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Tuberculosis patient and family education through videography in El Salvador

BACKGROUND: Tublosis (TB) and the approaches to successful management are commonly misunderstood health topics among patients and family members within resource-limited settings. Such public misconceptions often result in delayed diagnoses of afflicted patients, suboptimal compliance with prescribed...

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Autores principales: Wilson, John W., Ramos, Julio Garay, Castillo, Francisco, F. Castellanos, Evelyn, Escalante, Patricio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850241/
https://www.ncbi.nlm.nih.gov/pubmed/31723684
http://dx.doi.org/10.1016/j.jctube.2016.05.001
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author Wilson, John W.
Ramos, Julio Garay
Castillo, Francisco
F. Castellanos, Evelyn
Escalante, Patricio
author_facet Wilson, John W.
Ramos, Julio Garay
Castillo, Francisco
F. Castellanos, Evelyn
Escalante, Patricio
author_sort Wilson, John W.
collection PubMed
description BACKGROUND: Tublosis (TB) and the approaches to successful management are commonly misunderstood health topics among patients and family members within resource-limited settings. Such public misconceptions often result in delayed diagnoses of afflicted patients, suboptimal compliance with prescribed therapies and a negative community social stigma that hinders effective contact investigations. OBJECTIVE: To determine through an observational field pilot study if videography-based TB education program can be implemented in busy resource-limited outpatient TB clinic settings and improve both patient and family understanding of TB and its treatment, as well as, improve the efficiency of TB medical evaluations and corresponding contact investigations. METHODS: We produced and implemented a videography-based health educational pilot strategy in 14 TB clinics within El Salvador to supplement the discussions between health providers, patients and families. Field observations and impressions after the first year of implementation were recorded. RESULTS: After viewing the video, patient impressions revealed greater understanding of TB including how it's transmitted and successfully treated, as well as, a more optimistic outlook of the diagnosis. Family members viewing the video displayed less fear and greater interest in TB and also exhibited more support for relatives undergoing evaluation or treatment. Salvadorian TB health providers reported improvements in patient compliance with treatment, contact investigations of suspected patients, delivery of sputum samples for testing, clinic time-efficiency spent with patients, and an observed reduction of negative family stigma of TB. CONCLUSIONS: Our findings suggest that videography-based TB education can be successfully implemented in busy and resource-limited outpatient settings, and can provide a potentially efficient and low-cost effective strategy towards optimizing patient understanding, acceptance and compliance with TB treatment recommendations. This feasibility pilot study provides an opportunity within underresourced clinics for further evaluation regarding the favorable educational and sustainable impact of videography-based health education.
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spelling pubmed-68502412019-11-13 Tuberculosis patient and family education through videography in El Salvador Wilson, John W. Ramos, Julio Garay Castillo, Francisco F. Castellanos, Evelyn Escalante, Patricio J Clin Tuberc Other Mycobact Dis Article BACKGROUND: Tublosis (TB) and the approaches to successful management are commonly misunderstood health topics among patients and family members within resource-limited settings. Such public misconceptions often result in delayed diagnoses of afflicted patients, suboptimal compliance with prescribed therapies and a negative community social stigma that hinders effective contact investigations. OBJECTIVE: To determine through an observational field pilot study if videography-based TB education program can be implemented in busy resource-limited outpatient TB clinic settings and improve both patient and family understanding of TB and its treatment, as well as, improve the efficiency of TB medical evaluations and corresponding contact investigations. METHODS: We produced and implemented a videography-based health educational pilot strategy in 14 TB clinics within El Salvador to supplement the discussions between health providers, patients and families. Field observations and impressions after the first year of implementation were recorded. RESULTS: After viewing the video, patient impressions revealed greater understanding of TB including how it's transmitted and successfully treated, as well as, a more optimistic outlook of the diagnosis. Family members viewing the video displayed less fear and greater interest in TB and also exhibited more support for relatives undergoing evaluation or treatment. Salvadorian TB health providers reported improvements in patient compliance with treatment, contact investigations of suspected patients, delivery of sputum samples for testing, clinic time-efficiency spent with patients, and an observed reduction of negative family stigma of TB. CONCLUSIONS: Our findings suggest that videography-based TB education can be successfully implemented in busy and resource-limited outpatient settings, and can provide a potentially efficient and low-cost effective strategy towards optimizing patient understanding, acceptance and compliance with TB treatment recommendations. This feasibility pilot study provides an opportunity within underresourced clinics for further evaluation regarding the favorable educational and sustainable impact of videography-based health education. Elsevier 2016-05-10 /pmc/articles/PMC6850241/ /pubmed/31723684 http://dx.doi.org/10.1016/j.jctube.2016.05.001 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Wilson, John W.
Ramos, Julio Garay
Castillo, Francisco
F. Castellanos, Evelyn
Escalante, Patricio
Tuberculosis patient and family education through videography in El Salvador
title Tuberculosis patient and family education through videography in El Salvador
title_full Tuberculosis patient and family education through videography in El Salvador
title_fullStr Tuberculosis patient and family education through videography in El Salvador
title_full_unstemmed Tuberculosis patient and family education through videography in El Salvador
title_short Tuberculosis patient and family education through videography in El Salvador
title_sort tuberculosis patient and family education through videography in el salvador
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850241/
https://www.ncbi.nlm.nih.gov/pubmed/31723684
http://dx.doi.org/10.1016/j.jctube.2016.05.001
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