2010
DOI: 10.1258/jhsrp.2010.009111
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Patients’ experiences of an intervention to support tuberculosis treatment adherence in South Africa

Abstract: The study suggests that differences remain between the ART approach and the new TB treatment model. While the new programme seems to have succeeded in providing additional information, it is not clear that it substantially changed patient agency over their treatment taking in this setting.

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Cited by 7 publications
(5 citation statements)
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References 110 publications
(210 reference statements)
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“…The key parts of the programme are described in Table 1 and the tasks and responsibilities of nurses and lay health workers within the programme are described in Table 2. This article complements papers reporting how the programme was developed (Atkins, S, Lewin, S, Ringsberg, KC, Thorson, A: Developing a new model of tuberculosis treatment support in Cape Town, South Africa: A qualitative process analysis, submitted); the findings of a parallel interrupted time series study of the effects of the programme [15]; and a study describing patient experiences [16]. …”
Section: Methodsmentioning
confidence: 87%
See 1 more Smart Citation
“…The key parts of the programme are described in Table 1 and the tasks and responsibilities of nurses and lay health workers within the programme are described in Table 2. This article complements papers reporting how the programme was developed (Atkins, S, Lewin, S, Ringsberg, KC, Thorson, A: Developing a new model of tuberculosis treatment support in Cape Town, South Africa: A qualitative process analysis, submitted); the findings of a parallel interrupted time series study of the effects of the programme [15]; and a study describing patient experiences [16]. …”
Section: Methodsmentioning
confidence: 87%
“…In this setting, however, distrust and power differentials between patients and staff remained important. Discussions with patients indicated that patients may not have become active participants in the treatment process, as intended by the programme [16]. The intervention's limited effect on empowerment is also not surprising given the difficulties in relationships between TB patients and providers documented extensively elsewhere [6,28].…”
Section: Discussionmentioning
confidence: 99%
“…Notes taken at these meetings, and informal discussions and observations during fieldwork, complemented the interview data and were drawn on during the analysis. This study formed part of a larger evaluation of the ETA programme, the results of which are reported elsewhere (27–29). …”
Section: Methodsmentioning
confidence: 94%
“…While the results of local consultation apply to the specific setting, they also shed light on implications of the intervention elsewhere and the need for consideration of recipients’ views and behaviours. For instance, Atkins and colleagues [47] explored patients’ experiences of a new intervention, aiming to empower them to take more responsibility for the management of their tuberculosis. They found that the intervention had achieved its aims but only in patients internalising the intervention messages, not necessarily resulting in an increase adherence.…”
Section: Discussionmentioning
confidence: 99%