Factors Associated with Non-Acceptance of Testing and Evaluation of Household Contacts Exposed to Tuberculosis

2.50
Hdl Handle:
http://hdl.handle.net/10755/621496
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Factors Associated with Non-Acceptance of Testing and Evaluation of Household Contacts Exposed to Tuberculosis
Author(s):
Barroso, Elvy G.
Lead Author STTI Affiliation:
Alpha Phi
Author Details:
Elvy G. Barroso, MD, MSc, MS, MPH, RN, RN, Professional Experience: has 28 years of experience in Public Health both internationally and nationally; 21 years of experience in conducting trainings, planning, organizing, and coordinating educational activities for the Bureau of Tuberculosis Control; and six years of experience teaching in Nursing School. Author Summary: Has 28 years of experience in Public Health both internationally and nationally; 21 years of experience in conducting trainings, planning, organizing, and coordinating educational activities for the New York City Department of Health and Mental Hygiene, Bureau of Tuberculosis Control; and eight years of experience teaching in Nursing School.
Abstract:

Purpose:

The WHO reports that the incidence of TB is approximately 9.0 million new cases globally each year and approximately 3.3 million cases are missed by health systems as either undiagnosed or not reported. A single index case can infect up to 10 to 15 contacts over the course of a year. Thus, complete and timely evaluation of all contacts exposed to TB is crucial for decreasing the transmission and incidence of TB. Several barriers to testing of contacts have been identified, however, no studies specifically address contacts’ non-acceptance to TB testing and evaluation. Both nurses and non-nurse managers conduct contact investigations (CI), but it is not known if there are differences in adherence to TB testing and evaluation based on type of provider. The study will seek to determine factors associated with non-acceptance of TB testing and evaluations as well as compare testing adherence rates among household contacts manage by nurses versus non-nurse managers.

Pender’s Health Promotion Model (HPM) will guide the examination of factors that prevent contacts from accepting TB testing and evaluation. The HMP stresses that an understanding of the major determinants of health informs the counseling of healthy behaviors. Uncovering the factors that determine a contact’s behavior will likely lead to effective counseling of contacts exposed to TB.

Methods:

A retrospective study of four years of data extracted from the New York City Department of Health and Mental Hygiene TB registry will be used to assess factors associated with household contact’s non-acceptance of TB testing and evaluation. Data elements include demographics, contact information, reporting and assignment, clinical disposition, and case management provider type. Logistic regression will be used to assess the probability of not accepting TB testing and evaluation based on independent variables, and to assess differences between two independent variables: a nurse manager and a non-nurse manager with non-acceptance of TB testing and evaluation.

Results:

On-going research.

Conclusion:

Study findings will provide data to facilitate health departments to develop appropriate strategies to increase household contacts’ acceptance of TB testing and evaluation.

Keywords:
Health Promotion and Disease Prevention; Nursing Case Management; Tuberculosis
Repository Posting Date:
14-Jun-2017
Date of Publication:
14-Jun-2017
Other Identifiers:
INRC17PST559
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleFactors Associated with Non-Acceptance of Testing and Evaluation of Household Contacts Exposed to Tuberculosisen_US
dc.contributor.authorBarroso, Elvy G.en
dc.contributor.departmentAlpha Phien
dc.author.detailsElvy G. Barroso, MD, MSc, MS, MPH, RN, RN, Professional Experience: has 28 years of experience in Public Health both internationally and nationally; 21 years of experience in conducting trainings, planning, organizing, and coordinating educational activities for the Bureau of Tuberculosis Control; and six years of experience teaching in Nursing School. Author Summary: Has 28 years of experience in Public Health both internationally and nationally; 21 years of experience in conducting trainings, planning, organizing, and coordinating educational activities for the New York City Department of Health and Mental Hygiene, Bureau of Tuberculosis Control; and eight years of experience teaching in Nursing School.en
dc.identifier.urihttp://hdl.handle.net/10755/621496-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>The WHO reports that the incidence of TB is approximately 9.0 million new cases globally each year and approximately 3.3 million cases are missed by health systems as either undiagnosed or not reported. A single index case can infect up to 10 to 15 contacts over the course of a year. Thus, complete and timely evaluation of all contacts exposed to TB is crucial for decreasing the transmission and incidence of TB. Several barriers to testing of contacts have been identified, however, no studies specifically address contacts’ non-acceptance to TB testing and evaluation. Both nurses and non-nurse managers conduct contact investigations (CI), but it is not known if there are differences in adherence to TB testing and evaluation based on type of provider. The study will seek to determine factors associated with non-acceptance of TB testing and evaluations as well as compare testing adherence rates among household contacts manage by nurses versus non-nurse managers.</p> <p>Pender’s Health Promotion Model (HPM) will guide the examination of factors that prevent contacts from accepting TB testing and evaluation. The HMP stresses that an understanding of the major determinants of health informs the counseling of healthy behaviors. Uncovering the factors that determine a contact’s behavior will likely lead to effective counseling of contacts exposed to TB.</p> <p><strong>Methods:</strong></p> <p>A retrospective study of four years of data extracted from the New York City Department of Health and Mental Hygiene TB registry will be used to assess factors associated with household contact’s non-acceptance of TB testing and evaluation. Data elements include demographics, contact information, reporting and assignment, clinical disposition, and case management provider type. Logistic regression will be used to assess the probability of not accepting TB testing and evaluation based on independent variables, and to assess differences between two independent variables: a nurse manager and a non-nurse manager with non-acceptance of TB testing and evaluation.</p> <p><strong>Results:</strong></p> <p>On-going research.</p> <p><strong>Conclusion:</strong></p> <p>Study findings will provide data to facilitate health departments to develop appropriate strategies to increase household contacts’ acceptance of TB testing and evaluation.</p>en
dc.subjectHealth Promotion and Disease Preventionen
dc.subjectNursing Case Managementen
dc.subjectTuberculosisen
dc.date.available2017-06-14T20:19:17Z-
dc.date.issued2017-06-14-
dc.date.accessioned2017-06-14T20:19:17Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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