Example of ‘technology fatigue’. Example of ‘technology fatigue’. Patient response rates to short messaging service (SMS) texts to indicate dose ingestion declined throughout the course of tuberculosis therapy in a study of a two-way SMS intervention in Pakistan, reducing the accuracy of this monitoring approach. Source: Mohammed et al.68 RR, response rate. Ramnath Subbaraman et al. BMJ Glob Health 2018;3:e001018 © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ.