Evidence map›Paper›PMID 25886411›Full record

Trial reportBMC infectious diseases2015

Barriers to adherence with tuberculosis contact investigation in six provinces of Vietnam: a nested case-control study.

Gregory James Fox, Le Phuong Loan, Nguyen Viet Nhung, Nguyen Thi Loi, Dinh Ngoc Sy, Warwick John Britton, Guy Barrington Marks

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Conditional Cash Transfers to Incentivize Tuberculosis Screening: Description of a Novel Strategy for Contact Investigation in Rural South Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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  16. Non-adherence to tuberculosis contact screening and its associated factors in Kuching, Sarawak: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024
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  19. The impact of time at home on potential yield of home-based TB contact investigation.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
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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

7 authors.

Gregory James FoxWoolcock Institute of Medical Research, University of Sydney, 431 Glebe Point Road, Glebe, Sydney, 2037, Australia. gregory.fox@sydney.edu.au.
Le Phuong LoanWoolcock Institute of Medical Research, University of Sydney, 431 Glebe Point Road, Glebe, Sydney, 2037, Australia. lephuongloan1@gmail.com.
Nguyen Viet NhungNational Lung Hospital, 463 Hoang Hoa Tham Street, Ba Dinh, Hanoi, Vietnam. vietnhung@bvlaobp.org.
Nguyen Thi LoiWoolcock Institute of Medical Research, University of Sydney, 431 Glebe Point Road, Glebe, Sydney, 2037, Australia. loi.nguyenthi@woolcock.org.au.
Dinh Ngoc SyNational Lung Hospital, 463 Hoang Hoa Tham Street, Ba Dinh, Hanoi, Vietnam. ngocsyvienlao@yahoo.com.
Warwick John BrittonSydney Medical School, University of Sydney, Sydney, 2006, Australia. wbritton@med.usyd.edu.au.
Guy Barrington MarksWoolcock Institute of Medical Research, University of Sydney, 431 Glebe Point Road, Glebe, Sydney, 2037, Australia. guy.marks@sydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClose contacts of patients with tuberculosis (TB) have a substantial risk of developing the disease, particularly during the first year after exposure. Household contact investigation has recently been recommended as a strategy to enhance case detection in high-burden countries. However the barriers to its implementation in these settings remain poorly understood.

methodsA nested case-control study was conducted in Vietnam within the context of a large cluster randomised controlled trial of active screening for TB in household contacts of patients with pulmonary TB. The study population comprised contacts (and their index patients) from 12 Districts in six provinces throughout the country. Cases were contacts (and their index patients) that did not attend the scheduled screening appointment. Controls were those who did attend. We assessed relevant knowledge, attitudes and practices in cases and controls.

resultsThe acceptability of contact investigation was high among both cases (n = 109) and controls (n = 194). Both cases (47%) and controls (36%) commonly reported discrimination against people with TB. Cases were less likely than controls to understand that sharing sleeping quarters with a TB patient increased their risk of disease (OR 0.46, 0.27 - 0.78) or recognise TB as an infectious disease (OR 0.65, 0.39 - 1.08). A higher proportion of cases than controls held the mistaken traditional belief that a non-infectious form of TB caused the disease (OR 1.69, 1.02 - 2.78).

conclusionsThe knowledge, attitudes and practices of contacts and TB patients influence their ongoing participation in contact investigation. TB case detection policies in high-prevalence settings can be strengthened by systematically evaluating and addressing locally important barriers to attendance.

trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12610000600044 .

Indexed as

Contact TracingGuideline AdherenceAdolescentAdultCase-Control StudiesCommunication BarriersFamily CharacteristicsFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient ParticipationPrevalenceTuberculosis, PulmonaryVietnam

Identifiers

PMID25886411
PMCPMC4377211

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.