Indigenization of Illness Support Groups for Lymphatic Filariasis in Haiti

Coreil, Jeannine; Mayard, Gladys

doi:10.1093/acprof:oso/9780195374643.003.0010

Cited by 4 publications

(7 citation statements)

References 33 publications

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“…The important feature of this study is that 91% had to average to good quality of life and it has association with self help group involvement. Same finding was reported by Coreil J et al 10 .His study reported that support groups offer a low cost ,psychosocial intervention for people living with chronic diseases and disability 11 . The Study has the following limitations.…”

Section: Discussionsupporting

confidence: 61%

Quality of Life of Filarial Lymphoedema Patients in a Coastal Area of Alappuzha District, Kerala

Krishnaveni¹

2017

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Section: Discussionsupporting

confidence: 61%

Quality of Life of Filarial Lymphoedema Patients in a Coastal Area of Alappuzha District, Kerala

Krishnaveni¹

2017

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“…The relative contribution of each component of the overall intervention is unclear; we believe that they acted synergistically. Coreil and colleagues showed that patients in Leogane who regularly participated in support groups had a lower incidence of ADLA than those who did not [30] . In addition, self-efficacy (belief in one's ability to perform lymphedema self-care) increased significantly following distribution of booklets and broadcasts of the radio dramas (Wendt, JM, unpublished thesis, Emory University, Atlanta, GA).…”

Section: Discussionmentioning

confidence: 99%

“…These were often dramatic. Patients commonly reported decreased stigma and shame and a return to active life, including school or work [30, Wendt JM, unpublished] . Those with advanced lymphedema and multiple skin folds and lesions reported, often for the first time in years, the elimination of offensive odor.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Effectiveness of Basic Lymphedema Management in Leogane, Haiti, an Area Endemic for Bancroftian Filariasis

Addiss

Louis‐Charles²,

Roberts

et al. 2010

PLoS Negl Trop Dis

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BackgroundApproximately 14 million persons living in areas endemic for lymphatic filariasis have lymphedema of the leg. Clinical studies indicate that repeated episodes of bacterial acute dermatolymphangioadenitis (ADLA) lead to progression of lymphedema and that basic lymphedema management, which emphasizes hygiene, skin care, exercise, and leg elevation, can reduce ADLA frequency. However, few studies have prospectively evaluated the effectiveness of basic lymphedema management or assessed the role of compressive bandaging for lymphedema in resource-poor settings.Methodology/Principal FindingsBetween 1995 and 1998, we prospectively monitored ADLA incidence and leg volume in 175 persons with lymphedema of the leg who enrolled in a lymphedema clinic in Leogane, Haiti, an area endemic for Wuchereria bancrofti. During the first phase of the study, when a major focus of the program was to reduce leg volume using compression bandages, ADLA incidence was 1.56 episodes per person-year. After March 1997, when hygiene and skin care were systematically emphasized and bandaging discouraged, ADLA incidence decreased to 0.48 episodes per person-year (P<0.0001). ADLA incidence was significantly associated with leg volume, stage of lymphedema, illiteracy, and use of compression bandages. Leg volume decreased in 78% of patients; over the entire study period, this reduction was statistically significant only for legs with stage 2 lymphedema (P = 0.01).Conclusions/SignificanceBasic lymphedema management, which emphasized hygiene and self-care, was associated with a 69% reduction in ADLA incidence. Use of compression bandages in this setting was associated with an increased risk of ADLA. Basic lymphedema management is feasible and effective in resource-limited areas that are endemic for lymphatic filariasis.

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“…Participation in patient support groups has been shown to decrease the number of ADLA episodes and improve quality of life among lymphoedema patients in Haiti [81]. …”

Section: Acute Inflammatory Episodes (Acute Attacks)mentioning

confidence: 99%

“…Participation in patient support groups was shown to decrease the number of ADLA episodes and improve quality of life among lymphoedema patients in Haiti [81]. In Brazil, patient 'Hope Clubs' have been developed to provide ongoing opportunities for social and emotional support, problem-solving, and continued learning [124].…”

Section: Lymphoedemamentioning

confidence: 99%

Morbidity management in the Global Programme to Eliminate Lymphatic Filariasis: a review of the scientific literature

2007

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The Global Programme to Eliminate Lymphatic Filariasis (GPELF) has two major goals: to interrupt transmission of the parasite and to provide care for those who suffer the devastating clinical manifestations of the disease (morbidity control). This latter goal addresses three filariasis-related conditions: acute inflammatory episodes; lymphoedema; and hydrocele. Research during the last decade has confirmed the importance of bacteria as a cause of acute inflammatory episodes in filariasis-endemic areas, known as acute dermatolymphangioadenitis (ADLA). Current lymphoedema management strategies are based on the central role of ADLA as a trigger for lymphoedema progression. Simple intervention packages are in use that have resulted in dramatic reductions in ADLA rates, a lower prevalence of chronic inflammatory cells in the dermis and subdermis, and improvement in quality of life. During the past decade, the socioeconomic impact of ADLA and lymphoedema in filariasis-endemic areas has received increasing attention. Numerous operational research questions remain to be answered regarding how best to optimize, scale up, monitor, and evaluate lymphoedema management programmes. Of the clinical manifestations targeted by the GPELF, hydrocele has been the focus of the least attention. Basic information is lacking on the effectiveness and complications of hydrocele surgery and risk of post-operative hydrocele recurrence in filariasis-endemic areas. Data on the impact of mass administration of antifilarial drugs on filarial morbidity are inconsistent. Several studies report reductions in acute inflammatory episodes, lymphoedema, and/or hydrocele following mass drug administration, but other studies report no such association. Assessing the public health impact of mass treatment with antifilarial drugs is important for programme advocacy and morbidity control strategies. Thus, although our knowledge of filariasis-related morbidity and its treatment has expanded in recent years, much work remains to be done to address the needs of more than 40 million persons who suffer worldwide from these conditions.

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Indigenization of Illness Support Groups for Lymphatic Filariasis in Haiti

Cited by 4 publications

References 33 publications

Quality of Life of Filarial Lymphoedema Patients in a Coastal Area of Alappuzha District, Kerala

Quality of Life of Filarial Lymphoedema Patients in a Coastal Area of Alappuzha District, Kerala

Feasibility and Effectiveness of Basic Lymphedema Management in Leogane, Haiti, an Area Endemic for Bancroftian Filariasis

Morbidity management in the Global Programme to Eliminate Lymphatic Filariasis: a review of the scientific literature

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