Tuberculosis remains a public health concern, and electronic monitors show promise in improving treatment adherence and health outcomes among patients with tuberculosis. This Review aims to provide a comprehensive understanding of the implementation barriers and facilitators of electronic monitors for patients with tuberculosis, by use of an implementation science framework. A literature search was done across Ovid MEDLINE, CINAHL, Embase, Cochrane Library, Web of Science, and Global Health databases from their inception to April 25, 2024. Studies reporting on the barriers and facilitators of electronic monitors among patients with tuberculosis were included and study characteristics and evidence were tabulated. Implementation factors were synthesised applying the updated Consolidated Framework for Implementation Research framework. This Review was registered with PROSPERO (CRD42023395747). Of 8816 records, 31 eligible studies were included. Barriers mainly included the information technology infrastructure, materials, and equipment resources, whereas facilitators included access to knowledge and information, communications, and reflecting and evaluating. Innovation design and patients' motivation were identified as both common barriers and facilitators. Inter-relationships between these factors were also explored. Cooperative and patient-centred efforts are required to address the barriers identified. Specific recommendations include improving education and training, eliminating stigma, and resolving technical challenges with feedback to boost patients' treatment adherence and outcomes.

中文翻译：

---

实施电子监护仪以提高结核病患者依从性和健康结局的障碍和促进因素：系统评价


结核病仍然是一个公共卫生问题，电子监护仪有望提高结核病患者的治疗依从性和健康结果。本综述旨在通过使用实施科学框架，全面了解结核病患者电子监护仪的实施障碍和促进因素。在 Ovid MEDLINE、CINAHL、Embase、Cochrane Library、Web of Science 和 Global Health 数据库中进行了文献检索，检索时间从建库到 2024 年 4 月 25 日。纳入了报告结核病患者电子监护仪障碍和促进因素的研究，并将研究特征和证据制成表格。应用更新的实施研究综合框架框架综合了实施因素。本综述已在 PROSPERO （CRD42023395747） 注册。在 8816 条记录中，纳入了 31 项符合条件的研究。障碍主要包括信息技术基础设施、材料和设备资源，而促进者包括获取知识和信息、通信以及反思和评估。创新设计和患者的积极性被确定为常见的障碍和促进因素。还探讨了这些因素之间的相互关系。需要合作和以患者为中心的努力来解决已发现的障碍。具体建议包括改进教育和培训、消除耻辱感以及通过反馈解决技术挑战，以提高患者的治疗依从性和结果。