SETTING: Tuberculosis (TB) services including social support and incentive programmes in four Russian regions (Orel, Vladimir, Belgorod Oblasts and Republic of Mari-El). OBJECTIVES: To determine reasons for TB treatment default among non-adherent patients and to describe patient views of social support programmes and the organisation of treatment. METHODS: Standard anonymous questionnaires were administered to new pulmonary TB patients registered for treatment. RESULTS: A total of 87 non-adherent patients and 1302 adherent patients were interviewed. The leading reasons for treatment default given by non-adherent patients were the need to earn money (30%), alcohol use (30%) and not perceiving themselves as being sick (25%). Monetary incentives were preferred by the majority of patients (67%), followed by food/hot meals (41%) and transportation reimbursement (32%). Overall, among the proposed social support programmes, those that offered small daily incentives (23%) or a big final bonus (21%) were the most popular. The majority of patients (67%) preferred out-patient treatment. CONCLUSION: Collaboration between TB services and social organisations and substance abuse services as well as availability of psychological testing/counselling for patients are social support modalities for improving adherence suggested by study findings. Social support should be combined with a patient-centred approach to TB treatment.
SETTING:Tuberculosis (TB) services including social support and incentive programmes in four Russian regions (Orel, Vladimir, Belgorod Oblasts and Republic of Mari-El). OBJECTIVES: To determine reasons for TB treatment default among non-adherent patients and to describe patient views of social support programmes and the organisation of treatment. METHODS: Standard anonymous questionnaires were administered to new pulmonary TB patients registered for treatment. RESULTS: A total of 87 non-adherent patients and 1302 adherent patients were interviewed. The leading reasons for treatment default given by non-adherent patients were the need to earn money (30%), alcohol use (30%) and not perceiving themselves as being sick (25%). Monetary incentives were preferred by the majority of patients (67%), followed by food/hot meals (41%) and transportation reimbursement (32%). Overall, among the proposed social support programmes, those that offered small daily incentives (23%) or a big final bonus (21%) were the most popular. The majority of patients (67%) preferred out-patient treatment. CONCLUSION: Collaboration between TB services and social organisations and substance abuse services as well as availability of psychological testing/counselling for patients are social support modalities for improving adherence suggested by study findings. Social support should be combined with a patient-centred approach to TB treatment.
Authors: Doo Soo Jeon; Dong Ok Shin; Seung Kyu Park; Jeong Eun Seo; Hae Sook Seo; Young Soo Cho; Joon Young Lee; Dae Yun Kim; Suck Jun Kong; Yun Seong Kim; Tae Sun Shim Journal: J Korean Med Sci Date: 2010-12-22 Impact factor: 2.153
Authors: Juliet N Sekandi; Sarah Zalwango; Leonardo Martinez; Andreas Handel; Robert Kakaire; Allan K Nkwata; Amara E Ezeamama; Noah Kiwanuka; Christopher C Whalen Journal: BMC Infect Dis Date: 2015-08-21 Impact factor: 3.090
Authors: Rajesh D Deshmukh; D J Dhande; Kuldeep Singh Sachdeva; Achuthan Sreenivas; A M V Kumar; Srinath Satyanarayana; Malik Parmar; Patrick K Moonan; Terrence Q Lo Journal: PLoS One Date: 2015-08-24 Impact factor: 3.240