Effectiveness of counseling of family vs patient alone on the adherence to anti-TB regimen : (Record no. 3962)

000 -LEADER
fixed length control field 03646nam a22001697a 4500
003 - CONTROL NUMBER IDENTIFIER
control field DOH
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20210409085905.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210409b ||||| |||| 00| 0 eng d
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Checa, Marlene R.
245 00 - TITLE STATEMENT
Title Effectiveness of counseling of family vs patient alone on the adherence to anti-TB regimen :
Remainder of title A randomized controlled trial /
Statement of responsibility, etc. Marlene R. Checa
520 3# - SUMMARY, ETC.
Summary, etc. BACKGROUND OF THE STUDY: Pulmonary tuberculosis (PTB) remains one of the leading causes of morbidity and mortality in the whole world and the Philippines is one of the countries highly afflicted with this disease. One of the concerns in the management of this illness is the adherence of patient to treatment. Informing and educating patients as well as family members can aid in the better understanding of the illness and counseling is one of the methods utilized by physicians in the treatment of PTB.<br/><br/>OBJECTIVES: This study aimed to determine the effectiveness of counseling using Catharsis-Education-Action (C.E.A.) model of a family compared to counseling of patient alone on the adherence to anti-TB regimen in a randomized controlled trial.<br/><br/>METHODS: Forty patients diagnosed with PTB aged 19 years old and above seen at the OPD-FMC of UP-PGH for the months of January to September 2008. Randomization using table of random numbers was used to assign the patients to either of 2 arms. Patients were followed up after the 2nd, 4th, and 6th months of treatment. Sociodemographic data and clinical variables, perceptions about the disease, its treatment and hindrances to cure were obtained using a data collection form. Measure of adherence was based on the following parameters: set number of pills taken as reported by the patient as completed or missed, improvement or non-improvement of signs and symptoms, laboratory findings (chest x-ray and sputum AFB) and complete follow-up. Intention to treat analysis was made due to a high drop out rate. Sensitivity analysis was also done.<br/><br/>RESULTS: The sociodemographic and clinical data were comparable for both arms. The most common perception regarding TB is that it is contagious, as answered by the family members (12 of the 20 or 60%) and patients for both arms (18 of the 40 or 45%). Completion of the medication was the primary treatment measure to assess cure, as answered by 25 of the 40 subjects or 63% and 12 of the 20 family members or 60%. Financial constraints was the most commonly perceived reason for non-cure as answered by 11 of the 40 patients and 12 of the 20 family members or 27% and 60%, respectively. There was a statistically significant difference between the control and treatment arms with regards to adherence after the 4th and 6th months of follow-up, which leaned towards the control arm based on the intent to treat analysis. However, the trend is better in the treatment arm with regards to follow-up and completion of treatment while only 5 of the 20 patients (42%) in the control arm completed the treatment.<br/><br/>CONCLUSION: Clinically, those in family counseling had higher number of patients that completed treatment for tuberculosis than those in the individual counseling group. Thus, family counseling can aid in the adherence to treatment of TB. Recommendation: Periodic counseling such as the family CEA model can be used hand in hand with the anti TB regimen. This is to determine further the misconceptions/misperceptions about the disease that affect adherence to treatment.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note The Filipino Family Physician, 2009 47 (4) pages
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Counseling
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Adherence and Compliance
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Tuberculosis
General subdivision therapy
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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-- 3962
-- 3962
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 04/09/2021   J000415 D0001J000415 04/09/2021 04/09/2021 Journal Article