https://doi.org/10.4081/monaldi.2024.3154
Knowledge, attitude and perceived barriers related to directly observed treatment, short-course among patients and caregivers attending tuberculosis clinics: a cross-sectional survey
Submitted: July 27, 2024
Accepted: August 30, 2024
Published: October 2, 2024
Accepted: August 30, 2024
Abstract Views: 167
PDF_EARLY VIEW: 53
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Tuberculosis (TB) is a major worldwide health problem, particularly in India, where it accounts for a quarter of infections. Adherence to the directly observed treatment, short-course (DOTS), which is necessary for TB treatment, is difficult in resource-limited circumstances. This study addressed the knowledge, attitude, and perceived barriers related to TB and DOTS adherence among patients and caregivers. A cross-sectional survey was undertaken at the selected TB clinics between November 2023 and March 2024. Purposive sample yielded 180 patients and 217 caregivers. Data were obtained using validated, self-structured questionnaires that assessed knowledge, attitude, and perceived barriers to TB and DOTS adherence. Statistical analysis was carried out with IBM SPSS version 23.0. The study found that caregivers had considerably greater TB knowledge than patients (p<0.05). Many patients misunderstood the cause of TB (50.6%) and embraced various misconceptions about the disease, such as TB spreading by shaking hands or sharing food, swimming in a holy river to cure diseases, and TB being the result of sin or karmic retribution. Distance to treatment facilities (95.6%), the necessity to take time off from work (91.7%), and social stigma (65.0%) were identified as the top three barriers to DOTS adherence. The study highlighted considerable gaps in knowledge, distant healthcare facilities, busy work schedules, and social stigma as barriers to TB treatment adherence in Deoghar, Jharkhand. Addressing these challenges via focused education and support activities is essential for enhancing DOTS adherence and TB treatment outcomes.
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Ethics Approval
The Institute Ethics Committee approved the study (AIIMS- DEO/RC-IEC-Full committee/2023-Jan/61).How to Cite
Gaur, Rakhi, Suresh Kumar Sharma, Suman Kumar, Shiv Kumar Mudgal, Vipin Patidar, and Ayesha Juhi. 2024. “Knowledge, Attitude and Perceived Barriers Related to Directly Observed Treatment, Short-Course Among Patients and Caregivers Attending Tuberculosis Clinics: A Cross-Sectional Survey”. Monaldi Archives for Chest Disease, October. https://doi.org/10.4081/monaldi.2024.3154.
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