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Original Research Article | OPEN ACCESS

Bridging distance in tuberculosis care: The role of telecounseling in improving treatment adherence and quality of life

Devi Ristian Octavia1 , Primanitha Ria Utami1, Abdul Rokhman2

1Department of Pharmacy,; 2Department of Nursing, Faculty of Health Science, Universitas Muhammadiyah Lamongan, Lamongan, Indonesia.

For correspondence:-  Devi Octavia   Email: deviristian@umla.ac.id   Tel:+62 813-2999-5223

Received: 12 January 2026        Accepted: 18 April 2026        Published: 30 April 2026

Citation: Octavia DR, Utami PR, Rokhman A. Bridging distance in tuberculosis care: The role of telecounseling in improving treatment adherence and quality of life. Trop J Pharm Res 2026; 25(4):561-567 doi: https://dx.doi.org/10.4314/tjpr.v25i4.13

© 2026 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: To determine whether telecounseling could effectively improve treatment adherence and enhance the quality of life of patients with tuberculosis (TB). Method: The study adopted a quantitative quasi-experimental design involving a non-equivalent control group. Sixty patients diagnosed with tuberculosis were recruited through simple random sampling and subsequently allocated into intervention and control groups. The intervention group received telecounseling delivered via WhatsApp for a period of one month, while the control group continued to receive routine care based on the standard procedures of the Puskesmas. Treatment adherence was assessed using the MARS-5 instrument, and the quality of life of the patients was evaluated using the St. George’s Respiratory Questionnaire (SGRQ). Posttest measurements were conducted on the 30th day, and statistical analysis of the data was conducted using the Mann–Whitney test. Results: The intervention group demonstrated a 6.6 % increase in medication adherence and a 20 % improvement in quality of life, while control group did not show any noticeable improvement. Conclusion: Telecounseling effectively improves medication adherence and quality of life in TB patients and should be integrated into TB treatment services.

Keywords: Medication adherence, Tuberculosis, Telecounseling, Quality of Life

Impact Factor
Thompson Reuters (ISI): 0.6 (2023)
H-5 index (Google Scholar): 49 (2023)

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