Comparison of In-Person vs. Video Directly Observed Therapy (VDOT) on Stigma Levels in Tuberculosis Patients

Kara G. C., Yalçın B. M.

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, cilt.35, sa.5, ss.951-960, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.3122/jabfm.2022.ap.210514
  • Dergi Adı: JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.951-960
  • Anahtar Kelimeler: Directly Observed Therapy, Linear Models, Stigmatization, Telemedicine, Tuberculosis, FEASIBILITY, PERCEPTIONS
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Introduction: To investigate the effect of video directly observed therapy (VDOT) on stigma levels inMethods: Thirty TB patients (36.5%) receiving directly observed therapy (DOT) and 52 receiving VDOT (63.4%) between 15.08.2021 and 15.10.2021 in Samsun, Turkey, were included in this study (n = 82). All the participants completed the Stigma Scale in Patients with Tuberculosis (SSTB), and their demographic and disease characteristics were investigated.Results: The mean age of the participants was 50.0 +/- 17.8 years, 64 were married (78.8%), and 38 were women (46.3%) in the study group. Sixty patients had pulmonary TB (73.1%), and duration of disease was less than 6 months in 64 (82.9) patients. The mean SSTB score was 84.2 +/- 12.3, the DOT group exhibiting higher SSTB scores then the VDOT group (t = 2.524, P = .006). The VDOT group had lower mean SSTB subdimension mean scores (perceived stigma, self-perception internalized stigma, and family/friend relations) (P <.05). Linear regression models identified VDOT and male gender as independent factors for increased total SSTB scores (P < .05). VDOT was also identified as an independent factor for total SSTB subdimension scores in the linear regression models (P <.05). Conclusion: Our results confirm that TB patients who receive VDOT has less stigmata compared with homecare DOT. ( J Am Board Fam Med 2022;35:951-960.)