Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers
Background Treatment adherence is a vital aspect in the management of chronic diseases like leprosy; however, most studies on treatment adherence focus on patients. This study aims to examine the perceptions of healthcare providers on factors that can promote or prevent patients from adhering to tre...
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ph-ateneo-arc.asmph-pubs-11322024-02-12T07:59:05Z Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers Pepito, Veincent Christian F. Loreche, Arianna Maever Samontina, Rae Erica D. Abdon, Sarah Jane A. Fuentes, David Norman L. Saniel, Ofelia P. Background Treatment adherence is a vital aspect in the management of chronic diseases like leprosy; however, most studies on treatment adherence focus on patients. This study aims to examine the perceptions of healthcare providers on factors that can promote or prevent patients from adhering to treatment. Methods We conducted three focus group discussions (FGDs) with healthcare providers who have at least one year experience in managing leprosy in three large leprosy case-holding hospitals in Metro Manila, Philippines. We audio-recorded, transcribed, translated the FGD proceedings, and analyzed the transcripts thematically to identify patient-intrinsic and patient-extrinsic enablers and barriers to treatment adherence of leprosy patients. Results Patient-intrinsic motivators to complete treatment include innate desire to be cured, fear of infecting family and friends, fear of disability, good knowledge about the disease, need for medical clearance to be considered fit to work, and experiencing leprosy reactions. Patient-extrinsic motivators to complete treatment include free treatment, immediate and sufficient counselling, flexibility in treatment, follow-up and motivation of healthcare workers, and presence of Hansen's Club and support groups. Patient-intrinsic barriers to good treatment adherence include distance between residence and hospital, financial and opportunity costs, adverse drug reactions, misconceptions about being cured, disabilities and presence of leprosy reactions, stubbornness and/or laziness, and undergoing clinical depression. Patient-extrinsic barriers to good treatment adherence include poor availability of MDT, transfer to other leprosy treatment facilities without informing current facility, and stigma. Conclusion Healthcare providers perceive that patient-intrinsic and patient-extrinsic factors influence the treatment adherence of leprosy patients through different mechanisms. We highlight the role of healthcare provider attitudes, stigma, and support groups in promoting treatment adherence. 2023-07-01T07:00:00Z text application/pdf https://archium.ateneo.edu/asmph-pubs/128 https://archium.ateneo.edu/context/asmph-pubs/article/1132/viewcontent/1_s2.0_S2405844023051836_main.pdf Ateneo School of Medicine and Public Health Publications Archīum Ateneo Healthcare providers Leprosy Philippines Primary care Qualitative study Treatment adherence Infectious Disease Medicine and Health Sciences |
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Healthcare providers Leprosy Philippines Primary care Qualitative study Treatment adherence Infectious Disease Medicine and Health Sciences Pepito, Veincent Christian F. Loreche, Arianna Maever Samontina, Rae Erica D. Abdon, Sarah Jane A. Fuentes, David Norman L. Saniel, Ofelia P. Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers |
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Background
Treatment adherence is a vital aspect in the management of chronic diseases like leprosy; however, most studies on treatment adherence focus on patients. This study aims to examine the perceptions of healthcare providers on factors that can promote or prevent patients from adhering to treatment.
Methods
We conducted three focus group discussions (FGDs) with healthcare providers who have at least one year experience in managing leprosy in three large leprosy case-holding hospitals in Metro Manila, Philippines. We audio-recorded, transcribed, translated the FGD proceedings, and analyzed the transcripts thematically to identify patient-intrinsic and patient-extrinsic enablers and barriers to treatment adherence of leprosy patients.
Results
Patient-intrinsic motivators to complete treatment include innate desire to be cured, fear of infecting family and friends, fear of disability, good knowledge about the disease, need for medical clearance to be considered fit to work, and experiencing leprosy reactions. Patient-extrinsic motivators to complete treatment include free treatment, immediate and sufficient counselling, flexibility in treatment, follow-up and motivation of healthcare workers, and presence of Hansen's Club and support groups. Patient-intrinsic barriers to good treatment adherence include distance between residence and hospital, financial and opportunity costs, adverse drug reactions, misconceptions about being cured, disabilities and presence of leprosy reactions, stubbornness and/or laziness, and undergoing clinical depression. Patient-extrinsic barriers to good treatment adherence include poor availability of MDT, transfer to other leprosy treatment facilities without informing current facility, and stigma.
Conclusion
Healthcare providers perceive that patient-intrinsic and patient-extrinsic factors influence the treatment adherence of leprosy patients through different mechanisms. We highlight the role of healthcare provider attitudes, stigma, and support groups in promoting treatment adherence. |
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text |
author |
Pepito, Veincent Christian F. Loreche, Arianna Maever Samontina, Rae Erica D. Abdon, Sarah Jane A. Fuentes, David Norman L. Saniel, Ofelia P. |
author_facet |
Pepito, Veincent Christian F. Loreche, Arianna Maever Samontina, Rae Erica D. Abdon, Sarah Jane A. Fuentes, David Norman L. Saniel, Ofelia P. |
author_sort |
Pepito, Veincent Christian F. |
title |
Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers |
title_short |
Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers |
title_full |
Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers |
title_fullStr |
Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers |
title_full_unstemmed |
Factors Affecting Treatment Adherence Among Leprosy Patients: Perceptions of Healthcare Providers |
title_sort |
factors affecting treatment adherence among leprosy patients: perceptions of healthcare providers |
publisher |
Archīum Ateneo |
publishDate |
2023 |
url |
https://archium.ateneo.edu/asmph-pubs/128 https://archium.ateneo.edu/context/asmph-pubs/article/1132/viewcontent/1_s2.0_S2405844023051836_main.pdf |
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1792202595501080576 |