and handled regularly. Keywords: Mongolia, Tuberculosis, Health workers, Distribution, Gini index

Evaluating the Validity and Reliability of Competency Instruments for Tuberculosis Nurses in Primary Health Centers of Bondowoso District

A strategy is needed to tackle the problem of tuberculosis in Indonesia. Both in terms of infrastructure, funding, policy and human resources (HR). One of the most needed of the four components is human resources. The availability of human resources plays a major role in the success of TB elimination. In achieving this, an instrument is needed that can be used as a guideline in improving the quality of human resources. The research method used in this study is research and development using Aiken's V analysis to measure content validity, and reliability analysis using Cronbach's Alpha test and Kappa test. The results obtained that 96 indicators described from RCN have a very high validity category of 23 indicators, high validity of 68 indicators, and moderate validity of 5 indicators, with reliable items (0.667) but with very poor inter-rater agreement of <0.000. Therefore, the tuberculosis nurse competency guidelines derived from the Royal College Nursing have good validity and reliability to be tested as an instrument for assessing the competence of tuberculosis nurses at the Puskesmas in Bondowoso Regency.

Work Management in Improving the Quality of Nursing for Tuberculosis Patients

ABSTRACT Primary health services are efforts made to increase access to quality health services. The increasing burden of tuberculosis in the world is inadequate health services, practices carried out that do not comply with SOPs, causing the detection of tuberculosis to worsen. Quality nursery provides services to achieve the patient's desires orexpectation. Service quality is influenced by Tangibles, Reliability, Responsiveness, Assurance and Empathy. Improving the quality of nursing in hospitals can be done with work management. Psychologically, they consider their work to be meaningful, there is a sense of responsibility for the work they do so that the results of their work can increase patient satisfaction. Performance management is a process used for planning, organizing, implementing, monitoring and evaluating. The aim of this research is to identify work management in improving the quality of tuberculosis nursing. The method used in this research is a literature review. The library sources used are laws and journals. Article literature sources consist of Scopus, Science direct, Proques, JSTOR, EBSCOhost, Spingerlink, Pubmed, Google Scholar. By using the keywords "tuberculosis", "patient perspective", "quality of nursing" and "performance". Work management requires planning, organizing, implementing, monitoring and evaluating to improve service quality. Facilities, good communication, ability to provide services, ability to help, listen and resolve patient complaints, provide attention and motivation can improve the quality of nursing. Work management in hospitals is very necessary to improve the quality of nursing services in hospitals Keywords:Tuberculosis, Patient Perspective, Nursing Quality, Work Management

Telenursing Intervention for Pulmonary Tuberculosis Patients - A Scoping Review.

Management of care for people with Pulmonary TB at home using Information and Communication Technology (ICT) tools and innovative approaches, such as tools for telecommunications online education. In the nursing sector, the use of telecommunications is called telenursing. The purpose of this study is to determine the types of telecommunications-based interventions, especially telenursing, in monitoring the level of treatment adherence in patients with pulmonary TB. This study used a scoping review method approach to determine the type of telecommunications-based interventions, especially telenursing, in monitoring the level of treatment adherence in patients with pulmonary TB. Literature distribution using several sources, namely EBSCOhost, Scopus (Elsevier), and PubMed. To facilitate obtaining appropriate literature, PICO techniques are used in conducting literature searches, P (population/problem/patient), I (intervention, prognostic factor, exposure), C (comparison, control), and O (outcome). Keywords used in English "Tuberculosis OR Pulmonary Tuberculosis AND Telehealth OR Telehealth Nursing AND Medication Adherence OR Medication Compliance OR Behavior". In total from the 13 articles obtained, the articles used several telehealth to pulmonary TB patients with various implementations, such as the Directly Observed Therapy, Short Course (DOTS) (n = 7). These four implementations have the same goal and support adherence to taking medication and daily recovery in pulmonary TB patients. Overall characteristics of pulmonary TB patients in the reviewed articles are pediatric TB patients (0-14 years), adult TB (18-30 years). A total of 9 studies used a sample population of adult TB patients (18-30 years), TB undergoing Directly Observed Treatment Short-course (DOTS), TB receiving medical care and TB patients actively receiving treatment. The most influential effectiveness of telehealth in helping the treatment process of Pulmonary TB patients is Directly Observed Treatment Short-course (DOTS) because the main focus of the DOTS strategy is patient discovery and cure, priority is given to infectious TB patients without ruling out other types of TB.

Innovative Integrated Motivational Interviewing for Dual Management in Tuberculosis Patients with Diabetes (MID-DOT) in Malaysia

(1) Background: Achieving successful tuberculosis (TB) treatment outcomes among diabetic patients is a real challenge as TB complicates control of diabetes. This study aimed to evaluate the effectiveness of an integrated dual management educational module, MID-DOTS, which uses the mmotivational interviewing (MI) technique implemented within directly observed treatment as part of a short course (DOTS) program in TB patients with diabetes (TB/DM). A randomized controlled trial was conducted in the northeastern state of Malaysia. (2) Methods: One hundred and twenty-four TB patients with diabetes received educational intervention using a MID-DOT module that used the MI technique, which was repetitively applied by TB nurses throughout a 6-month DOTS program while another 122 patients were given standard health education. Study outcomes include the proportion of patients with successful TB treatment, and changes in HbA1c and diabetic self-care scores at 6 months. (3) Results: The successful TB treatment outcome was 88% in the intervention group versus 72% in the control group (RR = 1.24; 95%CI 1.16, 1.58). A significant reduction of HbA1c (mean difference 0.82%; 95%CI 0.66, 0.98) and significantly higher diabetes self-care score (mean difference 8.49; 95%CI 7.38, 9.59) were also shown in the intervention group. (4) Conclusions: A dual TB/DM educational strategy which integrates the MI technique applied repetitively within the DOTS program is effective in increasing successful TB treatment as well as improving diabetic outcomes.

Development and validation of questionnaire regarding KAP survey on pulmonary and systemic TB

Background and aim: A high level of awareness on tuberculosis (TB) is crucial for the success of the prevention and treatment among the high risk populations. Having a good knowledge, positive attitude and excellent level of practice towards tuberculosis may increase the acceptance of the control measures and decreasing the risk of contracting the disease.
 Aim of this study. was to develop and validate a questionnaire about knowledge, attitude and practice (KAP) among the nurses working in TB centres in Libya. Methodology: A Cross-sectional study was conducted among 384 randomly selected nurses working in tuberculosis centers in Libya. This study used a self-administrated questionnaire that takes approximately 15 minutes to complete and was generally well received by the respondent’s. The validation involved content validity and internal consistency for reliability.
 Results: A total of 384 nurses in tuberculosis centers comprising of 84 (21.9%) were male nurses and 300 (78.1%) were female nurse. The ICC was in the range of 0.63–0.961, P<0.001, while for the attitude component items it was in the range of 0.682–8.99, p<0.001 and for the practice component items it ranged from 0.659–0.981, p<0.001.Cronbach’s alpha coefficient, used to assess internal consistency for knowledge, attitude and practice was.0.702, 0.776 and 0.752; respectively.
 Conclusions: The questionnaire on TB knowledge, attitude, and practice was valid and reliable with good items that enable its use for assessing TB –KAP survey among the TB nurses.

Development and validation of a questionnaire on the knowledge, attitude and practice (KAP) regarding tuberculosis among nurses working in tuberculosis centers in Libya

Background and aim: A high level of awareness on tuberculosis (TB) is crucial for the success of the prevention and treatment among the high risk populations. Having a good knowledge, positive attitude and excellent level of practice towards tuberculosis may increase the acceptance of the control measures and decreasing the risk of contracting the disease. Aim of this study was to develop and validate a questionnaire about knowledge, attitude and practice (KAP) among the nurses working in TB centres in Libya. Methodology: A Cross-sectional study was conducted among 384 randomly selected nurses working in tuberculosis centers in Libya. This study used a self-administrated questionnaire that takes approximately 15 minutes to complete and was generally well received by the respondent’s. The validation involved content validity and internal consistency for reliability. Results: A total of 384 nurses in tuberculosis centers comprising of 84 (21.9%) were male nurses and 300 (78.1%) were female nurse. The ICC was in the range of 0.63–0.961, P<0.001, while for the attitude component items it was in the range of 0.682–8.99, p<0.001 and for the practice component items it ranged from 0.659–0.981, p<0.001.Cronbach’s alpha coefficient, used to assess internal consistency for knowledge, attitude and practice was.0.702, 0.776 and 0.752; respectively. Conclusions: The questionnaire on TB knowledge, attitude, and practice was valid and reliable with good items that enable its use for assessing TB –KAP survey among the TB nurses.

Methods and Effects of Health Education in Pulmonary Tuberculosis Nursing

Methods and Effects of Health Education in Pulmonary Tuberculosis Nursing

Analysis on the Application Effect of Holistic Nursing in Multi-drug Resistant Tuberculosis Nursing

Analysis on the Application Effect of Holistic Nursing in Multi-drug Resistant Tuberculosis Nursing

Intervention Effect of High-quality Nursing on Pulmonary Tuberculosis Nursing

Intervention Effect of High-quality Nursing on Pulmonary Tuberculosis Nursing

P09 Uncommon cause of back pain

P09 Uncommon cause of back pain

A Qualitative Assessment of People-Centeredness of Inpatient Tuberculosis Treatment Services in Armenia

Background: People-centered tuberculosis (TB) care promotes treatment adherence and outcomes. TB patients’ and families’ health education and protection of their rights are among the core components of people-centered care. We aimed to assess the level of people-centeredness of TB care as a proxy to quality in the largest inpatient unit of the National Pulmonology Center (NPC) in Armenia. Methods: We conducted a qualitative study by interviewing clinical and administrative staff, TB patients, and family members to learn their experiences about patient and family education and rights (PFE&R) protection practices focusing on two Joint Commission International (JCI) Standards for Hospital Accreditation. Mixed-conventional inductive and directed deductive content approach guided the analysis of data. Results: The study revealed various gaps in the provided services. According to the TB physicians and nurses, they routinely educated patients and families and took actions to protect their rights. However, practices reported by TB providers varied across clinical departments and professionals and did not meet the recommendations of the JCI standards. The document review revealed that no written policies or procedures existed in the NPC inpatient unit to guide the implementation of PFE&R. Lastly, patients’ inconsistent experiences were also indicative of the lack of standardization and issues with PFE&R implementation. Conclusion: Bridging the gap between existing and recommended practices by establishing and enforcing new people-centered policies and procedures is a pledge for improving operations and patients’ experiences with a potential nationwide impact in Armenia.

ERx – A technological advance to speed-up TB diagnostics

Abstract In 2016 an interdisciplinary collaborative research team started an ambitious project to assist the diagnosis of tuberculosis (TB) in areas with over-burdened and poor healthcare infrastructure in the outskirts of Lima, capital of Peru. Currently we have implemented an integrated system which connects nurses, physicians and scientists, in a network of cooperation to identify and report suspicious cases of pulmonary TB. Our Electronic Mobile system (called ‘eRx’) is a Computer Automated Diagnosis (CAD) tool that can be used by local TB nurses allowing them to send X-rays along with additional prospect patient information, directly to be remotely evaluated by a physician. The physician accesses a web-based system using a computer or a tablet which allows him/her to evaluate the data coming from the distinct healthcare centers. The physician may also be assisted by a Beta version of an automatic diagnostic software which uses Deep Learning to identify the presence of lung abnormalities as well as the possible manifestations for TB. The goal of our research is to increase the speed at which a diagnosis can be made by providing a CAD tool to health care providers to improve quality and efficiency of TB diagnosis. To support future developments of the automatic diagnostic software, we rely on another web-based platform which contains over 10,000 X-rays images which are being annotated by a specialist who provides the regions where the TB manifestations can be found, which will be used later to train a Region-Based Convolution Neural Network. The software for the eRx system covers the obtaining of high-quality data, artificial intelligence support and mobile technologies directly in hands of the healthcare professionals, each software has already been validated individually, and will be evaluated together during a pilot study working directly with local healthcare centers, physicians and nurses. Our study has approval from the the IRB Boards at the University of Massachusetts Lowell IRB, and the School of Medicine at the Peruvian University Cayetano Heredia.

Utilization and expenses of outpatient services among tuberculosis patients in three Chinese counties: an observational comparison study

BackgroundThe China-Gates TB project Phase II implemented case-based payment reform in three Chinese counties in 2014, designed specifically for patients diagnosed with Tuberculosis (TB). This study aimed to examine the changes in utilization and expenses of outpatient services before and after the reform implementation, among TB patients in the three counties in China.MethodsWe collected quantitative data using surveys in 2013 (baseline year) and 2015 (final year). We used outpatient hospital records to measure service utilization and medical expenses of TB patients. We conducted qualitative interviews with local health authorities, officers of health insurance agencies, and hospital managers (n = 18). We utilized three focus group discussions with hospital staff and TB doctors and nurses. The χ2 tests and Mann-Whitney U tests were used to analyse quantitative data, and the thematic analysis using a framework approach was applied to analyse qualitative data.ResultsDantu and Yangzhong counties enacted TB-specific case-based payment method in 2014. Jurong County maintained global budget payment but raised the reimbursement rate for TB care. Compared to the baseline, the percentage of TB patients in Dantu and Yangzhong with eight or above outpatient visits increased from 7.5 to 55.1% and from 22.1 to 53.1% in the final survey, respectively. Jurong experienced the opposite trend, decreasing from 63.0 to 9.8%. In the final survey, the total outpatient expenses per patient during a full treatment course in Dantu (RMB 2939.7) and Yangzhong (RMB 2520.6) were significantly higher than those in the baseline (RMB 690.4 and RMB 1001.5, respectively), while the total outpatient expenses in Jurong decreased significantly (RMB 1976.0 in the baseline and RMB 660.8 in the final survey). Health insurance agencies in Dantu and Yangzhong did not approve the original design with outpatient and inpatient expenses packaged together, revealed by qualitative interviews. Furthermore, staff at designated hospitals misunderstood that health insurance agencies would only reimburse actual expenses. Many TB doctors complained about their reduced salary, which might be due to decreased hospital revenue generated from TB care after the payment method reform.ConclusionsThe intended effect on cost containment of case-based payment was not evident in Dantu and Yangzhong. In Jurong, where the global budget payment system maintained with the reimbursement rate enhanced, we found an effect on cost containment, but the quality of TB care might be compromised. The TB-specific case-based payment method could be redesigned to combine payment on outpatient and inpatient expenses and to set an appropriate payment standard for TB care during a full treatment course. Local health insurance agencies have to provide explicit explanations on the payment method. TB care providers should be provided with proper incentives. Monitoring and evluaiton on the quality of TB care should be undertaken at regular intervals.

Department of Public Health Nursing.

Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times.This month we remember the influenza pandemic of 1918-19, which peaked in the United States during the fall of 1918. In AJN's December 1918 issue, public health nursing leader Edna L. Foley reported on home nursing activities in Chicago that fall. She describes how the Visiting Nurse Association (VNA), the city's Tuberculosis Nurses, and the Red Cross managed the deployment of nurses, aides, and supplies as well as food, coal, and clean bedding for families. The VNA's daily case-load increased more than 400% from September to October. Face masks were in short supply, so the nurses replaced cloth masks, which had to be boiled and dried daily, with disposable gauze masks, "which were tied over the face or pinned to the hair."Death notices of nurses were a regular feature of AJN in its early years, and the December 1918 issue included a special, poignant section on "Deaths Resulting from Influenza." It filled four pages. To access Foley's full AJN article, go to http://links.lww.com/AJN/A127.

PARAS INTERLEUKIN-18 PENDERITA TUBERKULOSIS PARU DAN PERAWAT SEHAT BERISIKOTUBERKULOSIS

Tuberculosis is an infectious disease which is the second cause of death in the world. Indonesia belongs to the third ranks as themost prevalent tuberculosis country. However the eradication is programmed only to focus on finding the case and treatment of theactive tuberculosis patients. Health care workers are at risk to tuberculosis infection, but there is no examination yet for early detectionactivity of tuberculosis. In order to know the activity of tuberculosis, other examinations are needed such as IL-18 examination. Today, no research about IL-18 is performed yet in Indonesia; therefore this study is performed in order to know the difference of IL-18level in active tuberculosis patients and nurses at risk. This study is to know the difference between IL-18 plasma of active tuberculosispatients and nurses at risk by analysis. A cross sectional, observational analytical study of 8 nurses at risk of tuberculosis and 8 activetuberculosis patients, has been conducted from February up to April 2007, at the Dr. Soetomo General Hospital and Karang TembokHospital in Surabaya. The diagnosis of active tuberculosis patients was based on positive sputum bacteriological examination, positiveradiology examination and who never had received anti-tuberculosis drugs. Nurses at risk of tuberculosis consisted of those who had beenworking more than 2 years, and was examined by negative bacteriological and radiology examination, TB-dot and positive tuberculinskin test with a diameter – 10 mm. IL-18 examination was done by double antibody sandwich ELISA method (MBL/Medical & BiologicalLaboratories Co.Ltd). IL-18 level in active tuberculosis patients was 491.4–1215.3 pg/ml (mean 794.6 pg/ml, SD 222.6), in nursesat risk of tuberculosis was 88.9–429.0 pg/ml (mean 256.2 pg/ml, SD 137.6). There was a significant difference of IL-18 level amongactive tuberculosis patients and nurses at risk of tuberculosis (p < 0.001); the IL-18 level in active tuberculosis patients was significantlyhigher than in nurses at risk of tuberculosis.

Factors that contribute to treatment defaulting amongst tuberculosis patients in Windhoek District, Namibia

Objective: This study aimed to investigate the factors that contribute to treatment defaulting amongst Tuberculosis (TB) patients at a major health centre in Windhoek district, Namibia.Methods: A descriptive and explorative qualitative study using in depth interviews was conducted among ten TB defaulters. Key informant interviews were also conducted with the two TB nurses based at the health centre. Eligible participants were purposively selected. A thematic content analysis of transcribed data was conducted.Results: The study results indicate that defaulting TB treatment is a big challenge to TB management. The reasons for defaulting given by respondents were complex and included patient factors such as medication related factors, lack of knowledge and information as well as alcohol abuse. The findings also revealed unemployment as a major socio-economic factor that contributes to defaulting. In addition, the study shows that community, family, religious and cultural factors such as poor family support, work-related factors and religious and cultural beliefs have an influence on defaulting.Conclusions: The study concludes that no single factor contributed to treatment defaulting amongst TB patients in the selected health centre in Windhoek district and this concurred with the literature.

Post-2015, why delay to seek healthcare? Perceptions and field experiences from TB healthcare providers in northern Malawi: a qualitative study

BackgroundMalawi is a low-income country with high Tuberculosis (TB) burden. TB diagnosis delay and untimely initiation of treatment is still a major problem in Malawi which could increase the risk of tuberculosis transmission in the communities. This study investigated factors related to the diagnostic delay of tuberculosis from TB healthcare providers in the northern region of Malawi.MethodsNine focus group discussions were conducted with 57 participants in total. The participants were healthcare cadres including district TB officers, clinical officers, TB nurses, laboratory technicians and Health Surveillance Assistants (HSAs). NVivo (11.0) software was used for data analysis.ResultsThe factors related to diagnostic delay were categorized into three themes: client factors, institutional factors and healthcare provider related factors. Client’s stigma and fear for HIV test, resource shortage within healthcare institutions and the healthcare workers’ poor attitude against potential patients were among the most influential factors behind the TB diagnostic delay.ConclusionsThe TB control strategies should aim to reduce HIV stigma, improve resource supply and improve TB healthcare workers’ morale in order to achieve timely TB diagnosis.

Use of Video Directly Observed Therapy for Treatment of Latent Tuberculosis Infection - Johnson County, Kansas, 2015.

Tuberculosis (TB) is caused by the bacterium Mycobacterium tuberculosis and is spread from person to person through the air. TB can be spread in congregate settings, such as school environments, to varying degrees, based on factors including duration of contact and air ventilation (1); therefore, evaluating potential contacts and exposures can be challenging. In February 2015, a student at a Kansas high school received a diagnosis of active pulmonary TB disease. Screening of 385 (91%) school contacts, four (100%) household contacts, and 19 (90%) social contacts resulted in the identification of 50 persons with latent TB infection. Johnson County Department of Health and Environment (JCDHE) Public Health Emergency Preparedness personnel used their experience with points of distribution logistics to optimize testing clinic layouts and implement the incident command structure. Open communication with students, school staff members, the public, and the media about the investigation from the outset was imperative to reduce rumors and unease that can accompany a large communicable disease investigation. The large number of persons needing treatment for latent TB overwhelmed JCDHE's two TB nurses. As a result, JCDHE developed a policy and procedure to allow persons who met eligibility requirements to complete 12 weekly doses of isoniazid and rifapentine treatment using video directly observed therapy (VDOT) rather than traditional in-person directly observed therapy (DOT). This procedure facilitated treatment compliance and completion; among the eligible 15 persons who chose the 12-week VDOT option, 14 (93%) completed treatment. State and local health departments might consider use of VDOT to monitor treatment of persons with latent TB infection.