Feasibility of an Alcohol Intervention Programme for TB Patients with Alcohol Use Disorder (AUD) - A Qualitative Study from Chennai, South India 英文参考文献.docVIP

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Feasibility of an Alcohol Intervention Programme for TB Patients with Alcohol Use Disorder (AUD) - A Qualitative Study from Chennai, South India 英文参考文献.doc

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Feasibility of an Alcohol Intervention Programme for TB Patients with Alcohol Use Disorder (AUD) - A Qualitative Study from Chennai, South India 英文参考文献

FeasibilityofanAlcoholInterventionProgrammeforTB PatientswithAlcoholUseDisorder(AUD)-AQualitative StudyfromChennai,SouthIndia BeenaThomas1*,MohanaraniSuhadev1,JamunaMani1,B.GopalaGanapathy1,AsaithambiArmugam1, F.Faizunnisha1,MohanasundariChelliah1,FraserWares2 1TuberculosisResearchCentre,Chetput,Chennai,Tamilnadu,India,2OfficeoftheWHORepresentativetoIndia,NewDelhi,India Abstract Background:ThenegativeinfluencesofalcoholonTBmanagementwithregardtodelaysinseekingcareaswellasnon compliancefortreatmenthasbeenwelldocumented.ThisstudyispartofalargerstudyontheprevalenceofAUD(Alcohol Use Disorder) among TB patients which revealed that almost a quarter of TB patients who consumed alcohol could be classifiedasthosewhohadAUD.HoweverthereisdearthofanyeffectivealcoholinterventionprogrammeforTBpatients withAlcoholUseDisorder(AUD). Methodology:Thisqualitativestudyusingtheecologicalsystemmodelwasdonetogaininsightsintotheperceivedeffect ofalcoholuseonTBtreatmentandperceivednecessityofaninterventionprogrammeforTBpatientswithAUD.Weused purposivesamplingtoselect44menfrom73TBpatientswithanAUDITscore .8.Focusgroupdiscussions(FGDs)and interviewswereconductedwithTBpatientswithAUD,theirfamilymembersandhealthproviders. Results: TB patients with AUD report excessive alcohol intake as one of the reasons for their vulnerability for TB. Peer pressure has been reported by many as the main reason for alcohol consumption. The influences of alcohol use on TB treatmenthasbeenelaboratedespeciallywithregardtothefearsaroundtheadverseeffectsofalcoholonTBdrugsandthe fear of being reprimanded by health providers. The need for alcohol intervention programs was expressed by the TB patients,theirfamiliesandhealthproviders.Suggestionsfortheinterventionprogrammesincludedindividualandgroup sessions,involvementoffamilymembers,audiovisualaidsandtheimportanceofsensitizationbyhealthstaff. Conclusions:Thefindingscallforurgentneedbasedinterventionswhichneedtobepilottestedwitharandomizedcontrol trialtobringouta