Factors influencing health care workers' adherence to work site tuberculosis screening and treatment policies

Joseph, Heather A.; Shrestha-Kuwahara, Robin; Lowry, Diane; Lambert, Lauren A.; Panlilio, Adelisa L.; Raucher, B.; Holcombe, J Mike; Poujade, Jan; Rasmussen, Diane M.; Wilce, Maureen

doi:10.1016/j.ajic.2004.06.004

Cited by 39 publications

(57 citation statements)

References 19 publications

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“…So then you consider taking the medicine that is terribly bad: which is worse? That's when you weigh what is best for you” (provider, United States) [35]. …”

Section: Resultsmentioning

confidence: 99%

“…Problems manifesting specifically at health facilities included long waiting times, queues, lack of privacy, inconvenient appointment times [23,26–28,31–35], and the poor upkeep of clinics [26,27]. Many studies reported that patients experienced difficulty in accessing treatment at health care facilities because of inconvenient opening hours and provider absenteeism [22,23,31,37–38].…”

Section: Resultsmentioning

confidence: 99%

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Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research

et al. 2007

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BackgroundTuberculosis (TB) is a major contributor to the global burden of disease and has received considerable attention in recent years, particularly in low- and middle-income countries where it is closely associated with HIV/AIDS. Poor adherence to treatment is common despite various interventions aimed at improving treatment completion. Lack of a comprehensive and holistic understanding of barriers to and facilitators of, treatment adherence is currently a major obstacle to finding effective solutions. The aim of this systematic review of qualitative studies was to understand the factors considered important by patients, caregivers and health care providers in contributing to TB medication adherence.Methods and FindingsWe searched 19 electronic databases (1966–February 2005) for qualitative studies on patients', caregivers', or health care providers' perceptions of adherence to preventive or curative TB treatment with the free text terms “Tuberculosis AND (adherence OR compliance OR concordance)”. We supplemented our search with citation searches and by consulting experts. For included studies, study quality was assessed using a predetermined checklist and data were extracted independently onto a standard form. We then followed Noblit and Hare's method of meta-ethnography to synthesize the findings, using both reciprocal translation and line-of-argument synthesis. We screened 7,814 citations and selected 44 articles that met the prespecified inclusion criteria. The synthesis offers an overview of qualitative evidence derived from these multiple international studies. We identified eight major themes across the studies: organisation of treatment and care; interpretations of illness and wellness; the financial burden of treatment; knowledge, attitudes, and beliefs about treatment; law and immigration; personal characteristics and adherence behaviour; side effects; and family, community, and household support. Our interpretation of the themes across all studies produced a line-of-argument synthesis describing how four major factors interact to affect adherence to TB treatment: structural factors, including poverty and gender discrimination; the social context; health service factors; and personal factors. The findings of this study are limited by the quality and foci of the included studies.ConclusionsAdherence to the long course of TB treatment is a complex, dynamic phenomenon with a wide range of factors impacting on treatment-taking behaviour. Patients' adherence to their medication regimens was influenced by the interaction of a number of these factors. The findings of our review could help inform the development of patient-centred interventions and of interventions to address structural barriers to treatment adherence.

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“…So then you consider taking the medicine that is terribly bad: which is worse? That's when you weigh what is best for you” (provider, United States) [35]. …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research

et al. 2007

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“…However, despite providing detailed information on both of these elements and the test being free of charge, screening rates remained low in this study. The results may be explained by the fact HCWs may still not understand TB epidemiology and pathogenesis and may not be conscious of the consequences of latent TB [21]. Research suggests that a low perceived risk of TB among healthcare professionals, a belief that TB testing may be harmful, and the voluntariness of screening tests might decrease PPD test adherence [22].…”

Section: Discussionmentioning

confidence: 91%

Providing detailed information about latent tuberculosis and compliance with the PPD test among healthcare workers in Israel: A randomized controlled study

Taubman

Titler

Edelstein

et al. 2013

JEGH

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“…Our findings differ from those reported by Shieh, where concern about venepuncture was an identified barrier 10 . A focus group of HCW s in the US did identify adverse events as a barrier to taking LTBI treatment 9 . The fear of side effects of medication is a genuine concern.…”

Section: Discussionmentioning

confidence: 99%

“…High-risk groups should receive priority treatment for LTBI 5 . However, rates of acceptance and completion of treatment are poor [6][7][8][9] . Our previous study reported that of 243 HCW s referred to the LTBI clinic, only 158 (65%) attended, 21% accepted and 13% completed treatment 6 .…”

Section: Introductionmentioning

confidence: 99%

Barriers To Accepting And Completing Latent Tuberculosis Infection Treatment

Kane

Korn²,

Saukkonen

et al. 2012

A104. Tuberculosis in Vulnerable Populations

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Factors influencing health care workers' adherence to work site tuberculosis screening and treatment policies

Cited by 39 publications

References 19 publications

Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research

Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research

Providing detailed information about latent tuberculosis and compliance with the PPD test among healthcare workers in Israel: A randomized controlled study

Barriers To Accepting And Completing Latent Tuberculosis Infection Treatment

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