Adherence is associated with the quality of professional-patient interaction in Directly Observed Treatment Short-course, DOTS

Pranaya Mishra; Ebba Holme Hansen; Svend Sabroe; Kumud Kumar Kafle

doi:10.1016/j.pec.2005.08.006

Adherence is associated with the quality of professional-patient interaction in Directly Observed Treatment Short-course, DOTS

Pranaya Mishra, Ebba Holme Hansen, Svend Sabroe, Kumud Kumar Kafle

48 Citations (Scopus)

Abstract

OBJECTIVE: To investigate the association between the behaviour of health professionals as reported by patients, the quality of communication, patients' communication about their disease, and non-adherence to Directly Observed Tuberculosis Treatment Short-course, DOTS.

METHODS: This study was designed as a case-control study based on 50 cases (non-adherents) and 100 controls (adherents), conducted in a hilly western district in Nepal. The participation rate was 80% for 50 cases and 95% for 100 controls. All covariates with p-value<or=0.2 were included in a multivariate logistic regression model to identify the factors significantly associated with treatment non-adherence.

RESULTS: The analysis identified that poor-grade communication (OR=11.2; CI 2.5-50.4) and fair-grade communication (OR=2.7; CI 1.2-6.3) between patients and dispensers were significantly associated with non-adherence.

CONCLUSION: Better communication between health professionals, particularly dispensers, and patients is essential for improving treatment adherence in TB treatment, even under DOTS.

PRACTICE IMPLICATIONS: Drug dispensers should be trained to develop their communication skills about the use of medications, associated side effects, benefits and risk of non-adherence, as well as to respect the individual patient's autonomy and integrity.

Original language	English
Journal	Patient Education and Counseling
Volume	63
Issue number	1-2
Pages (from-to)	29-37
Number of pages	9
ISSN	0738-3991
DOIs	https://doi.org/10.1016/j.pec.2005.08.006
Publication status	Published - Oct 2006

Keywords

Adolescent
Adult
Aged
Antitubercular Agents
Case-Control Studies
Clinical Competence
Communication
Directly Observed Therapy
Female
Health Knowledge, Attitudes, Practice
Health Services Needs and Demand
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Nepal
Patient Compliance
Patient Education as Topic
Professional-Patient Relations
Psychological Theory
Questionnaires
Risk Factors
Tuberculosis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.pec.2005.08.006

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title = "Adherence is associated with the quality of professional-patient interaction in Directly Observed Treatment Short-course, DOTS",

abstract = "OBJECTIVE: To investigate the association between the behaviour of health professionals as reported by patients, the quality of communication, patients' communication about their disease, and non-adherence to Directly Observed Tuberculosis Treatment Short-course, DOTS.METHODS: This study was designed as a case-control study based on 50 cases (non-adherents) and 100 controls (adherents), conducted in a hilly western district in Nepal. The participation rate was 80% for 50 cases and 95% for 100 controls. All covariates with p-valueRESULTS: The analysis identified that poor-grade communication (OR=11.2; CI 2.5-50.4) and fair-grade communication (OR=2.7; CI 1.2-6.3) between patients and dispensers were significantly associated with non-adherence.CONCLUSION: Better communication between health professionals, particularly dispensers, and patients is essential for improving treatment adherence in TB treatment, even under DOTS.PRACTICE IMPLICATIONS: Drug dispensers should be trained to develop their communication skills about the use of medications, associated side effects, benefits and risk of non-adherence, as well as to respect the individual patient's autonomy and integrity.",

keywords = "Adolescent, Adult, Aged, Antitubercular Agents, Case-Control Studies, Clinical Competence, Communication, Directly Observed Therapy, Female, Health Knowledge, Attitudes, Practice, Health Services Needs and Demand, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Nepal, Patient Compliance, Patient Education as Topic, Professional-Patient Relations, Psychological Theory, Questionnaires, Risk Factors, Tuberculosis",

author = "Pranaya Mishra and Hansen, {Ebba Holme} and Svend Sabroe and Kafle, {Kumud Kumar}",

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doi = "10.1016/j.pec.2005.08.006",

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AU - Sabroe, Svend

AU - Kafle, Kumud Kumar

PY - 2006/10

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N2 - OBJECTIVE: To investigate the association between the behaviour of health professionals as reported by patients, the quality of communication, patients' communication about their disease, and non-adherence to Directly Observed Tuberculosis Treatment Short-course, DOTS.METHODS: This study was designed as a case-control study based on 50 cases (non-adherents) and 100 controls (adherents), conducted in a hilly western district in Nepal. The participation rate was 80% for 50 cases and 95% for 100 controls. All covariates with p-valueRESULTS: The analysis identified that poor-grade communication (OR=11.2; CI 2.5-50.4) and fair-grade communication (OR=2.7; CI 1.2-6.3) between patients and dispensers were significantly associated with non-adherence.CONCLUSION: Better communication between health professionals, particularly dispensers, and patients is essential for improving treatment adherence in TB treatment, even under DOTS.PRACTICE IMPLICATIONS: Drug dispensers should be trained to develop their communication skills about the use of medications, associated side effects, benefits and risk of non-adherence, as well as to respect the individual patient's autonomy and integrity.

AB - OBJECTIVE: To investigate the association between the behaviour of health professionals as reported by patients, the quality of communication, patients' communication about their disease, and non-adherence to Directly Observed Tuberculosis Treatment Short-course, DOTS.METHODS: This study was designed as a case-control study based on 50 cases (non-adherents) and 100 controls (adherents), conducted in a hilly western district in Nepal. The participation rate was 80% for 50 cases and 95% for 100 controls. All covariates with p-valueRESULTS: The analysis identified that poor-grade communication (OR=11.2; CI 2.5-50.4) and fair-grade communication (OR=2.7; CI 1.2-6.3) between patients and dispensers were significantly associated with non-adherence.CONCLUSION: Better communication between health professionals, particularly dispensers, and patients is essential for improving treatment adherence in TB treatment, even under DOTS.PRACTICE IMPLICATIONS: Drug dispensers should be trained to develop their communication skills about the use of medications, associated side effects, benefits and risk of non-adherence, as well as to respect the individual patient's autonomy and integrity.

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Adherence is associated with the quality of professional-patient interaction in Directly Observed Treatment Short-course, DOTS

Abstract

Keywords

UN SDGs

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