A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan
SETTING: Tuberculosis Department, Bethania Hospital, Sialkot, Pakistan.OBJECTIVE: To determine whether intensive counselling can improve treatment adherence.DESIGN: In a randomised controlled intervention trial of 1019 adult tuberculosis patients, 49% were assigned to the intervention group and 51%...
Gespeichert in:
| Veröffentlicht in: | The international journal of tuberculosis and lung disease 1999-12, Vol.3 (12), p.1073-1080 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1080 |
|---|---|
| container_issue | 12 |
| container_start_page | 1073 |
| container_title | The international journal of tuberculosis and lung disease |
| container_volume | 3 |
| creator | LIEFOOGHE, R SUETENS, C MEULEMANS, H MORAN, M.-B DE MUYNCK, A |
| description | SETTING: Tuberculosis Department, Bethania Hospital, Sialkot, Pakistan.OBJECTIVE: To determine whether intensive counselling can improve treatment adherence.DESIGN: In a randomised controlled intervention trial of 1019 adult tuberculosis patients, 49% were assigned to the intervention
group and 51% to the control group. Baseline data were obtained through semi-structured interviews. Patients were followed until the end of treatment (cure, default, referral or death). The intervention included counselling at the start of treatment and at each subsequent visit for ambulatory
patients, or weekly for hospitalised patients. Counselling combined health education with strategies to strengthen patients' self-efficacy. Control group patients received the usual care. The outcome measure was treatment default.RESULTS: The default rate was 54% in the control group
and 47% in the intervention group: the default risk ratio was 0.87, implying a reduction in defaulting of 13%. The impact was stronger in women, ambulatory patients, re-treatment patients, women who worked in the home, and patients who were not the main provider, those with a poor knowledge
of the disease or those with a short treatment delay.CONCLUSIONS: Intensive counselling has a significant, although limited, impact on treatment adherence. |
| format | Article |
| fullrecord | <record><control><sourceid>pubtec_pubme</sourceid><recordid>TN_cdi_pubmed_primary_10599010</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/1999/00000003/00000012/art00005</ingid><sourcerecordid>iuatld/ijtld/1999/00000003/00000012/art00005</sourcerecordid><originalsourceid>FETCH-LOGICAL-i370t-de17af772b7905e84eecee97383ec117213a7ebcb6f3b5c9673cb365ecef36043</originalsourceid><addsrcrecordid>eNp1kctOHDEQRVsRUXgkvxB5EbFKS36M2-MlIhCQkIKUZG1Vu6vBQ7c98QMJvj5uZhArvLDL0qlburc-NEdszWSrNKcHtaZctUIxfdgcp7ShlDPG1KfmkFGpNWX0qMlnJIIfwuwSDiRHBxMJI8n3SNy8BZuXnw3FJ5wm5-9I8JVCyDP6TGC4x4je4ktP6THaMoXkEtlCdpVIxHnyu4o-hPyd3MKDSxn85-bjCFPCL_v3pPl7efHn_Kq9-fXz-vzspnVC0dwOyBSMSvFeaSpxvUK0iFqJtUBbjXAmQGFv-24UvbS6U8L2opOVGkVHV-KkOd3pbmP4VzBlU23aagQ8hpJMp4VcCUEr-HUPln7GwWyjmyE-mdecKvBtD0CyMI01M-vSG8cFlWoZ-GOH1aSqezCbUKKvFo0rkKfBuM1yM621obsj9gXjBmJeKlllbt-Tsa9Ky26X1ZpH4Wsvr7ulay4Nk4yZAUcoUzYZorl7NkmK_xavpJk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69354330</pqid></control><display><type>article</type><title>A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>LIEFOOGHE, R ; SUETENS, C ; MEULEMANS, H ; MORAN, M.-B ; DE MUYNCK, A</creator><creatorcontrib>LIEFOOGHE, R ; SUETENS, C ; MEULEMANS, H ; MORAN, M.-B ; DE MUYNCK, A</creatorcontrib><description>SETTING: Tuberculosis Department, Bethania Hospital, Sialkot, Pakistan.OBJECTIVE: To determine whether intensive counselling can improve treatment adherence.DESIGN: In a randomised controlled intervention trial of 1019 adult tuberculosis patients, 49% were assigned to the intervention
group and 51% to the control group. Baseline data were obtained through semi-structured interviews. Patients were followed until the end of treatment (cure, default, referral or death). The intervention included counselling at the start of treatment and at each subsequent visit for ambulatory
patients, or weekly for hospitalised patients. Counselling combined health education with strategies to strengthen patients' self-efficacy. Control group patients received the usual care. The outcome measure was treatment default.RESULTS: The default rate was 54% in the control group
and 47% in the intervention group: the default risk ratio was 0.87, implying a reduction in defaulting of 13%. The impact was stronger in women, ambulatory patients, re-treatment patients, women who worked in the home, and patients who were not the main provider, those with a poor knowledge
of the disease or those with a short treatment delay.CONCLUSIONS: Intensive counselling has a significant, although limited, impact on treatment adherence.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>PMID: 10599010</identifier><language>eng</language><publisher>Paris, France: IUATLD</publisher><subject>Adolescent ; Adult ; Bacterial diseases ; Biological and medical sciences ; Counseling ; Counselling ; Female ; Health Education ; Human bacterial diseases ; Humans ; Infectious diseases ; Intervention ; Male ; Medical sciences ; Middle Aged ; Pakistan ; Patient Compliance ; Treatment Adherence ; Tropical medicine ; Tuberculosis ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Pulmonary - therapy</subject><ispartof>The international journal of tuberculosis and lung disease, 1999-12, Vol.3 (12), p.1073-1080</ispartof><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1230574$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10599010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LIEFOOGHE, R</creatorcontrib><creatorcontrib>SUETENS, C</creatorcontrib><creatorcontrib>MEULEMANS, H</creatorcontrib><creatorcontrib>MORAN, M.-B</creatorcontrib><creatorcontrib>DE MUYNCK, A</creatorcontrib><title>A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Tuberculosis Department, Bethania Hospital, Sialkot, Pakistan.OBJECTIVE: To determine whether intensive counselling can improve treatment adherence.DESIGN: In a randomised controlled intervention trial of 1019 adult tuberculosis patients, 49% were assigned to the intervention
group and 51% to the control group. Baseline data were obtained through semi-structured interviews. Patients were followed until the end of treatment (cure, default, referral or death). The intervention included counselling at the start of treatment and at each subsequent visit for ambulatory
patients, or weekly for hospitalised patients. Counselling combined health education with strategies to strengthen patients' self-efficacy. Control group patients received the usual care. The outcome measure was treatment default.RESULTS: The default rate was 54% in the control group
and 47% in the intervention group: the default risk ratio was 0.87, implying a reduction in defaulting of 13%. The impact was stronger in women, ambulatory patients, re-treatment patients, women who worked in the home, and patients who were not the main provider, those with a poor knowledge
of the disease or those with a short treatment delay.CONCLUSIONS: Intensive counselling has a significant, although limited, impact on treatment adherence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Counseling</subject><subject>Counselling</subject><subject>Female</subject><subject>Health Education</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pakistan</subject><subject>Patient Compliance</subject><subject>Treatment Adherence</subject><subject>Tropical medicine</subject><subject>Tuberculosis</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Pulmonary - therapy</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctOHDEQRVsRUXgkvxB5EbFKS36M2-MlIhCQkIKUZG1Vu6vBQ7c98QMJvj5uZhArvLDL0qlburc-NEdszWSrNKcHtaZctUIxfdgcp7ShlDPG1KfmkFGpNWX0qMlnJIIfwuwSDiRHBxMJI8n3SNy8BZuXnw3FJ5wm5-9I8JVCyDP6TGC4x4je4ktP6THaMoXkEtlCdpVIxHnyu4o-hPyd3MKDSxn85-bjCFPCL_v3pPl7efHn_Kq9-fXz-vzspnVC0dwOyBSMSvFeaSpxvUK0iFqJtUBbjXAmQGFv-24UvbS6U8L2opOVGkVHV-KkOd3pbmP4VzBlU23aagQ8hpJMp4VcCUEr-HUPln7GwWyjmyE-mdecKvBtD0CyMI01M-vSG8cFlWoZ-GOH1aSqezCbUKKvFo0rkKfBuM1yM621obsj9gXjBmJeKlllbt-Tsa9Ky26X1ZpH4Wsvr7ulay4Nk4yZAUcoUzYZorl7NkmK_xavpJk</recordid><startdate>19991201</startdate><enddate>19991201</enddate><creator>LIEFOOGHE, R</creator><creator>SUETENS, C</creator><creator>MEULEMANS, H</creator><creator>MORAN, M.-B</creator><creator>DE MUYNCK, A</creator><general>IUATLD</general><general>Union internationale contre la tuberculose et les maladies respiratoires</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19991201</creationdate><title>A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan</title><author>LIEFOOGHE, R ; SUETENS, C ; MEULEMANS, H ; MORAN, M.-B ; DE MUYNCK, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i370t-de17af772b7905e84eecee97383ec117213a7ebcb6f3b5c9673cb365ecef36043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Counseling</topic><topic>Counselling</topic><topic>Female</topic><topic>Health Education</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pakistan</topic><topic>Patient Compliance</topic><topic>Treatment Adherence</topic><topic>Tropical medicine</topic><topic>Tuberculosis</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Tuberculosis, Pulmonary - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LIEFOOGHE, R</creatorcontrib><creatorcontrib>SUETENS, C</creatorcontrib><creatorcontrib>MEULEMANS, H</creatorcontrib><creatorcontrib>MORAN, M.-B</creatorcontrib><creatorcontrib>DE MUYNCK, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LIEFOOGHE, R</au><au>SUETENS, C</au><au>MEULEMANS, H</au><au>MORAN, M.-B</au><au>DE MUYNCK, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>1999-12-01</date><risdate>1999</risdate><volume>3</volume><issue>12</issue><spage>1073</spage><epage>1080</epage><pages>1073-1080</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Tuberculosis Department, Bethania Hospital, Sialkot, Pakistan.OBJECTIVE: To determine whether intensive counselling can improve treatment adherence.DESIGN: In a randomised controlled intervention trial of 1019 adult tuberculosis patients, 49% were assigned to the intervention
group and 51% to the control group. Baseline data were obtained through semi-structured interviews. Patients were followed until the end of treatment (cure, default, referral or death). The intervention included counselling at the start of treatment and at each subsequent visit for ambulatory
patients, or weekly for hospitalised patients. Counselling combined health education with strategies to strengthen patients' self-efficacy. Control group patients received the usual care. The outcome measure was treatment default.RESULTS: The default rate was 54% in the control group
and 47% in the intervention group: the default risk ratio was 0.87, implying a reduction in defaulting of 13%. The impact was stronger in women, ambulatory patients, re-treatment patients, women who worked in the home, and patients who were not the main provider, those with a poor knowledge
of the disease or those with a short treatment delay.CONCLUSIONS: Intensive counselling has a significant, although limited, impact on treatment adherence.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>10599010</pmid><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1027-3719 |
| ispartof | The international journal of tuberculosis and lung disease, 1999-12, Vol.3 (12), p.1073-1080 |
| issn | 1027-3719 1815-7920 |
| language | eng |
| recordid | cdi_pubmed_primary_10599010 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Bacterial diseases Biological and medical sciences Counseling Counselling Female Health Education Human bacterial diseases Humans Infectious diseases Intervention Male Medical sciences Middle Aged Pakistan Patient Compliance Treatment Adherence Tropical medicine Tuberculosis Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - therapy |
| title | A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-04T12%3A08%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubtec_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20randomised%20trial%20of%20the%20impact%20of%20counselling%20on%20treatment%20adherence%20of%20tuberculosis%20patients%20in%20Sialkot,%20Pakistan&rft.jtitle=The%20international%20journal%20of%20tuberculosis%20and%20lung%20disease&rft.au=LIEFOOGHE,%20R&rft.date=1999-12-01&rft.volume=3&rft.issue=12&rft.spage=1073&rft.epage=1080&rft.pages=1073-1080&rft.issn=1027-3719&rft.eissn=1815-7920&rft_id=info:doi/&rft_dat=%3Cpubtec_pubme%3Eiuatld/ijtld/1999/00000003/00000012/art00005%3C/pubtec_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69354330&rft_id=info:pmid/10599010&rft_ingid=iuatld/ijtld/1999/00000003/00000012/art00005&rfr_iscdi=true |