Home Videophones Improve Direct Observation in Tuberculosis Treatment: A Mixed Methods Evaluation

The use of direct observation to monitor tuberculosis treatment is controversial: cost, practical difficulties, and
lack of patient acceptability limit effectiveness. Telehealth is a promising alternative delivery method for improving
implementation. This study aims to evaluate the clinical and cost-effectiveness of a telehealth service delivering direct
observation, compared to an in-person drive-around service.

Document Date: 30 November, 2012
Author: Victoria A. Wade and others