7 o
Decrease of unfavourable treatment outcomes
Search Planning
a. List of databases that will be search:
- Cochrane library
- Turning Research Into Practice TRIP
- Medline
- CINAHL
- Academic search elite from EbscoHost
b. The search term that will be used:
- Tuberculosis
- Health education
3. Result of the online research evidence
Database searches for article on tuberculosis health education were conducted from 23
rd
April 2007 to 16
th
May 2007 which includes five databases: Cochrane library, Turning Research Into Practice TRIP, Medline, CINAHL, and academic search elite
from EbscoHost. The searches of five databases retrieved a total of 39 citations including 15 critical reviews. Of the all citations, six articles were chosen as the
most relevant article to answer the question from protocol for investigation. The following is a brief summary of systematic review article as the result from online
research evidence: 1
A systematic review article by Volmink and Garner 2006 which had objective to compare directly observed therapy DOT with self administration of treatment in
people requiring treatment for clinically active tuberculosis or prevention of active disease– stated that no strong evidence that DOT strategy would increase cure
rate or treatment completion in people receiving treatment for tuberculosis. However, home-based DOT showed a significant improvement in cure compared
to clinic-based DOT, but the difference was small. 2
A systematic review article by Haynes, et al. 2005 which aims to summarize interventions to change adherence with prescribed medicine f
rom all unconfounded randomized controlled trials. The intervention including:
8 a.
More instruction for patient e.g. verbal, written material, visual material, and programmed learning.
b. Counselling about the patients’ target disease, the importance of therapy and
compliance with therapy, and, the possible side effects. c.
Various ways to increase the convenience of cure, e.g. provision at home. d.
Involving patients more in their case through self-monitoring of respiratory function
e. Direct observation or treatment by health worker or family member
f. Lay health mentoring
3 A systematic review article by Briggs and Garner 2006 which aims to assess the
effect of strategies to integrate primary care services on producing a more coherent product and improving health care delivery and health status. The result
of this systematic review stated that there is no clear evidence that integrating primary care services is better than specialized one to increase adherence to
primary care. The way of primary care services should remain the choice made by government and non-government organization based on rational and availability
of resources.
4 A systematic review article by Lewin, et al. 2006 which had objective to assess
the effect of lay health worker intervention in primary and community health care on health care behaviour, pati
ents’ health and well-being, and patients’ satisfaction with care. This article showed strong evidence that lay health worker
program might provide promising benefits in promoting immunization uptake and improving outcomes of acute respiratory infection and malaria. However, there is
no strong evidence about the effectiveness of lay health worker program for mothers with sick children.
5 A systematic review article by Bosch-Capblanch, et al. 2006 which aims to
assess the effect of contract between patients and healthcare practitioners on patients’ adherence to treatment. This article showed that limited evidence about
contract between patients and healthcare practitioners could increase patients’ adherence to treatment. In tuberculosis, contract between patients and healthcare
9 practitioner for skin test reading could improve adherence, but for adherence for
medication regimen, the contract did not improve adherence. 6
A systematic review article by Woolacott, et al. 2006 which aims to investigate the clinical effectiveness of self care support networks in health and social care.
This article stated that the evidence of benefit of self care support networks is very weak due to low quality of trials even though one study about TB club in Ethiopia
showed that it can improved treatment adherence amongst people with TB in Northern Ethiopia.
4. Discussion
