Exploring the Impact of Social Support on Tuberculosis Treatment: A Thematic Review
DOI:
https://doi.org/10.33755/jkk.v10i5.744Keywords:
Social Support, Tuberculosis, Thematic Analysis, Treatment Adherence, Quality of LifeAbstract
Aims: Tuberculosis (TB) remains a critical global health issue, characterized by significant morbidity and mortality rates. Recent research highlights the potential of social support interventions to enhance TB treatment outcomes and improve patient quality of life. This study examines the positive effects of social support interventions on TB patients throughout their treatment process.
Method: Utilizing a traditional review approach, this study applies thematic analysis to synthesize findings from the literature. The review encompasses 17 articles selected from reputable databases, including PubMed, Wiley Online Library, ProQuest, and Google Scholar, based on predefined inclusion criteria. These articles underwent quality assessment using the Critical Appraisal Skills Programme (CASP) tool. The PRISMA flowchart provided transparency in the selection process.
Results: Key themes identified through the analysis include treatment adherence, psychological well-being, motivation to recover, health-related quality of life, prevention of TB transmission, successful TB treatment, and self-efficacy to recover.
Conclusion: The findings suggest that social support interventions can play a crucial role in addressing the persistent challenges of TB management globally.
References
WHO. Global TB Report [Internet]. 2022. Available from: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022
Kementerian Kesehatan RI. Peraturan Menteri Kesehatan No. 43 Tahun 2019 tentang Pusat Kesehatan Masyarakat [Internet]. Jakarta; 2019. Available from: https://www.dinkes. kotabogor.go.id/asset/images/web/files/pmk-nomor-43-tahun-2019-tentang-puskesmas.pdf
Kementrian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2016 tentang Penanggulangan Tuberkulosis. [Internet]. Jakarta; 2016. Available from: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._67_ttg_Penanggulangan_Tuberkolosis_.pdf
KNCV. WHAT IS TUBERCULOSIS? [Internet]. Tuberculosis Foundation. 2021. Available from: https://www.kncvtbc.org/en/about-tb/?gclid=CjwKCAiA78aNBhAlEiwA7B76p2JdPOQQeU7uMvcDEE75tqaTwRVF4GwdQ1lzYkTjdhUh8KLVpkvgihoCwe4QAvD_BwE
Simbolon SM. Factors Affecting Medication Adherence in Pulmonary Tuberculosis Patients at the Medan Tuntungan Health Center in 2018. Sci J. 2019;8(1).
Mekonnen HS, Azagew AW. Non-adherence to anti-tuberculosis treatment, reasons and associated factors among TB patients attending at Gondar town health centers, Northwest Ethiopia 11 Medical and Health Sciences 1103 Clinical Sciences 11 Medical and Health Sciences 1117 Public Hea. BMC Res Notes [Internet]. 2018;11(1):1–8. Available from: https://doi.org/10. 1186/s13104-018-3789-4
Tola HH, Tol A, Shojaeizadeh D, Garmaroudi G. Tuberculosis treatment non-adherence and lost to follow up among TB patients with or without HIV in developing countries: A systematic review. Iran J Public Health. 2015;44(1):1–11.
Leahy-Warren P. Social support theory [Internet]. American Psychological Association. 2014 [cited 2022 Feb 27]. Available from: https://psycnet.apa.org/record/2014-24759-006
Sarafino EP, Smith TW. Health Psychology: Biopsychosocial Interactions. 8th ed. John Wiley & Sons; 2014.
Meth R, Maday R, Klimek C. Self-Help Groups [Internet]. www.goodtherapy.org. 2016. Available from: https://www.goodtherapy.org/blog/psychpedia/self-help-groups
Lestari YP, Sukartini T, Makhfudli M. the Correlation of Family Support and Health Worker Support With Medication Adherence of Tb Patients At Puskesmas (Public Health Service) Taman. Crit Med Surg Nurs J. 2020;9(2):41.
Wulandari D. Analysis of Factors Related to Compliance of Advanced Stage Pulmonary Tuberculosis Patients in Taking Medication at Rumah Sehat Terpadu Hospital in 2015. J Adm Rumah Sakit. 2015;2(1):17–28.
Aryantiningsih DS, Ambiyar, Irfan D. The role of supervisory swallow medicine in tuberculosis reduction in the work area of the city of Pekanbaru Health Office. J Kesehat Komunitas / J Community Heal [Internet]. 2020;6(3):342–7. Available from: https://www.cabdirect.org/cabdirect/abstract/20203579153
Cronin C. Doing your literature review: traditional and systematic techniques. Eval Res Educ. 2011;24(3):219–21.
Onwuegbuzie AJ, Frels R. Seven Steps to a Comprehensive Literature Review: A Multimodal and Cultural Approach. SAGE Publications; 2016.
Machi LA, McEvoy BT. The Literature Review: Six Steps to Success. SAGE Publications; 2012.
Long HA, French DP, Brooks JM. Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Res Methods Med Heal Sci. 2020;1(1):31–42.
Haddaway NR, Page MJ, Pritchard CC, McGuinness LA. PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Syst Rev. 2022;18(2):1–12.
Castleberry A, Nolen A. Thematic analysis of qualitative research data: Is it as easy as it sounds? Curr Pharm Teach Learn [Internet]. 2018;10(6):807–15. Available from: https://www.sciencedirect.com/science/article/pii/S1877129717300606
Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi S. PICO, PICOS and SPIDER: A comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res. 2014;14(1).
Nirmal A, Kuzmik A, Sznajder K, Lengerich E, Fredrick NB, Chen M, et al. ‘If not for this support, I would have left the treatment!’’: Qualitative study exploring the role of social support on medication adherence among pulmonary tuberculosis patients in Western India.’ Glob Public Health [Internet]. 2021;0(0):1–13. Available from: https://doi.org/10. 1080/17441692.2021.1965182
Li X, Wang B, Tan D, Li M, Zhang D, Tang C, et al. Effectiveness of comprehensive social support interventions among elderly patients with tuberculosis in communities in China: A community-based trial. J Epidemiol Community Health. 2018;72(5):369–75.
Khanal S, Elsey H, King R, Baral SC, Bhatta BR, Newell JN. Development of a patient-centred, psychosocial support intervention for multi-drug-resistant tuberculosis (MDR-TB) care in Nepal. PLoS One [Internet]. 2017;12(1):1–17. Available from: http://dx.doi.org/10.1371/journal.pone.0167559
Yin J, Wang X, Zhou L, Wei X. The relationship between social support, treatment interruption and treatment outcome in patients with multidrug-resistant tuberculosis in China: a mixed-methods study. Trop Med Int Heal. 2018;23(6):668–77.
Chen B, Peng Y, Zhou L, Chai C, Yeh HC, Chen S, et al. Social support received by multidrug-resistant tuberculosis patients and related factors: A cross-sectional study in Zhejiang Province, People’s Republic of China. Patient Prefer Adherence. 2016;10:1063–70.
Paz-Soldán VA, Alban RE, Jones CD, Oberhelman RA. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru: A qualitative study. BMC Health Serv Res. 2013;13(1).
Chen X, Xu J, Chen Y, Wu R, Ji H, Pan Y, et al. The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China. Sci Rep [Internet]. 2021;11(1):1–12. Available from: https://doi.org/10.1038/s41598-021-03811-w
Arifin VN, Juariah, Nur A, Uzair FM. The Relationship of Social Support with Medication Adherence Pulmonary Tuberculosis Patients Through DOTS Strategy in Pidie Aceh Indonesia. IOP Conf Ser Mater Sci Eng. 2019;469(1):1–8.
Saqib SE, Ahmad MM, Panezai S. Care and social support from family and community in patients with pulmonary tuberculosis in Pakistan. Fam Med Community Heal. 2019;7(4):1–10.
Van Hoorn R, Jaramillo E, Collins D, Gebhard A, Van den Hof S. The effects of psycho-emotional and socioeconomic support for tuberculosis patients on treatment adherence and treatment outcomes – A systematic review and meta-analysis. PLoS One [Internet]. 2016;11(4):1–28. Available from: http://dx.doi.org/10.1371/journal.pone.0154095
Skiles MP, Curtis SL, Angeles G, Mullen S, Senik T. Evaluating the impact of social support services on tuberculosis treatment default in Ukraine. PLoS One. 2018;13(8):1–14.
Hasanah U, Makhfudli M, Ni’Mah L, Efendi F, Aurizki GE. Peer Group Support on the Treatment Adherence of Pulmonary Tuberculosis Patients. IOP Conf Ser Earth Environ Sci. 2019;246(1):1–6.
Zarova C, Chiwaridzo M, Tadyanemhandu C, Machando D, Dambi JM. The impact of social support on the health-related quality of life of adult patients with tuberculosis in Harare, Zimbabwe: A cross-sectional survey 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Res Notes [Internet]. 2018;11(1):1–8. Available from: https://doi.org/10.1186/ s13104-018-3904-6
Yin J. Social Support , Medication Adherence and Treatment Outcomes in Patients with Multidrug-Resistant Tuberculosis. ProQuest Diss Publ. 2016;(September).
Van De Berg S, Jansen-Aaldring N, De Vries G, Van Den Hof S. Patient support for tuberculosis patients in low-incidence countries: A systematic review. PLoS One [Internet]. 2018;13(10):1–25. Available from: http://dx.doi.org/10.1371/journal.pone.0205433
Baniqued MG., Ballecer BAP., Ballesteros BDC., Balmonte JRR., Bancud EMF., Rebueno MCDR., et al. Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines. Public Health Nurs. 2020;37(3).
Jauhar M, Widjanarko B, Java C, Support PG. Effect of Peer Group Support on the Self-Efficacy of Multi Drug Resistant Tuberculosis Patients in Underwent Compliance Treatment. Int J Heal Educ Soc [Internet]. 2019;2:31–6. Available from: https://ijhes.com/index.php/ijhes/article/view/39
Stop TB Partnership Indonesia. Strengthening the Mental Health of People with TB through Support Group Assistance [Internet]. 2022 [cited 2023 Jul 23]. Available from: https://www.stoptbindonesia.org/single-post/perkuat-kesehatan-mental-orang-dengan-tbc-dengan-dukungan-support-group
Oh AL, Makmor-Bakry M, Islahudin F, Wong ICK. Prevalence and predictive factors of tuberculosis treatment interruption in the Asia region: A systematic review and meta-analysis. BMJ Glob Heal. 2023;8(1):1–12.
Gao J, McLellan R. Using Ryff’s scales of psychological well-being in adolescents in mainland China. BMC Psychol. 2018;6(1):1–8.
Emami H, Modarressi T, Najmi K, Radmand G, Monjazebi F, Tabarsi P, et al. Psychological symptoms before and after a 14-day initial inpatient treatment in tuberculosis patients compared with their primary caregivers and healthy controls. Tanaffos. 2015;14(3):182–92.
Behzadifar M, Mirzaei M, Behzadifar M, Keshavarzi A, Behzadifar M, Saran M. Patients’ experience of tuberculosis treatment using directly observed treatment, short-course (DOTS): A qualitative study. Iran Red Crescent Med J. 2015;17(4):4–9.
Teoli D, Bhardwaj A. Quality Of Life [Internet]. StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536962/
WHO. Tuberculosis [Internet]. World Health Organization. 2021 [cited 2021 Sep 4]. Available from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis
Kementrian Kesehatan RI. Stop Tuberkulosis [Internet]. Direktorat Jenderal Pelayanan Kesehatan. 2022 [cited 2023 Jul 25]. Available from: https://yankes.kemkes.go.id/view_artikel/1767/stop-tuberkulosis#:~:text=Salah satu langkah untuk mencegah,sebelum bayi berusia 2 bulan.
Stanhope M, Lancaster J. PUBLIC HEALTH NURSING Population-Centered Health Care in the Community. 9th ed. United State: Elsevier Health Sciences; 2016.
Saputri TA, Istiqomah. Hubungan Self Efficacy dengan Kepatuhan Minum Obat Pada Pasien Tuberkulosis Paru di Puskesmas Pekayon Jaya Kecamatan Bekasi Selatan Kota Bekasi. J Afiat Kesehat Dan Anak [Internet]. 2021;7(2):97–112. Available from: https://uia.e-journal.id/afiat/article/view/2139
WHO. Community-based Rehabilitation: CBR Guidelines. World Health Organization; 2010. (Community-based Rehabilitation: CBR Guidelines).
Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. 7th ed. USA: Pearson Education; 2015
