An assessment of default and non-compliance in tuberculosis control in Pakistan

Sloan, John P.; Sloan, Margo

doi:10.1016/0035-9203(81)90161-9

Cited by 13 publications

(5 citation statements)

References 4 publications

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“…However, other studies reported that beliefs and attitudes may be more important than side effects in predicting adherence and influencing health behavior [18,35,36]. Studies reported that patient's compliance with therapy is affected by issues of belief, health motivation, perceived susceptibility to disease and its severity, views in the benefit of professional intervention and knowledge of the condition [37,38]. It has been documented that when patients' know about the importance of complying with drug therapy and their adherence to the prescribed regimen is improved [39].…”

Section: Discussionmentioning

confidence: 99%

Predictors of adherence to isoniazid preventive therapy among HIV positive adults in Addis Ababa, Ethiopia

et al. 2011

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BackgroundIsoniazide preventive therapy (IPT) is given to individuals with latent infection of tuberculosis (TB) to prevent the progression to active disease. One of the primary reasons for failure of IPT is poor adherence.MethodsA cross sectional study was conducted in four hospitals in Addis Ababa. Data were collected using a pre-tested interviewer-administered structured questionnaire. Bivariate and multivariate analysis was done to identify predictors of IPT.ResultsA total of 319 (97.5%) individual participated in this study. Within seven days recall period, self-reported dose adherence rate was 86.5%. Individual who received explanation about IPT from health care providers (OR = 7.74; 95%CI: 3.144, 19.058); who had good feeling/comfortable to take IPT in front of other people [OR = 5.981, 95%CI (2.308, 15.502)] and who attended clinical appointment regularly (OR = 4.0; 95%CI: 1.062, 15.073) were more likely to adhere to IPT. Participants who developed IPT related adverse effect were 93% less likely to adhere to the prescribed doses (OR = 0.065; 95%CI: 0.024, 0.179).ConclusionThe prevalence of self reported dose adherence over the past 7 days was higher. Non-adherence was observed among respondent who were not provided with sufficient information about IPT. The health care providers need to strengthen their educational and counseling efforts to convince the patient before putting them on IPT. To enhance adherence, health education efforts should focus on the importance of IPT, the details of the regimen and adverse effects.

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Section: Discussionmentioning

confidence: 99%

Predictors of adherence to isoniazid preventive therapy among HIV positive adults in Addis Ababa, Ethiopia

et al. 2011

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“…In a New Zealand study, Tongan patients may think disease is God's will and uncontrollable; and as a consequence, they perceived less need for medication (Barnes et al 2004). Similarly, in Pakistan, inbred fears and supernatural beliefs were reported to be two major factors affecting patients' compliance with treatment (Sloan and Sloan 1981).…”

Section: Psychological Factorsmentioning

confidence: 99%

Factors affecting therapeutic compliance: A review from the patient’s perspective

Jin

Sklar²,

Oh³

et al. 2008

TCRM

842

248

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Objective: To explore and evaluate the most common factors causing therapeutic noncompliance. Methods: A qualitative review was undertaken by a literature search of the Medline database from 1970 to 2005 to identify studies evaluating the factors contributing to therapeutic non-compliance. Results: A total of 102 articles was retrieved and used in the review from the 2095 articles identifi ed by the literature review process. From the literature review, it would appear that the defi nition of therapeutic compliance is adequately resolved. The preliminary evaluation revealed a number of factors that contributed to therapeutic non-compliance. These factors could be categorized to patient-centered factors, therapy-related factors, social and economic factors, healthcare system factors, and disease factors. For some of these factors, the impact on compliance was not unequivocal, but for other factors, the impact was inconsistent and contradictory. Conclusion: There are numerous studies on therapeutic noncompliance over the years. The factors related to compliance may be better categorized as "soft" and "hard" factors as the approach in countering their effects may differ. The review also highlights that the interaction of the various factors has not been studied systematically. Future studies need to address this interaction issue, as this may be crucial to reducing the level of non-compliance in general, and to enhancing the possibility of achieving the desired healthcare outcomes.

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“…The impact of financial problems has been found in many studies in developing countries. 3 Although many Nepali patients do have strong spiritual beliefs about the cause of illness, similarly to patients in Pakistan 4 and New Zealand Tongan patients 5 , this does not appear to impact on their compliance with medication.…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives on health in chronic illness

Acharya

Butterworth²

2018

J Patan Acad Health Sci

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Introductions: Medical students need to understand patients’ perspectives about illness and its impact on their lives and family, to evolve as truly socially accountable physicians. Methods: Medical students were assigned in pairs to regularly visit a chronically sick patient over 6 months. They completed a portfolio exploring patient attitudes towards their illness, medication, concerns and beliefs. Themes were coded and portfolios were reviewed independently by two tutors and four students extracting data that matched the themes. New themes were added during the review. Data was later compiled and discussed by the team to refine key themes and portfolios were again reviewed to check for frequency. Results: Fifty-eight students interviewed twenty-nine patients with a variety of chronic conditions. Areas identified included the important role of family and community. A major concern of 18/29 (62%) patients was the impact on the family emotionally, socially and financially of their illness. Other concerns were loneliness (5/29), uncertainty about the illness and deteriorating function. Spiritual issues were important, together with prayer. Some patients (7/29) viewed their illness as a punishment or curse and wanted to die. Other patients believed their illness was due to diet, physical or emotional stress, contagion or exposure to environmental factors. Two believed the oxygen for their COPD was addictive, so restricted its use. Conclusions: As part of providing patient-centered care in the context of Nepal it is important to explore the level of family and community support available to the patient as well as the current impact on the family.

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An assessment of default and non-compliance in tuberculosis control in Pakistan

Cited by 13 publications

References 4 publications

Predictors of adherence to isoniazid preventive therapy among HIV positive adults in Addis Ababa, Ethiopia

Predictors of adherence to isoniazid preventive therapy among HIV positive adults in Addis Ababa, Ethiopia

Factors affecting therapeutic compliance: A review from the patient’s perspective

Patient perspectives on health in chronic illness

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An assessment of default and non-compliance in tuberculosis control in Pakistan

Cited by 13 publications

References 4 publications

Predictors of adherence to isoniazid preventive therapy among HIV positive adults in Addis Ababa, Ethiopia

Predictors of adherence to isoniazid preventive therapy among HIV positive adults in Addis Ababa, Ethiopia

Factors affecting therapeutic compliance: A review from the patient&rsquo;s perspective

Patient perspectives on health in chronic illness

Contact Info

Product

Resources

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Factors affecting therapeutic compliance: A review from the patient’s perspective