Health worker and patient views on implementation of smoking cessation in routine tuberculosis care
Autor: | Boeckmann, Melanie, Warsi, Sahil, Noors, Maryam, Dogar, Omara, Mustagfira, Esha Haowa, Firoze, Fariza, Zahid, Raana, Readshaw, Anne, Siddiqi, Kamran, Kotz, Daniel, Keding, Ada, Gabe, Rhian, Marshall, Anna, Parrott, Steve, Swami, Shilpi, Khan, Amina, Raja, Sonia, Sohail, Salman, Huque, Rumana, Barua, Deepa, Huque, Samina, Jahan, Iashrat, Fatima, Razia, Qadeer, Ejaz, Sheikh, Aziz, Elsey, Helen, Karki, Jiban, Kralikova, Eva, Nohavova, Iveta, Zvolska, Kamila, Pankova, Alexandra, Baral, Sushil, Regmi, Shophika, Shrestha, Prabin, Khanal, Sudeepa, Joshi, Basant |
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Přispěvatelé: | RS: CAPHRI - R5 - Optimising Patient Care, Family Medicine |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty medicine.medical_treatment Health Personnel Health Behavior Psychological intervention MEDLINE TOBACCO CESSATION Article 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Tuberculosis Pakistan 030212 general & internal medicine Young adult Qualitative Research Social influence lcsh:RC705-779 Respiratory tract diseases Bangladesh business.industry 030503 health policy & services Smoking Public Health Environmental and Occupational Health Workload lcsh:Diseases of the respiratory system Patient education Professional-Patient Relations Middle Aged Health services 3. Good health Family medicine Smoking cessation Female Smoking Cessation Implementation research CIGARETTE-SMOKING Morbidity 0305 other medical science business Delivery of Health Care Qualitative research INTERVENTIONS |
Zdroj: | Boeckmann, M, Warsi, S, Noor, M, Dogar, O, Haowa Mustagfira, E, Firoze, F, Zahid, R, Readshaw, A, Siddiqi, K, Kotz, D & Sheikh, A 2019, ' Health worker and patient views on implementation of smoking cessation in routine tuberculosis care ', npj Primary Care Respiratory Medicine, no. 29, 34 . https://doi.org/10.1038/s41533-019-0146-6 npj Primary Care Respiratory Medicine npj Primary Care Respiratory Medicine, 29:34. Springer Nature NPJ Primary Care Respiratory Medicine npj Primary Care Respiratory Medicine, Vol 29, Iss 1, Pp 1-12 (2019) |
ISSN: | 2055-1010 |
Popis: | Smoking worsens tuberculosis (TB) outcomes. Persons with TB who smoke can benefit from smoking cessation. We report findings of a multi-country qualitative process evaluation assessing barriers and facilitators to implementation of smoking cessation behaviour support in TB clinics in Bangladesh and Pakistan. We conducted semi-structured qualitative interviews at five case study clinics with 35 patients and 8 health workers over a period of 11 months (2017–2018) at different time points during the intervention implementation phase. Interviews were conducted by trained researchers in the native languages, audio-recorded, transcribed into English and analysed using a combined deductive–inductive approach guided by the Consolidated Framework for Implementation Research and Theoretical Domains Framework. All patients report willingness to quit smoking and recent quit attempts. Individuals’ main motivations to quit are their health and the need to financially provide for a family. Behavioural regulation such as avoiding exposure to cigarettes and social influences from friends, family and colleagues are main themes of the interviews. Most male patients do not feel shy admitting to smoking, for the sole female patient interviewee stigma was an issue. Health workers report structural characteristics such as high workload and limited time per patient as primary barriers to offering behavioural support. Self-efficacy to discuss tobacco use with women varies by health worker. Systemic barriers to implementation such as staff workload and socio-cultural barriers to cessation like gender relations, stigma or social influences should be dealt with creatively to optimize the behaviour support for sustainability and scale-up. |
Databáze: | OpenAIRE |
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