■结核病(TB)患者的内化污名显着影响延迟诊断,增加疾病传播,和不良的治疗结果。然而,关于在泰国结核病患者中减少内在化污名的社会心理干预措施的确凿经验证据仍然很少。
■本研究旨在研究同伴支持干预对减少泰国结核病患者内化污名的影响。
■在MuangMahaSarakham区进行了一组受试者内部重复测量设计,泰国,从2023年2月到2023年7月。该研究包括26名符合特定标准的参与者。测量是在基线时进行的,三个月,结核病诊断和药物治疗后六个月。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。结核病内化污名量表泰国版用于测量内化污名。统计分析包括描述性统计和重复测量ANOVA。
■总内在化污名及其子维度的平均得分(异化,刻板印象的认可,歧视经验,社会退出,和柱头阻力)在三个时间点之间显着不同(分别为p<0.001,p<0.001,p<0.001,p<0.001,p<0.001,p=0.002)。此外,从干预前到3个月(p=0.005),从干预前到6个月(p=0.007),柱头阻力得分显着增加。然而,从3个月到6个月未观察到显著增加(p=0.079).
■该研究强调了同伴支持干预在减少泰国结核病患者内化污名方面的积极影响。研究结果表明,关注同伴支持的干预措施可能会解决内化的污名,强调将这些策略纳入医疗保健实践以加强患者护理和改善结核病管理结果的重要性。
UNASSIGNED: 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.
UNASSIGNED: This study aimed to examine the impact of a peer support intervention on reducing internalized stigma among patients with TB in Thailand.
UNASSIGNED: 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.
UNASSIGNED: 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).
UNASSIGNED: 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.