Factors affecting adherence to the treatment regimen of tuberculosis patients: Assessing the efficiency of health belief model constructs

Author(s):
Mohammad SaraniMohammad Sarani1, Mahmood KarimyMahmood Karimy2, Fatemeh RakhshaniFatemeh Rakhshani3, Jalil KuhpayehzadehJalil Kuhpayehzadeh4, Hamid BaradaranHamid Baradaran4, Iraj ZarebanIraj Zareban5,*
1Dept. of Health Education, Zabol University of Medical Sciences, Zabol, Iran
2Dept. of Public Health, Faculty of Health, Saveh University of Medical Sciences, Saveh, Iran
3Dept. of Health Education, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Dept. of Community Medicine, Faculty of Medicine, Iran University of Medical Sciences,Tehran, Iran
5Dept. of Health Education, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
*Corresponding Author: Corresponding author: Iraj Zareban, Dept. of Health Education, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran, Tel: +98 864 5222350 Email: [email protected]

Journal of Kermanshah University of Medical Sciences:Vol. 18, issue 4; e74111
Published online:Jul 29, 2014
Article type:Research Article
Received:Apr 14, 2014
Accepted:Jul 15, 2014
How to Cite:Sarani M, Karimy M, Rakhshani F, Kuhpayehzadeh J, Baradaran H, et al. Factors affecting adherence to the treatment regimen of tuberculosis patients: Assessing the efficiency of health belief model constructs. J Kermanshah Univ Med Sci. 2014;18(4):e74111. doi: https://doi.org/10.22110/jkums.v18i4.1745

Abstract

Background: Low adherence to the treatment regimen in tuberculosis patients has been recognized as a major threat for tuberculosis (TB) control program. Thus, the present study was conducted to assess the factors affecting adherence to the treatment regimen of TB patients via Health Belief Model (HBM).

Methods: In this cross-sectional study,110 tuberculosis patients attending anti-TB center in Zabol were selected and included in the study using census method. Data were collected using Health Belief Model (HBM) questionnaire and reviewing the patients' medical files. The collected data were analyzed by SPSS software using t-test, ANOVA and multiple regression analysis with 95 % confidence level.

Results: The mean age of the participants was 55.7±18.6 years. 89% of the patients had pulmonary tuberculosis and 11% had extra-pulmonary tuberculosis. The multiple regression analysis showed knowledge, self-efficacy, perceived benefits and perceived threat were significant predictors of adherence to the treatment regimen. The HBM constructs accounted for 29% of the variance observed in adherence to the treatment regimen.

Conclusion: The findings of the study highlight the need to increase awareness and change the patients’ beliefs about the risks of low adherence to the treatment regimen in patients.

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© 2014, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.

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