Evidence map›Paper›PMID 31952494›Full record

ArticleBMC public health2020

"A very humiliating illness": a qualitative study of patient-centered Care for Rifampicin-Resistant Tuberculosis in South Africa.

Jennifer Furin, Marian Loveday, Sindisiwe Hlangu, Lindy Dickson-Hall, Sacha le Roux, Mark Nicol, Helen Cox

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
0.9field-weighted citation impact, top 14% 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

28 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Treatment Adherence With an Oral 9-Month Regimen for Rifampicin-Resistant Tuberculosis in South Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Observational
  5. Review
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  20. Electronic Dose Monitoring Identifies a High-Risk Subpopulation in the Treatment of Drug-resistant Tuberculosis and Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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 at 3 institutions in 3 countries.

Jennifer FurinDepartment of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA. Jennifer_furin@hms.harvard.edu.ORCID http://orcid.org/0000-0002-0825-7199
Marian LovedayHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
Sindisiwe HlanguHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
Lindy Dickson-HallDivision of Medical Microbiology, Department of Pathology, University of Cape Town, Cape town, South Africa.
Sacha le RouxDivision of Medical Microbiology, Department of Pathology, University of Cape Town, Cape town, South Africa.
Mark NicolDivision of Medical Microbiology, Department of Pathology, University of Cape Town, Cape town, South Africa.
Helen CoxDivision of Medical Microbiology, Department of Pathology, University of Cape Town, Cape town, South Africa.
University of Cape Town · ZASouth African Medical Research Council · ZAHarvard University · US

Funding

Medical Research Council MR/N015924/1Wellcome TrustWellcome Trust MR/N015924/1
6 · The paper itself

Abstract

backgroundPatient-centered care is pillar 1 of the "End TB" strategy, but little has been documented in the literature about what this means for people living with rifampicin-resistant (RR-TB). Optimizing care for such individuals requires a better understanding of the challenges they face and the support they need.

methodsA qualitative study was done among persons living with RR-TB and members of their support network. A purposive sample was selected from a larger study population and open-ended interviews were conducted using a semi-standard interview guide. Interviews were recorded and transcribed and the content analyzed using an iterative thematic analysis based in grounded theory.

results16 participants were interviewed from three different provinces. Four distinct periods in which support was needed were identified: 1) pre-diagnosis; 2) pre-treatment; 3) treatment; and 4) post-treatment. Challenges common in all four periods included: socioeconomic issues, centralized care, and the need for better counseling at multiple levels.

conclusionsBeyond being a "very humiliating illness", RR-TB robs people of their physical, social, economic, psychological, and emotional well-being far beyond the period when treatment is being administered. Efforts to tackle these issues are as important as new drugs and diagnostics in the fight against TB.

Indexed as

Attitude to HealthAdultFemaleHumansMaleMiddle AgedPatient-Centered CareQualitative ResearchRifampinSouth AfricaTuberculosis, Multidrug-ResistantYoung AdultRifampinChallengesCostsCounselingSocial supportSouth Africa

Identifiers

PMID31952494
PMCPMC6969445
OpenAlexW3002184297

What OpenQuestion 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 OpenQuestion graph.