Evaluating the Effectiveness of “I LIKE VST” Digital Technology in Enhancing Tuberculosis Treatment Adherence in Moldova

This study assessed the acceptance and feasibility of the implementation of Video Supported Treatment (VST) “I LIKE VST” digital application as an approach to increase tuberculosis (TB) treatment adherence in the Republic of Moldova. It employed mixed quantitative and qualitative method among TB patients and healthcare providers. The analysis encompasses socio-demographic factors, adherence levels, technological accessibility, and user experiences with the VST app. Results indicate that VST app method is acceptable and feasible to implement for people who find it convenient, regardless of their level of education. Adherence data from the I LIKE VST system shows that 75% of participants have over 90% adherence rate, due to VST app’s digital nature offering convenience and flexibility. No cases of less than 50% adherence were found. Challenges include technological, financial barriers and the need for patient-centric customization. Less than 2% of TB patients have their own phones which support the app work. Moreover, 13.3% of TB patients and 19.7% medical staff stated that they did not have own resources to cover mobile internet costs, until they were covered by the project. This study demonstrates the effectiveness of digital health interventions in resource-limited settings. The findings are particularly relevant for policymakers and health practitioners aiming to innovate TB treatment adherence strategies.