Addressing smoking cessation in tuberculosis control

Schneider, Nicolas

doi:10.2471/blt.07.034797

Cited by 40 publications

(29 citation statements)

References 9 publications

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“…Alcohol also alters the individual immune system contributing to failure of the treatment. Studies from Uzbekistan [27] and Bangalore city [28] noted that alcoholics were more likely to default from their treatment. Their finding is not in congruent with our results despite the high proportion (44%) of respondents who reported taking alcohol.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Outcomes of Treatment among Pulmonary Tuberculosis Patients in Plateau State, Nigeria, 2011

Ibrahim¹,

Hadejia²,

Nguku³

et al. 2015

UCMS

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SETTING: Plateau state is in north central Nigeria with population of 3.7 million people in 2011. Treatment of patient using the Directly Observed Treatment Short Course (DOTS) started since 2001. The cured rate had remained below expected target of ≥ 85%. OBJECTIVE: To identify the factors associated with the outcomes of the treatment. DESIGN: We conducted a cross sectional study among pulmonary TB patients aged ≥ 15 years. We reviewed their medical records, interviewed patients with structured questionnaires and conducted focus group discussions (FGD) about factors that affect TB treatment. Data were analyzed with epiInfo software. RESULTS: Of the 378 respondents, 178 (47%) were smear positive. Cured, failure and default rates were 112 (62.8%), 5 (2.8%) and 5 (2.8%), respectively. Knowledge of duration of treatment and previous medication for TB were associated higher (AOR: 9.62, 95%CI: 2.28-40.68) and lower (AOR: 0.03, 95% CI: 0.01-0.17) cured rates, respectively. FGD identified unfriendly attitude of health care workers, long distance and transport cost to health facility for DOT as the major barriers to treatment. CONCLUSION: Treatment interruption prevention, patients' education, decentralization of services to reduce distance and positive attitude of health care workers towards the patients will improve outcomes of treatment.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Outcomes of Treatment among Pulmonary Tuberculosis Patients in Plateau State, Nigeria, 2011

Ibrahim¹,

Hadejia²,

Nguku³

et al. 2015

UCMS

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“…In parallel, much of the morbidity and mortality due to TB occur in low-income and middle-income countries where smoking is widely prevalent (WHO 1997;Gajalakshmi et al 2003;WHO 2008b). Furthermore, a considerable proportion of the global burden of TB may be attributed to tobacco use (Yach 2000;Schneider and Novotny 2007). Therefore, tobacco control in TB care is an important public health agenda globally.…”

Section: Introductionmentioning

confidence: 99%

Potential impact of a pilot training program on smoking cessation intervention for tuberculosis DOTS providers in Malaysia

et al. 2009

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Background The association between tuberculosis (TB) and tobacco smoking is becoming increasingly important.Smoking cessation may yield substantial positive effects on TB treatment outcomes, relapse, and future lung disease. Thus, TB directly observed therapy, short-course (TB DOTS) providers are uniquely positioned to intervene with those TB patients who are smokers. Unfortunately, most health care professionals are inadequately trained to provide such service.Aim This study aimed to determine the feasibility of developing and implementing a customized training program related to the delivery of an integrated smoking cessation intervention (SCI) for TB DOTS providers and to evaluate its potential impact on their knowledge, attitudes, and perceived competence. Method We developed and delivered a structured training program and materials about treating tobacco use and dependence in TB settings. The training was offered to DOTS providers from six chest clinics in Penang and Wilayah Persekutuan Kuala Lumpur health districts, Malaysia, who were planned to be involved in a larger project, known as the SCIDOTS Project. A pretest-posttest survey of a single group was conducted. Changes in scores before and after the training program in knowledge and attitude were measured. Results Ten DOTS providers participated in the program and completed both the pretest and posttest survey questionnaire. The trainees' median scores in knowledge of health risks of tobacco and tobacco-related diseases, the association between TB and tobacco, and overall knowledge significantly increased compared to the baseline (p<0.05). Upon completion of the program, the majority of the trainees (70-100%) believed that they were competent and confident in performing most SCI activities. Conclusion This preliminary study suggests that a customized in-service training program on SCI designed for and delivered to TB DOTS providers could significantly improve their knowledge, attitude, and practice related to SCI. It has also highlighted the gap related to SCI in nursing education and calls for urgent curricula reforms.

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“…Although standard TB case management provides a key opportunity for patients to receive smoking cessation support, 15,16 little is known about HCW practices at TB facilities with respect to providing smoking cessation recommendations. Despite the recognized need for effective smoking cessation programs tailored to patients with TB, 17–19 few interventions have been evaluated, 19–21 and to date none have been evaluated using randomized trials.…”

mentioning

confidence: 99%

Smoking behavior and beliefs about the impact of smoking on anti-tuberculosis treatment among health care workers

Magee

Darchia

Kipiani

et al. 2017

int j tuberc lung dis

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SUMMARY SETTING Tuberculosis (TB) health care facilities throughout Georgia. OBJECTIVE To describe smoking behaviors among health care workers (HCWs) at TB facilities and determine HCWs’ knowledge and beliefs regarding the impact of tobacco use on anti-tuberculosis treatment. DESIGN Cross-sectional survey from May to December 2014 in Georgia. Adult HCWs (age ≥ 18 years) at TB facilities were eligible. We administered a 60-question anonymous survey about tobacco use and knowledge of the effect of smoking on anti-tuberculosis treatment. RESULTS Of the 431 HCWs at TB facilities who participated, 377 (87.5%) were female; the median age was 50 years (range 20–77). Overall, 59 (13.7%) HCWs were current smokers and 35 (8.1%) were past smokers. Prevalence of current smoking was more common among physicians than among nurses (18.6% vs. 7.9%, P < 0.0001). Among HCWs, 115 (26.7%) believed smoking does not impact anti-tuberculosis treatment, and only 25.3% of physicians/nurses received formal training in smoking cessation approaches. Physicians who smoked were significantly more likely to believe that smoking does not impact anti-tuberculosis treatment than non-smoking physicians (aOR 5.11, 95%CI 1.46–17.90). CONCLUSION Additional education about the effect of smoking on TB treatment outcomes is needed for staff of TB health care facilities in Georgia. Nurses and physicians need more training about smoking cessation approaches for patients with TB.

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Addressing smoking cessation in tuberculosis control

Cited by 40 publications

References 9 publications

Factors Associated with Outcomes of Treatment among Pulmonary Tuberculosis Patients in Plateau State, Nigeria, 2011

Factors Associated with Outcomes of Treatment among Pulmonary Tuberculosis Patients in Plateau State, Nigeria, 2011

Potential impact of a pilot training program on smoking cessation intervention for tuberculosis DOTS providers in Malaysia

Smoking behavior and beliefs about the impact of smoking on anti-tuberculosis treatment among health care workers

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