Factors Associated with Medical Follow-Up Adherence for Patients on All-Oral Regimen for Multidrug-Resistant Tuberculosis in Shenzhen, China

Li, Hui; Zhang, Hailin; Xiong, Juan; Wang, Yi; Wang, Weiyu; Wang, Jingjing; Lin, Yi; Zhang, Peize

doi:10.2147/ppa.s316253

Cited by 4 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In line with our findings, a study conducted in Eastern China showed that patients who were divorced or widowed were more likely to miss medications compared to those who were married (Fang et al, 2019). Similarly, a study in China reported that single patients had difficulties meeting medical appointments and were more likely to default from routine multi-drug resistant (MDR) tuberculosis treatment (Li et al, 2021). In another similar quantitative survey conducted among migrant workers, divorce or being bereft of a spouse was a significant correlate of a non-adherence level of 16% (Zhou et al, 2012).…”

Section: Discussionsupporting

confidence: 89%

Adherence to Tuberculosis Treatment and Its Associated Factors among Drug-susceptible Tuberculosis Patients in Lira District, Northern Uganda

Nabaziwa¹,

Kigongo²,

Kabunga³

et al. 2023

IJARBSS

View full text Add to dashboard Cite

Uganda has a high incidence of tuberculosis infection at 200 cases per 100,000 people. With effective therapy and adherence to medications is essential for reducing the spread of tuberculosis in the community. However, many of the initiated patients do not get to finish the entire course of treatment. The purpose of this study was to investigate the level of and factors associated with tuberculosis treatment adherence among drug-susceptible tuberculosis patients in the Lira district. A facility-based cross-sectional survey was conducted among 234 randomly selected tuberculosis patients between October and December 2022. The Morisky medication adherence scale was used to measure adherence. Using a structured questionnaire to collect data on socio-demographic characteristics, community factors, and health service delivery factors associated with adherence. Binary logistic regression analysis was used to determine the correlates of adherence to tuberculosis drugs at a p value of 0.05. Most of the respondents (135, 57.7%) were males, (93, 39.7%) aged above 45 years, and (135, 57.7%) in a marital relationship. The prevalence of adherence to tuberculosis drugs was 84.6% (198/234) and was associated with marital status (AOR: 0.307; 95% CI: 0.13-0.0724, p=0.007) and the experience of stigma (AOR: 4.39; 95% CI: 1.612-11.958, p=0.004). The study reported that 2 in 10 drug-susceptible tuberculosis patients are non-adherent, which is lower than the targeted 90%. Marital status and stigma experience are predictors of non-adherence. Interventions by the ministry of health should target how to improve tuberculosis treatment and reduce stigma.

show abstract

Section: Discussionsupporting

confidence: 89%

Adherence to Tuberculosis Treatment and Its Associated Factors among Drug-susceptible Tuberculosis Patients in Lira District, Northern Uganda

Nabaziwa¹,

Kigongo²,

Kabunga³

et al. 2023

IJARBSS

View full text Add to dashboard Cite

show abstract

“…One of the biggest challenges of this traditional manner is the long waiting time in the queue to receive services [ 5 ]. A study shows that a non-user friendly appointment system is the main barrier to patients’ medical follow-up compliance [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The use of various appointment systems among patients visiting academic outpatient centers in Kerman and the evaluation of patients’ perspective and satisfaction

Bagheri

Behnam

Galavi

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background To optimize appointment systems, it is necessary to assess their users’ perspectives. This study aims to determine the use of various appointment systems among patients in academic outpatient centers and to investigate their perspectives and satisfaction. Methods This survey study was conducted on 332 patients or those accompanying patients in academic outpatient centers. A five-part questionnaire consisting of (1) demographic information, (2) willingness to use systems, (3) problems when using these systems, (4) problems after reserving the appointment, (5) recommendations and critics was used. The relationship between the system of interest and the available tools was examined by the Chi-square test, and the relationship between demographic characteristics and satisfaction was assessed using multiple regression. Results The participants’ overall satisfaction towards appointment systems, regardless of the type of system, was 49.12 ± 16.04 (out of 100). Satisfaction with the appointment system using Unstructured Supplementary Service Data (USSD) was significantly higher than the other two systems (p = 0.03). Web-based application and Interactive Voice Response (IVR) were the most frequently used systems with 61% and 48%, respectively. More than half of those who had access to a telephone (56%) preferred the IVR appointment system, and most of those who had Internet access (71%) preferred the web-based application (p < 0.05). Among 137 participants who had access to both the Internet and telephone, 49% (n = 67) stated that they would rather arrange their appointment through the web-based application. Conclusion The web-based application and IVR are the most frequently used and favorable appointment system among the patients or those accompanying patients. Despite the availability of the infrastructure, the participant had moderate satisfaction with these systems due to their failures. Therefore, to have more efficient systems and increase patients or those accompanying patients satisfaction with these systems, healthcare authorities should have a plan to solve the problems of these systemes and use the capacity of information resources to inform the community regarding these systems.

show abstract

“…TB patients have the risk to fall into medication failure, and so do the MDR TB patients because the essence of medication lies in the compliance ( 24 , 25 ). Therefore, MDR TB patients really need support ( 26 ). The reminder via SMS is an effort to maintain the patients' commitment to be able to recover because they know that they are supported at least by this researcher team.…”

Section: Discussionmentioning

confidence: 99%

The trial of sending short message service multidrug-resistant tuberculosis patients in Indonesia

Syarifah,

Santi

2023

J Public Health Afr

View full text Add to dashboard Cite

Background. MDR TB (multidrug-resistant tuberculosis) is a threat for the future control of TB disease. In Indonesia, the success rate of MDR TB patient recovery is still very low, following the still low recovery rate of TB patients. Objective. This paper aims to discuss the trial result of message delivery containing knowledge and motivation to the MDR TB sufferers. Methods. There are about 34 MDR TB patients participating in this research. During the research, everyone received a message in their handphone or the handphone of their family members every day, contained information on medication and motivation to comply with the medication. At the end of the research, the measurement on knowledge and attitude, on the compliance with medication, and on the compliance with laboratory examinations was conducted. Results. The results were compared with the assessment before this intervention was conducted. Out of 32 patients that managed to complete the intervention, the average means of their knowledge and attitude increased significantly. The average mean of knowledge before the intervention was 9.74 to become 10.94, and the average mean of attitude was from 7.06 to become 18.47 (p<0.05). Meanwhile, the medication compliance score and the laboratory examination compliance score also changed significantly (p<0.05). SMS delivery routinely even in a short period of time managed to change knowledge and motivation of MDR TB sufferers. Conclusions. To conclude, it is necessary to develop recent technology effort in order to scalling-up MDR TB patients. Existing social channels in the community must be used intensivelly to reduce this disease negative impact.

show abstract

Factors Associated with Medical Follow-Up Adherence for Patients on All-Oral Regimen for Multidrug-Resistant Tuberculosis in Shenzhen, China

Cited by 4 publications

References 15 publications

Adherence to Tuberculosis Treatment and Its Associated Factors among Drug-susceptible Tuberculosis Patients in Lira District, Northern Uganda

Adherence to Tuberculosis Treatment and Its Associated Factors among Drug-susceptible Tuberculosis Patients in Lira District, Northern Uganda

The use of various appointment systems among patients visiting academic outpatient centers in Kerman and the evaluation of patients’ perspective and satisfaction

The trial of sending short message service multidrug-resistant tuberculosis patients in Indonesia

Contact Info

Product

Resources

About