{"title":"同伴互助干预对泰国肺结核患者内化耻辱感的影响:重复测量设计","authors":"Nisakorn Vibulchai, Kamthorn Dana, Monruedee Sanchan, Charanya Churari, Bunjong Jadboonnak, Wattana Sawangsri, Wansu Taweekanachote Pothiporn, Udomlak Sutthicharoen","doi":"10.33546/bnj.3327","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Internalized stigma among patients with tuberculosis (TB) significantly affects delayed diagnosis, increased disease transmission, and poor treatment outcomes. However, conclusive empirical evidence on psychosocial interventions to reduce internalized stigma among patients with TB in Thailand remains scarce.</p><p><strong>Objective: </strong>This study aimed to examine the impact of a peer support intervention on reducing internalized stigma among patients with TB in Thailand.</p><p><strong>Methods: </strong>A one-group within-subjects repeated-measure design was conducted in the Muang Maha Sarakham district, Thailand, from February 2023 to July 2023. The study included 26 participants who met specified criteria. Measurements were taken at baseline, three months, and six months following TB diagnosis and medication treatment. The peer support intervention comprised TB health education, psycho-educational sessions, self-management support, and home visits. The Internalized Stigma of Tuberculosis Scale Thai Version was used to measure internalized stigma. Statistical analyses included descriptive statistics and repeated measures ANOVA.</p><p><strong>Results: </strong>Mean scores of total internalized stigma and its sub-dimensions (alienation, stereotype endorsement, discrimination experience, social withdrawal, and stigma resistance) differed significantly across the three-time points (<i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> = 0.002, respectively). Furthermore, stigma resistance scores significantly increased from pre-intervention to three months (<i>p</i> = 0.005) and from pre-intervention to six months (<i>p</i> = 0.007). However, no significant increase was observed from three to six months (<i>p</i> = 0.079).</p><p><strong>Conclusions: </strong>The study underlines the positive impact of peer support intervention in reducing internalized stigma among patients with TB in Thailand over time. The findings suggest that interventions focusing on peer support can potentially address internalized stigma, highlighting the importance of integrating these strategies into healthcare practices to enhance patient care and improve TB management outcomes.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"10 4","pages":"408-415"},"PeriodicalIF":1.1000,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350345/pdf/","citationCount":"0","resultStr":"{\"title\":\"The effect of the peer support intervention on internalized stigma among Thai patients with tuberculosis: A repeated measures design.\",\"authors\":\"Nisakorn Vibulchai, Kamthorn Dana, Monruedee Sanchan, Charanya Churari, Bunjong Jadboonnak, Wattana Sawangsri, Wansu Taweekanachote Pothiporn, Udomlak Sutthicharoen\",\"doi\":\"10.33546/bnj.3327\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Internalized stigma among patients with tuberculosis (TB) significantly affects delayed diagnosis, increased disease transmission, and poor treatment outcomes. However, conclusive empirical evidence on psychosocial interventions to reduce internalized stigma among patients with TB in Thailand remains scarce.</p><p><strong>Objective: </strong>This study aimed to examine the impact of a peer support intervention on reducing internalized stigma among patients with TB in Thailand.</p><p><strong>Methods: </strong>A one-group within-subjects repeated-measure design was conducted in the Muang Maha Sarakham district, Thailand, from February 2023 to July 2023. The study included 26 participants who met specified criteria. Measurements were taken at baseline, three months, and six months following TB diagnosis and medication treatment. The peer support intervention comprised TB health education, psycho-educational sessions, self-management support, and home visits. The Internalized Stigma of Tuberculosis Scale Thai Version was used to measure internalized stigma. Statistical analyses included descriptive statistics and repeated measures ANOVA.</p><p><strong>Results: </strong>Mean scores of total internalized stigma and its sub-dimensions (alienation, stereotype endorsement, discrimination experience, social withdrawal, and stigma resistance) differed significantly across the three-time points (<i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> <0.001, <i>p</i> = 0.002, respectively). Furthermore, stigma resistance scores significantly increased from pre-intervention to three months (<i>p</i> = 0.005) and from pre-intervention to six months (<i>p</i> = 0.007). However, no significant increase was observed from three to six months (<i>p</i> = 0.079).</p><p><strong>Conclusions: </strong>The study underlines the positive impact of peer support intervention in reducing internalized stigma among patients with TB in Thailand over time. The findings suggest that interventions focusing on peer support can potentially address internalized stigma, highlighting the importance of integrating these strategies into healthcare practices to enhance patient care and improve TB management outcomes.</p>\",\"PeriodicalId\":42002,\"journal\":{\"name\":\"Belitung Nursing Journal\",\"volume\":\"10 4\",\"pages\":\"408-415\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-08-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350345/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Belitung Nursing Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33546/bnj.3327\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Belitung Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33546/bnj.3327","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:结核病(TB)患者的内化耻辱感会严重影响诊断延迟、疾病传播增加和治疗效果不佳。然而,在泰国,有关采取心理干预措施以减少结核病患者内化耻辱感的确凿证据仍然很少:本研究旨在探讨同伴支持干预对减少泰国肺结核患者内化病耻感的影响:从 2023 年 2 月到 2023 年 7 月,在泰国 Muang Maha Sarakham 区进行了一组受试者内重复测量设计。研究包括 26 名符合特定标准的参与者。分别在结核病诊断和药物治疗后的基线、三个月和六个月进行测量。同伴支持干预包括结核病健康教育、心理教育课程、自我管理支持和家访。结核病内部化耻辱感量表泰语版用于测量内部化耻辱感。统计分析包括描述性统计和重复测量方差分析:总内在化成见及其子维度(疏远、刻板印象认可、歧视经历、社会退缩和成见抵制)的平均得分在三个时间点之间存在显著差异(分别为 p p p p p p = 0.002)。此外,从干预前到三个月(p = 0.005),以及从干预前到六个月(p = 0.007),污名化抵制得分均有明显增加。然而,从三个月到六个月没有观察到明显增加(p = 0.079):本研究强调了同伴支持干预措施对减少泰国肺结核患者内化耻辱感的积极影响。研究结果表明,以同伴支持为重点的干预措施有可能解决内化的污名化问题,突出了将这些策略纳入医疗保健实践的重要性,以加强对患者的护理并改善结核病的管理效果。
The effect of the peer support intervention on internalized stigma among Thai patients with tuberculosis: A repeated measures design.
Background: Internalized stigma among patients with tuberculosis (TB) significantly affects delayed diagnosis, increased disease transmission, and poor treatment outcomes. However, conclusive empirical evidence on psychosocial interventions to reduce internalized stigma among patients with TB in Thailand remains scarce.
Objective: This study aimed to examine the impact of a peer support intervention on reducing internalized stigma among patients with TB in Thailand.
Methods: A one-group within-subjects repeated-measure design was conducted in the Muang Maha Sarakham district, Thailand, from February 2023 to July 2023. The study included 26 participants who met specified criteria. Measurements were taken at baseline, three months, and six months following TB diagnosis and medication treatment. The peer support intervention comprised TB health education, psycho-educational sessions, self-management support, and home visits. The Internalized Stigma of Tuberculosis Scale Thai Version was used to measure internalized stigma. Statistical analyses included descriptive statistics and repeated measures ANOVA.
Results: Mean scores of total internalized stigma and its sub-dimensions (alienation, stereotype endorsement, discrimination experience, social withdrawal, and stigma resistance) differed significantly across the three-time points (p <0.001, p <0.001, p <0.001, p <0.001, p <0.001, p = 0.002, respectively). Furthermore, stigma resistance scores significantly increased from pre-intervention to three months (p = 0.005) and from pre-intervention to six months (p = 0.007). However, no significant increase was observed from three to six months (p = 0.079).
Conclusions: The study underlines the positive impact of peer support intervention in reducing internalized stigma among patients with TB in Thailand over time. The findings suggest that interventions focusing on peer support can potentially address internalized stigma, highlighting the importance of integrating these strategies into healthcare practices to enhance patient care and improve TB management outcomes.