Article Text

Download PDFPDF

Effectiveness of comprehensive social support interventions among elderly patients with tuberculosis in communities in China: a community-based trial
  1. Xuhui Li1,2,
  2. Bin Wang1,
  3. Dixin Tan1,
  4. Mengyu Li1,
  5. Dandan Zhang1,
  6. Cong Tang1,
  7. Xiaonan Cai1,
  8. Yaqiong Yan3,
  9. Sheng Zhang4,
  10. Bo Jin5,
  11. Songlin Yu1,
  12. Xunchang Liang1,
  13. Qian Chu6,
  14. Yihua Xu1,2
  1. 1 Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  2. 2 Ministry of Education (MOE) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  3. 3 Wuhan Municipal Center for Disease Control and Prevention, Wuhan, China
  4. 4 Gutian Community Health Service, Wuhan, China
  5. 5 Xincun Street Community Health Service, Wuhan, China
  6. 6 Department of Oncology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  1. Correspondence to Dr Yihua Xu, Department of Epidemiology and Biostatistics, Ministry of Education (MOE) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; xuyihua_6{at}hotmail.com

Abstract

Background With the increasing of ageing population, tuberculosis in the elderly brings a challenge for the tuberculosis (TB) control in China. Enough social support can promote the treatment adherence and outcome of the elderly patients with TB. Exploring effective interventions to improve the social support of patients is of great significance for TB management and control.

Methods A community-based, repeated measurement trial was conducted. Patients with TB >65 years of age were allocated into the intervention or control group. Patients in the intervention group received comprehensive social support interventions, while those in the control group received health education alone. The social support level of patients was measured at baseline and at the first, third and sixth months during the intervention to assess the effectiveness of comprehensive social support interventions.

Results A total of 201 patients were recruited into the study. Compared with the control group, social support for patients in the intervention group increased significantly over time (βgroup*time=0.61, P<0.01) in the following three dimensions: objective support (βgroup*time=0.15, P<0.05), subjective support (βgroup*time=0.32, P<0.05) and support utilisation (βgroup*time=0.16, P<0.05). The change in the scores in the control group was not statistically significant.

Conclusions The intervention programme in communities, including health education, psychotherapy and family and community support interventions, can improve the social support for elderly patients with TB compared with single health education.

Trial registration number ChiCTR-IOR-16009232

  • tuberculosis
  • the elderly
  • social support
  • intervention

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors XL, BW and YX designed this research. XL wrote the manuscript. BW analysed the data. XL, DT, ML, DZ, CT, XC, YY, SZ and BJ organised the field intervention and collected questionnaires. SY, XL, QC and YX gave instructions on the study.

  • Funding This work was supported by National Social Science Fund of China (grant number 15BSH118) and Innovation Research Fund of Huazhong University of Science and Technology (no. 2013TS004).

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval This study was approved by the ethics committee of Tongji Medical College, Huazhong University of Science and Technology.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.