Psycho-social impacts, experiences and perspectives of patients with Cutaneous Leishmaniasis regarding treatment options and case management: An exploratory qualitative study in Tunisia
Although non-fatal and mostly self-healing in the case of Leishmania (L.) major, cutaneous leishmaniasis (CL) is mainly treated to reduce lesion healing time. Less attention is paid to the improvement of scars, especially in aesthetically relevant areas of the body, which can dramatically affect pat...
Gespeichert in:
| Veröffentlicht in: | PloS one 2020-12, Vol.15 (12), p.e0242494-e0242494 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0242494 |
|---|---|
| container_issue | 12 |
| container_start_page | e0242494 |
| container_title | PloS one |
| container_volume | 15 |
| creator | Boukthir, Aicha Bettaieb, Jihene Erber, Astrid C Bouguerra, Hind Mallekh, Rym Naouar, Ikbel Gharbi, Adel Alghamdi, Manal Plugge, Emma Olliaro, Piero Ben Salah, Afif |
| description | Although non-fatal and mostly self-healing in the case of Leishmania (L.) major, cutaneous leishmaniasis (CL) is mainly treated to reduce lesion healing time. Less attention is paid to the improvement of scars, especially in aesthetically relevant areas of the body, which can dramatically affect patients' wellbeing. We explored patients' perspectives about treatment options and the social and psychological burden of disease (lesion and scar). Individual in-depth interviews were conducted with ten confirmed CL patients at two L. major endemic sites in Southern Tunisia (Sidi Bouzid and Gafsa). Participants were selected using a sampling approach along a spectrum covering e.g. age, sex, and clinical presentation. Patients' experiences, opinions and preferences were explored, and their detailed accounts gave an insight on the impact of CL on their everyday lives. The impact of CL was found to be considerable. Most patients were not satisfied with treatment performance and case management. They expected a shorter healing time and better accessibility of the health system. Tolerance of the burden of disease was variable and ranged from acceptance of hidden scars to suicidal thoughts resulting from the fear to become handicapped, and the stress caused by close relatives. Some believed CL to be a form of skin cancer. Unexpectedly, this finding shows the big gap between the perspectives of patients and assumptions of health professionals regarding this disease. This study provided valuable information for better case management emphasizing the importance of improving communication with patients, and accessibility to treatment. It generated context-specific knowledge to policy makers in Tunisia to implement effective case management in a country where access to treatment remains a challenge due to socio-economic and geographic barriers despite a long tradition in CL control. |
| doi_str_mv | 10.1371/journal.pone.0242494 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2466020690</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A643422630</galeid><doaj_id>oai_doaj_org_article_fb04e50fc0044458b58c7e9a62e9598d</doaj_id><sourcerecordid>A643422630</sourcerecordid><originalsourceid>FETCH-LOGICAL-c730t-4575b2c2603816fb7f6032599c6836600be28d86033bcd7997eabd842d8547a73</originalsourceid><addsrcrecordid>eNqNk1Fv0zAQxyMEYmPwDRBYQkIg0eLYjpPwgFRNwCZVGoLBq3VxnMRTEme2U9aPxrfDabupnfaA8hD77ve_8519UfQyxvOYpvHHKzPaHtr5YHo1x4QRlrNH0XGcUzLjBNPHe-uj6JlzVxgnNOP8aXREKUlyluXH0d_vbi0bM3NGamiR7gaQ3n1A6mZQVqteKoegL1HYuUFJr1fBYCo0gA9e79Af7Rt0OnrolRkdWirtmg56DU47ZFUNttR9jbxV4LugQGbw2vTbqBKcQoGGWk2-T2jRT5lbY8Ebu0bXI7Taw5QVOT-Wa6R7dDn22ml4Hj2poHXqxe5_Ev36-uXy9Gy2vPh2frpYzmRKsZ-xJE0KIgnHNIt5VaRVWIXqc8kzyjnGhSJZmQUjLWSZ5nmqoCgzRsosYSmk9CR6vY0bjuXErutOEBbEBPMcB-J8S5QGrsRgdQd2LQxosTEYWwuwXstWiarATCW4khgzxpKsSDKZqhw4UXmSZ2WI9XmXbSw6VcrQFQvtQdBDT68bUZuVSFOc8nDBJ9FsG6C5JztbLMUAzqvRCkwTHieErOLAv9sltOZ6VM6LTjup2nZ7oZs6SR4nSR7QN_fQh7uxo2oIBeu-MuGccgoqFpxRRginEzV_gApfqTotw5OudLAfCN4fCALj1Y2vYXROnP_88f_sxe9D9u0e2yhofeNMO24e6SHItqC0xjmrqrvuxlhME3nbDTFNpNhNZJC92r_QO9HtCNJ_sg80BQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2466020690</pqid></control><display><type>article</type><title>Psycho-social impacts, experiences and perspectives of patients with Cutaneous Leishmaniasis regarding treatment options and case management: An exploratory qualitative study in Tunisia</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Boukthir, Aicha ; Bettaieb, Jihene ; Erber, Astrid C ; Bouguerra, Hind ; Mallekh, Rym ; Naouar, Ikbel ; Gharbi, Adel ; Alghamdi, Manal ; Plugge, Emma ; Olliaro, Piero ; Ben Salah, Afif</creator><contributor>Gopichandran, Vijayaprasad</contributor><creatorcontrib>Boukthir, Aicha ; Bettaieb, Jihene ; Erber, Astrid C ; Bouguerra, Hind ; Mallekh, Rym ; Naouar, Ikbel ; Gharbi, Adel ; Alghamdi, Manal ; Plugge, Emma ; Olliaro, Piero ; Ben Salah, Afif ; Gopichandran, Vijayaprasad</creatorcontrib><description>Although non-fatal and mostly self-healing in the case of Leishmania (L.) major, cutaneous leishmaniasis (CL) is mainly treated to reduce lesion healing time. Less attention is paid to the improvement of scars, especially in aesthetically relevant areas of the body, which can dramatically affect patients' wellbeing. We explored patients' perspectives about treatment options and the social and psychological burden of disease (lesion and scar). Individual in-depth interviews were conducted with ten confirmed CL patients at two L. major endemic sites in Southern Tunisia (Sidi Bouzid and Gafsa). Participants were selected using a sampling approach along a spectrum covering e.g. age, sex, and clinical presentation. Patients' experiences, opinions and preferences were explored, and their detailed accounts gave an insight on the impact of CL on their everyday lives. The impact of CL was found to be considerable. Most patients were not satisfied with treatment performance and case management. They expected a shorter healing time and better accessibility of the health system. Tolerance of the burden of disease was variable and ranged from acceptance of hidden scars to suicidal thoughts resulting from the fear to become handicapped, and the stress caused by close relatives. Some believed CL to be a form of skin cancer. Unexpectedly, this finding shows the big gap between the perspectives of patients and assumptions of health professionals regarding this disease. This study provided valuable information for better case management emphasizing the importance of improving communication with patients, and accessibility to treatment. It generated context-specific knowledge to policy makers in Tunisia to implement effective case management in a country where access to treatment remains a challenge due to socio-economic and geographic barriers despite a long tradition in CL control.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0242494</identifier><identifier>PMID: 33259489</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accessibility ; Adult ; Aged ; Beliefs, opinions and attitudes ; Biology and Life Sciences ; Care and treatment ; Case management ; Cicatrix ; Cicatrix - epidemiology ; Cicatrix - parasitology ; Cicatrix - pathology ; Cicatrix - therapy ; Collaboration ; Cutaneous leishmaniasis ; Data analysis ; Deformities ; Epidemiology ; Female ; Health services ; Humans ; Infections ; Interviews ; Laboratories ; Leishmania major ; Leishmania major - pathogenicity ; Leishmaniasis, Cutaneous ; Leishmaniasis, Cutaneous - epidemiology ; Leishmaniasis, Cutaneous - parasitology ; Leishmaniasis, Cutaneous - pathology ; Leishmaniasis, Cutaneous - therapy ; Lesions ; Life Sciences ; Male ; Management ; Medical case management ; Medical personnel ; Medical research ; Medicine ; Medicine and Health Sciences ; Mental health ; Methods ; Middle Aged ; Outpatients ; Parasitic diseases ; Patients ; People and Places ; Psychological aspects ; Public health ; Qualitative research ; Quality of Life ; Research and Analysis Methods ; Scars ; Skin cancer ; Skin diseases ; Social aspects ; Social Sciences ; Tropical diseases ; Tunisia ; Tunisia - epidemiology ; Vector-borne diseases</subject><ispartof>PloS one, 2020-12, Vol.15 (12), p.e0242494-e0242494</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Boukthir et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Attribution</rights><rights>2020 Boukthir et al 2020 Boukthir et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c730t-4575b2c2603816fb7f6032599c6836600be28d86033bcd7997eabd842d8547a73</citedby><cites>FETCH-LOGICAL-c730t-4575b2c2603816fb7f6032599c6836600be28d86033bcd7997eabd842d8547a73</cites><orcidid>0000-0003-0056-452X ; 0000-0002-6645-5089 ; 0000-0001-5252-9676 ; 0000-0003-3903-2141</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707605/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707605/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33259489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://riip.hal.science/pasteur-03561522$$DView record in HAL$$Hfree_for_read</backlink></links><search><contributor>Gopichandran, Vijayaprasad</contributor><creatorcontrib>Boukthir, Aicha</creatorcontrib><creatorcontrib>Bettaieb, Jihene</creatorcontrib><creatorcontrib>Erber, Astrid C</creatorcontrib><creatorcontrib>Bouguerra, Hind</creatorcontrib><creatorcontrib>Mallekh, Rym</creatorcontrib><creatorcontrib>Naouar, Ikbel</creatorcontrib><creatorcontrib>Gharbi, Adel</creatorcontrib><creatorcontrib>Alghamdi, Manal</creatorcontrib><creatorcontrib>Plugge, Emma</creatorcontrib><creatorcontrib>Olliaro, Piero</creatorcontrib><creatorcontrib>Ben Salah, Afif</creatorcontrib><title>Psycho-social impacts, experiences and perspectives of patients with Cutaneous Leishmaniasis regarding treatment options and case management: An exploratory qualitative study in Tunisia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Although non-fatal and mostly self-healing in the case of Leishmania (L.) major, cutaneous leishmaniasis (CL) is mainly treated to reduce lesion healing time. Less attention is paid to the improvement of scars, especially in aesthetically relevant areas of the body, which can dramatically affect patients' wellbeing. We explored patients' perspectives about treatment options and the social and psychological burden of disease (lesion and scar). Individual in-depth interviews were conducted with ten confirmed CL patients at two L. major endemic sites in Southern Tunisia (Sidi Bouzid and Gafsa). Participants were selected using a sampling approach along a spectrum covering e.g. age, sex, and clinical presentation. Patients' experiences, opinions and preferences were explored, and their detailed accounts gave an insight on the impact of CL on their everyday lives. The impact of CL was found to be considerable. Most patients were not satisfied with treatment performance and case management. They expected a shorter healing time and better accessibility of the health system. Tolerance of the burden of disease was variable and ranged from acceptance of hidden scars to suicidal thoughts resulting from the fear to become handicapped, and the stress caused by close relatives. Some believed CL to be a form of skin cancer. Unexpectedly, this finding shows the big gap between the perspectives of patients and assumptions of health professionals regarding this disease. This study provided valuable information for better case management emphasizing the importance of improving communication with patients, and accessibility to treatment. It generated context-specific knowledge to policy makers in Tunisia to implement effective case management in a country where access to treatment remains a challenge due to socio-economic and geographic barriers despite a long tradition in CL control.</description><subject>Accessibility</subject><subject>Adult</subject><subject>Aged</subject><subject>Beliefs, opinions and attitudes</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Case management</subject><subject>Cicatrix</subject><subject>Cicatrix - epidemiology</subject><subject>Cicatrix - parasitology</subject><subject>Cicatrix - pathology</subject><subject>Cicatrix - therapy</subject><subject>Collaboration</subject><subject>Cutaneous leishmaniasis</subject><subject>Data analysis</subject><subject>Deformities</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health services</subject><subject>Humans</subject><subject>Infections</subject><subject>Interviews</subject><subject>Laboratories</subject><subject>Leishmania major</subject><subject>Leishmania major - pathogenicity</subject><subject>Leishmaniasis, Cutaneous</subject><subject>Leishmaniasis, Cutaneous - epidemiology</subject><subject>Leishmaniasis, Cutaneous - parasitology</subject><subject>Leishmaniasis, Cutaneous - pathology</subject><subject>Leishmaniasis, Cutaneous - therapy</subject><subject>Lesions</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Management</subject><subject>Medical case management</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mental health</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Outpatients</subject><subject>Parasitic diseases</subject><subject>Patients</subject><subject>People and Places</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Qualitative research</subject><subject>Quality of Life</subject><subject>Research and Analysis Methods</subject><subject>Scars</subject><subject>Skin cancer</subject><subject>Skin diseases</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Tropical diseases</subject><subject>Tunisia</subject><subject>Tunisia - epidemiology</subject><subject>Vector-borne diseases</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1Fv0zAQxyMEYmPwDRBYQkIg0eLYjpPwgFRNwCZVGoLBq3VxnMRTEme2U9aPxrfDabupnfaA8hD77ve_8519UfQyxvOYpvHHKzPaHtr5YHo1x4QRlrNH0XGcUzLjBNPHe-uj6JlzVxgnNOP8aXREKUlyluXH0d_vbi0bM3NGamiR7gaQ3n1A6mZQVqteKoegL1HYuUFJr1fBYCo0gA9e79Af7Rt0OnrolRkdWirtmg56DU47ZFUNttR9jbxV4LugQGbw2vTbqBKcQoGGWk2-T2jRT5lbY8Ebu0bXI7Taw5QVOT-Wa6R7dDn22ml4Hj2poHXqxe5_Ev36-uXy9Gy2vPh2frpYzmRKsZ-xJE0KIgnHNIt5VaRVWIXqc8kzyjnGhSJZmQUjLWSZ5nmqoCgzRsosYSmk9CR6vY0bjuXErutOEBbEBPMcB-J8S5QGrsRgdQd2LQxosTEYWwuwXstWiarATCW4khgzxpKsSDKZqhw4UXmSZ2WI9XmXbSw6VcrQFQvtQdBDT68bUZuVSFOc8nDBJ9FsG6C5JztbLMUAzqvRCkwTHieErOLAv9sltOZ6VM6LTjup2nZ7oZs6SR4nSR7QN_fQh7uxo2oIBeu-MuGccgoqFpxRRginEzV_gApfqTotw5OudLAfCN4fCALj1Y2vYXROnP_88f_sxe9D9u0e2yhofeNMO24e6SHItqC0xjmrqrvuxlhME3nbDTFNpNhNZJC92r_QO9HtCNJ_sg80BQ</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Boukthir, Aicha</creator><creator>Bettaieb, Jihene</creator><creator>Erber, Astrid C</creator><creator>Bouguerra, Hind</creator><creator>Mallekh, Rym</creator><creator>Naouar, Ikbel</creator><creator>Gharbi, Adel</creator><creator>Alghamdi, Manal</creator><creator>Plugge, Emma</creator><creator>Olliaro, Piero</creator><creator>Ben Salah, Afif</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0056-452X</orcidid><orcidid>https://orcid.org/0000-0002-6645-5089</orcidid><orcidid>https://orcid.org/0000-0001-5252-9676</orcidid><orcidid>https://orcid.org/0000-0003-3903-2141</orcidid></search><sort><creationdate>20201201</creationdate><title>Psycho-social impacts, experiences and perspectives of patients with Cutaneous Leishmaniasis regarding treatment options and case management: An exploratory qualitative study in Tunisia</title><author>Boukthir, Aicha ; Bettaieb, Jihene ; Erber, Astrid C ; Bouguerra, Hind ; Mallekh, Rym ; Naouar, Ikbel ; Gharbi, Adel ; Alghamdi, Manal ; Plugge, Emma ; Olliaro, Piero ; Ben Salah, Afif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c730t-4575b2c2603816fb7f6032599c6836600be28d86033bcd7997eabd842d8547a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accessibility</topic><topic>Adult</topic><topic>Aged</topic><topic>Beliefs, opinions and attitudes</topic><topic>Biology and Life Sciences</topic><topic>Care and treatment</topic><topic>Case management</topic><topic>Cicatrix</topic><topic>Cicatrix - epidemiology</topic><topic>Cicatrix - parasitology</topic><topic>Cicatrix - pathology</topic><topic>Cicatrix - therapy</topic><topic>Collaboration</topic><topic>Cutaneous leishmaniasis</topic><topic>Data analysis</topic><topic>Deformities</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health services</topic><topic>Humans</topic><topic>Infections</topic><topic>Interviews</topic><topic>Laboratories</topic><topic>Leishmania major</topic><topic>Leishmania major - pathogenicity</topic><topic>Leishmaniasis, Cutaneous</topic><topic>Leishmaniasis, Cutaneous - epidemiology</topic><topic>Leishmaniasis, Cutaneous - parasitology</topic><topic>Leishmaniasis, Cutaneous - pathology</topic><topic>Leishmaniasis, Cutaneous - therapy</topic><topic>Lesions</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Management</topic><topic>Medical case management</topic><topic>Medical personnel</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Mental health</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Outpatients</topic><topic>Parasitic diseases</topic><topic>Patients</topic><topic>People and Places</topic><topic>Psychological aspects</topic><topic>Public health</topic><topic>Qualitative research</topic><topic>Quality of Life</topic><topic>Research and Analysis Methods</topic><topic>Scars</topic><topic>Skin cancer</topic><topic>Skin diseases</topic><topic>Social aspects</topic><topic>Social Sciences</topic><topic>Tropical diseases</topic><topic>Tunisia</topic><topic>Tunisia - epidemiology</topic><topic>Vector-borne diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boukthir, Aicha</creatorcontrib><creatorcontrib>Bettaieb, Jihene</creatorcontrib><creatorcontrib>Erber, Astrid C</creatorcontrib><creatorcontrib>Bouguerra, Hind</creatorcontrib><creatorcontrib>Mallekh, Rym</creatorcontrib><creatorcontrib>Naouar, Ikbel</creatorcontrib><creatorcontrib>Gharbi, Adel</creatorcontrib><creatorcontrib>Alghamdi, Manal</creatorcontrib><creatorcontrib>Plugge, Emma</creatorcontrib><creatorcontrib>Olliaro, Piero</creatorcontrib><creatorcontrib>Ben Salah, Afif</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boukthir, Aicha</au><au>Bettaieb, Jihene</au><au>Erber, Astrid C</au><au>Bouguerra, Hind</au><au>Mallekh, Rym</au><au>Naouar, Ikbel</au><au>Gharbi, Adel</au><au>Alghamdi, Manal</au><au>Plugge, Emma</au><au>Olliaro, Piero</au><au>Ben Salah, Afif</au><au>Gopichandran, Vijayaprasad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psycho-social impacts, experiences and perspectives of patients with Cutaneous Leishmaniasis regarding treatment options and case management: An exploratory qualitative study in Tunisia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>e0242494</spage><epage>e0242494</epage><pages>e0242494-e0242494</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Although non-fatal and mostly self-healing in the case of Leishmania (L.) major, cutaneous leishmaniasis (CL) is mainly treated to reduce lesion healing time. Less attention is paid to the improvement of scars, especially in aesthetically relevant areas of the body, which can dramatically affect patients' wellbeing. We explored patients' perspectives about treatment options and the social and psychological burden of disease (lesion and scar). Individual in-depth interviews were conducted with ten confirmed CL patients at two L. major endemic sites in Southern Tunisia (Sidi Bouzid and Gafsa). Participants were selected using a sampling approach along a spectrum covering e.g. age, sex, and clinical presentation. Patients' experiences, opinions and preferences were explored, and their detailed accounts gave an insight on the impact of CL on their everyday lives. The impact of CL was found to be considerable. Most patients were not satisfied with treatment performance and case management. They expected a shorter healing time and better accessibility of the health system. Tolerance of the burden of disease was variable and ranged from acceptance of hidden scars to suicidal thoughts resulting from the fear to become handicapped, and the stress caused by close relatives. Some believed CL to be a form of skin cancer. Unexpectedly, this finding shows the big gap between the perspectives of patients and assumptions of health professionals regarding this disease. This study provided valuable information for better case management emphasizing the importance of improving communication with patients, and accessibility to treatment. It generated context-specific knowledge to policy makers in Tunisia to implement effective case management in a country where access to treatment remains a challenge due to socio-economic and geographic barriers despite a long tradition in CL control.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33259489</pmid><doi>10.1371/journal.pone.0242494</doi><tpages>e0242494</tpages><orcidid>https://orcid.org/0000-0003-0056-452X</orcidid><orcidid>https://orcid.org/0000-0002-6645-5089</orcidid><orcidid>https://orcid.org/0000-0001-5252-9676</orcidid><orcidid>https://orcid.org/0000-0003-3903-2141</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-12, Vol.15 (12), p.e0242494-e0242494 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2466020690 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accessibility Adult Aged Beliefs, opinions and attitudes Biology and Life Sciences Care and treatment Case management Cicatrix Cicatrix - epidemiology Cicatrix - parasitology Cicatrix - pathology Cicatrix - therapy Collaboration Cutaneous leishmaniasis Data analysis Deformities Epidemiology Female Health services Humans Infections Interviews Laboratories Leishmania major Leishmania major - pathogenicity Leishmaniasis, Cutaneous Leishmaniasis, Cutaneous - epidemiology Leishmaniasis, Cutaneous - parasitology Leishmaniasis, Cutaneous - pathology Leishmaniasis, Cutaneous - therapy Lesions Life Sciences Male Management Medical case management Medical personnel Medical research Medicine Medicine and Health Sciences Mental health Methods Middle Aged Outpatients Parasitic diseases Patients People and Places Psychological aspects Public health Qualitative research Quality of Life Research and Analysis Methods Scars Skin cancer Skin diseases Social aspects Social Sciences Tropical diseases Tunisia Tunisia - epidemiology Vector-borne diseases |
| title | Psycho-social impacts, experiences and perspectives of patients with Cutaneous Leishmaniasis regarding treatment options and case management: An exploratory qualitative study in Tunisia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T20%3A47%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Psycho-social%20impacts,%20experiences%20and%20perspectives%20of%20patients%20with%20Cutaneous%20Leishmaniasis%20regarding%20treatment%20options%20and%20case%20management:%20An%20exploratory%20qualitative%20study%20in%20Tunisia&rft.jtitle=PloS%20one&rft.au=Boukthir,%20Aicha&rft.date=2020-12-01&rft.volume=15&rft.issue=12&rft.spage=e0242494&rft.epage=e0242494&rft.pages=e0242494-e0242494&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0242494&rft_dat=%3Cgale_plos_%3EA643422630%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2466020690&rft_id=info:pmid/33259489&rft_galeid=A643422630&rft_doaj_id=oai_doaj_org_article_fb04e50fc0044458b58c7e9a62e9598d&rfr_iscdi=true |