Educational counselling of patients with combined TB and diabetes mellitus: a randomised trial.

Autor:	Koesoemadinata RC; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands., McAllister SM; Department of Preventive and Social Medicine, Centre for International Health, University of Otago Medical School, Dunedin, New Zealand., Soetedjo NNM; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr Hasan Sadikin General Hospital, Bandung, Indonesia., Santoso P; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr Hasan Sadikin General Hospital, Bandung, Indonesia., Ruslami R; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia.; Department of Biomedical Science, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia., Damayanti H; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia., Rahmadika N; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia., Alisjahbana B; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Dr Hasan Sadikin General Hospital, Bandung, Indonesia., van Crevel R; Department of Internal Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands., Hill PC; Department of Preventive and Social Medicine, Centre for International Health, University of Otago Medical School, Dunedin, New Zealand.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2021 Dec 21; Vol. 11 (4), pp. 202-208.
DOI:	10.5588/pha.21.0064
Abstrakt:	Setting: Newly diagnosed pulmonary TB with diabetes mellitus (DM) comorbidity attending clinics in Bandung City, Indonesia. Objective: To describe the effect of educational counselling on patients' knowledge about TB (transmission, treatment, risk factors) and DM (symptoms, treatment, complications, healthy lifestyle), adherence to medication, and to assess characteristics associated with knowledge. Design: All patients received counselling and were then randomised to either structured education on TB-DM, combined with clinical monitoring and medication adjustment (intervention arm), or routine care (control arm). Knowledge and adherence were assessed using a questionnaire. Results: Baseline and 6-month questionnaires were available for 108 of 150 patients randomised (60/76 in the intervention arm and 48/74 in the control arm). Patients knew less about DM than about TB. There was no significant difference in the proportion with knowledge improvement at 6 months, both for TB (difference of differences 14%; P = 0.20) or for DM (10%; P = 0.39) between arms. Intervention arm patients were more likely to adhere to taking DM medication, with fewer patients reporting ever missing oral DM drugs than those in the control arm (23% vs. 48%; P = 0.03). Higher education level was associated with good knowledge of both TB and DM. Conclusions: Structured education did not clearly improve patients' knowledge. It was associated with better adherence to DM medication, but this could not be attributed to education alone. More efforts are needed to improve patients' knowledge, especially regarding DM. (© 2021 The Union.)
Databáze:	MEDLINE
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