Evidence map›Paper›PMID 34330337›Full record

ArticleInfectious diseases of poverty2021

Determinants of self-management behaviors among pulmonary tuberculosis patients: a path analysis.

Jin Li, Jie Pu, Jiaqing Liu, Qingya Wang, Rui Zhang, Ting Zhang, Jiani Zhou, Wei Xing, Shengxiang Liang, Daiyu Hu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases of poverty, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jin LiDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Jie PuDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Jiaqing LiuDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Qingya WangChongqing Institute of TB Prevention and Treatment, Jiulongpo District, Chongqing, China.
Rui ZhangDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Ting ZhangChongqing Institute of TB Prevention and Treatment, Jiulongpo District, Chongqing, China.
Jiani ZhouDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Wei XingDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Shengxiang LiangDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China.
Daiyu HuChongqing Institute of TB Prevention and Treatment, Jiulongpo District, Chongqing, China.
Ying LiDepartment of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Chongqing, China. lilyliying2012@163.com.ORCID http://orcid.org/0000-0002-8017-1488
Army Medical University · CNChongqing Jiulongpo People's Hospital · CN

Funding

Chongqing outstanding youth project cstc2020jcyj-jqX0007National Natural Science Foundation of China 81773489Social Science and Technology Innovation Subject in Chongqing cstc2015shmszx120070
6 · The paper itself

Abstract

backgroundTuberculosis (TB) is one of the top 10 causes of death in the world. Since Directly Observed Therapy (DOT) as a core strategy for the global TB control are not applicable to all types of TB patients, and self-management of TB patients (SMTP) as a patient-centered supervision type is a supplement to DOT and can improve TB case management. However, the factors related to SMTP are complex and need more study. This study aimed at identifying the determinants of SMTP and examining the direct/indirect effects of these determinants.

methodsThe purposive sampling technique was used to select study sites and participants were recruited from the study sites by the consecutive sampling method. The PRECEDE model was used as the framework to analyze the determinants of SMTP. The responses of TB patients were acquired via a questionnaire survey for data collection. A Pearson correlation analysis was used to define the relationship between the predisposing, enabling, reinforcing factors with SMTP behaviors. A regression-based path analysis was used to determine the action paths of the predisposing, enabling, and reinforcing factors on SMTP behaviors.

resultsThe predisposing (TB knowledge), enabling [health education and healthcare workers (HCWs) support], reinforcing factors (family support) had significant positive correlations with SMTP behaviors (P < 0.05). The predisposing, enabling, reinforcing factors were positively correlated with each other (r = 0.123‒0.918, P < 0.05), except for family support and HCWs support. The predisposing factors (TB knowledge, β = 0.330) and the enabling factors (HCWs support, β = 0.437) had direct effects on SMTP behaviors. The enabling factors (health education and HCWs support) and the reinforcing factors (family support) had indirect effects on SMTP behaviors.

conclusionsThis study revealed the effects and action path of TB knowledge, health education, HCWs support, and family support on SMTP behaviors via a path analysis. Assessing patient's needs for SMTP along with promoting effective TB health education and providing firm support from HCWs and family members are potential strategies to promote SMTP behaviors.

Indexed as

Self-ManagementTuberculosisTuberculosis, PulmonaryDirectly Observed TherapyHealth PersonnelHumansSurveys and QuestionnairesPath analysisPRECEDESelf-managementTuberculosis

Identifiers

PMID34330337
PMCPMC8325183
OpenAlexW3185297756

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.