Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata
Context and Aims: This study was carried out to assess quality of life (QoL) of tuberculosis patients receiving treatment from DOTS centres, to find out its change with treatment, and to ascertain its determinants. Materials and Methods: An institution based follow-up study was conducted in Bagbazar...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=3;spage=1070;epage=1075;aulast=Banerjee |
| _version_ | 1811219077416353792 |
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| author | Sitikantha Banerjee Kajari Bandyopadhyay Pranita Taraphdar Aparajita Dasgupta |
| author_facet | Sitikantha Banerjee Kajari Bandyopadhyay Pranita Taraphdar Aparajita Dasgupta |
| author_sort | Sitikantha Banerjee |
| collection | DOAJ |
| description | Context and Aims: This study was carried out to assess quality of life (QoL) of tuberculosis patients receiving treatment from DOTS centres, to find out its change with treatment, and to ascertain its determinants. Materials and Methods: An institution based follow-up study was conducted in Bagbazar Urban Health District (UHD), Kolkata where all the tuberculosis patients registered within 1st 4 months of data collection were followed up for their current course of treatment. Quality of Life (QoL) was assessed using SF36v2 questionnaire at the start of treatment and after continuation phase (CP) (within 14 days). Statistical Analysis Used: General Linear Model was used to assess the predictors of change of QoL with treatment. Results: 61.4% and 16.4% patients were at the risk of depression at the start and end of their TB treatment respectively. Patient's per-capita monthly Income (PCI) and current smoking status interacted with time to predict trends in the Physical component scores. Similarly, PCI and educational status interacted with time to predict trends in the mental component scores. PCI and unemployment were found to be predictor of differences of Physical and mental component scores (between subject effects) respectively. Conclusions: QoL assessment in different stages of treatment should be incorporated in the ongoing RNTCP to make the programme more client-oriented and comprehensive, and to provide social support to those who need it most. Directly observed treatment should be supplemented with economic support, de-addiction campaign and Inter-personal counselling by the DOTS providers. |
| first_indexed | 2024-04-12T07:19:20Z |
| format | Article |
| id | doaj.art-6168a7b014f64a64b89da9dea49af04a |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-12T07:19:20Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-6168a7b014f64a64b89da9dea49af04a2022-12-22T03:42:22ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-01831070107510.4103/jfmpc.jfmpc_347_18Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of KolkataSitikantha BanerjeeKajari BandyopadhyayPranita TaraphdarAparajita DasguptaContext and Aims: This study was carried out to assess quality of life (QoL) of tuberculosis patients receiving treatment from DOTS centres, to find out its change with treatment, and to ascertain its determinants. Materials and Methods: An institution based follow-up study was conducted in Bagbazar Urban Health District (UHD), Kolkata where all the tuberculosis patients registered within 1st 4 months of data collection were followed up for their current course of treatment. Quality of Life (QoL) was assessed using SF36v2 questionnaire at the start of treatment and after continuation phase (CP) (within 14 days). Statistical Analysis Used: General Linear Model was used to assess the predictors of change of QoL with treatment. Results: 61.4% and 16.4% patients were at the risk of depression at the start and end of their TB treatment respectively. Patient's per-capita monthly Income (PCI) and current smoking status interacted with time to predict trends in the Physical component scores. Similarly, PCI and educational status interacted with time to predict trends in the mental component scores. PCI and unemployment were found to be predictor of differences of Physical and mental component scores (between subject effects) respectively. Conclusions: QoL assessment in different stages of treatment should be incorporated in the ongoing RNTCP to make the programme more client-oriented and comprehensive, and to provide social support to those who need it most. Directly observed treatment should be supplemented with economic support, de-addiction campaign and Inter-personal counselling by the DOTS providers.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=3;spage=1070;epage=1075;aulast=BanerjeeDirectly Observed Therapy Short Coursegeneral linear modelquality of lifeRevised National Tuberculosis Control Programme |
| spellingShingle | Sitikantha Banerjee Kajari Bandyopadhyay Pranita Taraphdar Aparajita Dasgupta Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata Journal of Family Medicine and Primary Care Directly Observed Therapy Short Course general linear model quality of life Revised National Tuberculosis Control Programme |
| title | Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata |
| title_full | Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata |
| title_fullStr | Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata |
| title_full_unstemmed | Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata |
| title_short | Effect of DOTS on quality of life among tuberculosis patients: A follow-up study in a health district of Kolkata |
| title_sort | effect of dots on quality of life among tuberculosis patients a follow up study in a health district of kolkata |
| topic | Directly Observed Therapy Short Course general linear model quality of life Revised National Tuberculosis Control Programme |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=3;spage=1070;epage=1075;aulast=Banerjee |
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