Theory-Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi- Experimental Study

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dc.contributor.authorChaisson, Lelia H.
dc.contributor.authorKatamba, Achilles
dc.contributor.authorHaguma, Priscilla
dc.contributor.authorOchom, Emmanuel
dc.contributor.authorAyakaka, Irene
dc.contributor.authorMugabe, Frank
dc.contributor.authorMiller, Cecily
dc.contributor.authorVittinghoff, Eric
dc.contributor.authorDavis, J. Lucian
dc.contributor.authorHandley, Margaret A.
dc.contributor.authorCattamanchi, Adithya
dc.date.accessioned2023-01-19T18:42:53Z
dc.date.available2023-01-19T18:42:53Z
dc.date.issued2015
dc.description.abstractTuberculosis (TB) remains under-diagnosed in many countries, in part due to poor evaluation practices at health facilities. Theory-informed strategies are needed to improve implementation of TB evaluation guidelines. We aimed to evaluate the impact of performance feedback and same-day smear microscopy on the quality of TB evaluation at 6 health centers in rural Uganda. Methods We tested components of a multi-faceted intervention to improve adherence to the International Standards for Tuberculosis Care(ISTC): performance feedback and same-day smear microscopy. The strategies were selected based on a qualitative assessment guided by the Theory of Planned Behavior and the PRECEDE model. We collected patient data 6 months before and after the introduction of each intervention component, and compared ISTC adherence in the pre- and post-intervention periods for adults with cough 2 weeks’ duration. Results The performance feedback evaluation included 1,446 adults; 838 (58%) were evaluated during the pre-intervention period and 608 (42%) during the post-intervention period. Performance feedback resulted in a 15% (95%CI +10%to +20%, p<0.001) increase in the proportion of patients receiving ISTC-adherent care. The same-day microscopy evaluation included 1,950 adults; 907 (47%) were evaluated during the pre-intervention period and 1,043 (53%) during the post-intervention period. Same-day microscopy was associated with a 14% (95%CI +10%to +18%, p<0.001) increase in the proportion of patients receiving ISTC-adherent care. Conclusions Performance feedback and same-day microscopy should be considered along with ISTC training as part of a multi-faceted intervention to improve the quality of TB evaluation in other high TB burden countries.en_US
dc.identifier.citationChaisson LH, Katamba A, Haguma P, Ochom E, Ayakaka I, Mugabe F, et al. (2015) Theory- Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi-Experimental Study. PLoS ONE 10(7): e0132573. doi:10.1371/journal.pone.0132573en_US
dc.identifier.other10.1371/journal.pone.0132573
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7082
dc.language.isoenen_US
dc.publisherPLoS ONEen_US
dc.subjectTuberculosisen_US
dc.subjectUgandan Health Centersen_US
dc.subjectQuasi- Experimental Studyen_US
dc.titleTheory-Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi- Experimental Studyen_US
dc.typeArticleen_US
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