Jean Macq|Alejandro Solís|Guillermo Martínez|Patrick Martiny
Tackling tuberculosis patients' internalized social stigma through patient centred care: An intervention study in rural Nicaragua
Université Libre de Bruxelles|National Autonomous University of Nicaragua|National Autonomous University of Nicaragua|Université Libre de Bruxelles
report patientcentered intervention study 9 municipalities rural nicaragua aiming reduction internalized social stigma new afb positive tuberculosis tb patients diagnosed march 2004 july 2005 five 9 municipal teams coached tailor introduce patientcentered package new tb patients assigned intervention group diagnosed municipalities implementing effectively least tb clubs home visits compared changes internalized stigma tb treatment outcome intervention control groups internalized stigma measured score computed 15 days 2 months treatment treatment results evaluated classical tb program indicators municipalities emphasized process monitoring capture contextual factors could influence package implementation including stakeholders tb clubs home visits effectively implemented 2 municipalities june 2004 3 municipalities january 2005 therefore 122 patients included intervention group 146 control group 15 days internalized stigma scores equivalent groups 2 months difference scores statistically significant revealing decreased internalized stigma intervention group control group study provides initial evidences possible act tb patients internalized stigma contexts least patient centered home visits tb clubs successfully implemented important indeed tb care also focus tb patients wellbeing solely tb epidemics control