A Controlled Trial of the Knowledge Impact of Tuberculosis Information Leaflets among Staff Supporting Substance Misusers: Pilot Study

Roy, Anjana; Abubakar, Ibrahim; Chapman, Ann; Andrews, Nick; Pattinson, Mike; Lipman, Marc; Rodrigues, Laura C.; Figueroa, José Natal; Tamne, Surinder; Catchpole, Mike

doi:10.1371/journal.pone.0020875

Cited by 7 publications

(6 citation statements)

References 19 publications

(24 reference statements)

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“…The study also identified room for improvement in TB health literacy, particularly, for improved education about key TB concepts, such as the difference between LTBI and active TB and for education about the meaning of screening test results. There is evidence that the use of information leaflets can improve knowledge about TB ( Roy et al, 2011 ). By improving the care provided to HCWs with LTBI it may be possible not only to reduce active TB infections in this group, but also for the vulnerable people they care for.…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards preventive tuberculosis treatment among hospital staff

Pathak

Dobler

2016

PeerJ

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Background. Healthcare workers have an increased risk of latent tuberculosis infection (LTBI), but previous studies suggested that they might be reluctant to accept preventive tuberculosis (TB) treatment. We aimed to examine doctors’ and nurses’ experience of TB screening and to explore their attitudes towards preventive TB treatment.Methods. We conducted a survey among randomly selected healthcare workers at a tertiary hospital in Sydney, Australia, using a paper-based questionnaire.Results. A total of 1,304 questionnaires were distributed and 311 (24%) responses were received. The majority of hospital staff supported preventive TB treatment in health care workers with evidence of latent TB infection (LTBI) in general (74%, 164/223) and for them personally (81%, 198/244) while 80 and 53 healthcare workers respectively had no opinion on the topic. Staff working in respiratory medicine were significantly less likely to support preventive TB treatment in health care workers in general or for them personally if they would have evidence of LTBI compared to other specialties (p = 0.001). Only 13% (14/106) of respondents with evidence of LTBI indicated that they had been offered preventive TB treatment. Twenty-one percent (64/306) of respondents indicated that they did not know the difference between active and latent TB. Among staff who had undergone testing for LTBI, only 33% (75/230) felt adequately informed about the meaning of their test results.Discussion. Hospital staff in general had positive attitudes towards preventive TB treatment, but actual treatment rates were low and perceived knowledge about LTBI was insufficient among a significant proportion of staff. The gap between high support for preventive TB treatment among staff and low treatment rates needs to be addressed. Better education on the concept of LTBI and the meaning of screening test results is required.

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Section: Discussionmentioning

confidence: 99%

Attitudes towards preventive tuberculosis treatment among hospital staff

Pathak

Dobler

2016

PeerJ

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“…The survey was designed selecting relevant questions from previous published studies [4, 6, 9–11], and based on current Mozambican National Tuberculosis Program (NTP) guidelines, after consensus from a team including clinicians, a social scientist and an epidemiologist with experience in TB and KAP studies. The survey was conducted in an interview format as a standard, but self-administered if the HCW repeatedly (more than two times) reported they had insufficient time for an interview.…”

Section: Methodsmentioning

confidence: 99%

“…Good understanding of TB disease management is often inadequate even in the context of recent TB training [4]. By contrast, other studies suggest that TB knowledge pre-training is satisfactory and may even improve following brief education [9–11]. While the results of a once-off training program can be inconsistent, there are examples of how periodic training and supervision can improve HCWs’ TB knowledge and skills [12, 13].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices regarding tuberculosis care among health workers in Southern Mozambique

et al. 2017

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BackgroundTuberculosis (TB) control is more likely to be achieved if the level of knowledge regarding TB is increased among health workers managing high-risk groups. No formal assessments regarding knowledge, attitudes and practises of health workers about TB have been published for Mozambique, a country facing challenges in the fight against TB, with a fragile health system and considerable work overload of health personnel. The main objective of the study was to determine the level of knowledge, identify attitudes and assess practices regarding TB care and control among health care workers of the district of Manhiça.MethodsA descriptive cross-sectional study was performed through the use of a specifically designed Knowledge, Attitudes and Practices (KAP) questionnaire in the district of Manhiça, a high tuberculosis and HIV burden rural area in Southern Mozambique. In this district, 14 health care facilities service a population of approximately 160,000 people. The questionnaire took 30–45 min to administer with external assistance not permitted. The survey contained 79 questions pertaining to four different areas: demographics, TB knowledge, attitudes and practices.ResultsThe study sample included 170 health care workers. The average knowledge score was 14.89 points (SD = 3.61) out of a total possible 26 points. Less than 30% of respondents had heard of Xpert MTB/RIF®. Seventy per cent agreed there was stigma associated with TB and 48.2% believed this stigma was greater than that associated with HIV. The average practice score was 3.2 out of 9 points (35.6%, SD = 2.4).ConclusionHealth care worker’s knowledge gaps identified in this study may result in substandard patient care. Specific deficiencies in understanding existed in terms of paediatric TB and Xpert MTB/RIF® testing. The present study provides impetus for tailored TB education among health care workers from a high TB burden rural area in Southern Mozambique.Electronic supplementary materialThe online version of this article (doi:10.1186/s12890-016-0344-8) contains supplementary material, which is available to authorized users.

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“…Targeted provision of information to raise awareness among high-risk groups, in the form of leaflets or through the Internet, has been used for diseases other than TB, such as diabetes, HIV or breast cancer [55,56].…”

Section: General Backgroundmentioning

confidence: 99%

Tuberculosis control in big cities and urban risk groups in the European Union: a consensus statement

et al. 2014

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In low-incidence countries in the European Union (EU), tuberculosis (TB) is concentrated in big cities, especially among certain urban high-risk groups including immigrants from TB high-incidence countries, homeless people, and those with a history of drug and alcohol misuse. Elimination of TB in European big cities requires control measures focused on multiple layers of the urban population. The particular complexities of major EU metropolises, for example high population density and social structure, create specific opportunities for transmission, but also enable targeted TB control interventions, not efficient in the general population, to be effective or cost effective. Lessons can be learnt from across the EU and this consensus statement on TB control in big cities and urban risk groups was prepared by a working group representing various EU big cities, brought together on the initiative of the European Centre for Disease Prevention and Control. The consensus statement describes general and specific social, educational, operational, organisational, legal and monitoring TB control interventions in EU big cities, as well as providing recommendations for big city TB control, based upon a conceptual TB transmission and control model.

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A Controlled Trial of the Knowledge Impact of Tuberculosis Information Leaflets among Staff Supporting Substance Misusers: Pilot Study

Cited by 7 publications

References 19 publications

Attitudes towards preventive tuberculosis treatment among hospital staff

Attitudes towards preventive tuberculosis treatment among hospital staff

Knowledge, attitudes and practices regarding tuberculosis care among health workers in Southern Mozambique

Tuberculosis control in big cities and urban risk groups in the European Union: a consensus statement

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