Feasibility of an Alcohol Intervention Programme for TB Patients with Alcohol Use Disorder (AUD) - A Qualitative Study from Chennai, South India

Autor: B. Gopala Ganapathy, Asaithambi Armugam, Jamuna Mani, F. Faizunnisha, Beena E Thomas, Mohanasundari Chelliah, Fraser Wares, Mohanarani Suhadev
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Research design
Male
Psychological intervention
lcsh:Medicine
Alcohol use disorder
Social and Behavioral Sciences
law.invention
Randomized controlled trial
Sociology
law
Surveys and Questionnaires
Medicine
lcsh:Science
Qualitative Research
Multidisciplinary
Social Research
Qualitative Studies
Focus Groups
Socioeconomic Aspects of Health
Infectious Diseases
Research Design
Public Health
Alcohol
Behavioral and Social Aspects of Health
Alcohol-Related Disorders
Research Article
medicine.medical_specialty
Tuberculosis
Infectious Disease Control
Alcohol Drinking
Clinical Research Design
India
Intervention (counseling)
mental disorders
Humans
Peer pressure
Psychiatry
Survey Research
business.industry
lcsh:R
Tropical Diseases (Non-Neglected)
medicine.disease
Focus group
Feasibility Studies
lcsh:Q
Perception
business
Infectious Disease Modeling
Zdroj: PLoS ONE
PLoS ONE, Vol 6, Iss 11, p e27752 (2011)
ISSN: 1932-6203
Popis: Background The negative influences of alcohol on TB management with regard to delays in seeking care as well as non compliance for treatment has been well documented. This study is part of a larger study on the prevalence of AUD (Alcohol Use Disorder) among TB patients which revealed that almost a quarter of TB patients who consumed alcohol could be classified as those who had AUD. However there is dearth of any effective alcohol intervention programme for TB patients with Alcohol Use Disorder (AUD). Methodology This qualitative study using the ecological system model was done to gain insights into the perceived effect of alcohol use on TB treatment and perceived necessity of an intervention programme for TB patients with AUD. We used purposive sampling to select 44 men from 73 TB patients with an AUDIT score >8. Focus group discussions (FGDs) and interviews were conducted with TB patients with AUD, their family members and health providers. Results TB patients with AUD report excessive alcohol intake as one of the reasons for their vulnerability for TB. Peer pressure has been reported by many as the main reason for alcohol consumption. The influences of alcohol use on TB treatment has been elaborated especially with regard to the fears around the adverse effects of alcohol on TB drugs and the fear of being reprimanded by health providers. The need for alcohol intervention programs was expressed by the TB patients, their families and health providers. Suggestions for the intervention programmes included individual and group sessions, involvement of family members, audiovisual aids and the importance of sensitization by health staff. Conclusions The findings call for urgent need based interventions which need to be pilot tested with a randomized control trial to bring out a model intervention programme for TB patients with AUD.
Databáze: OpenAIRE
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